The Actuarial Analyst II conducts analyses and provides recommendations to support corporate initiatives. This involves profitability reporting, evaluating assumptions and government reimbursement, and participating in cross-functional teams.

Develop and promote membership growth and retention strategies by collaborating with community partners, managing relationships, conducting events, and educating stakeholders about CareSource's services.

The MDP Platform Engineer III designs and optimizes cloud solutions on Databricks and Azure, ensuring compliance, driving innovation, and collaborating with DevOps teams for deployment automation while providing technical support and managing projects effectively.

The Grievance & Appeals Specialist II reviews Medicaid and Medicare appeals, prepares cases for clinical review, and tracks outcomes to ensure resolution within regulatory timelines.

The Strategy & Business Development Coordinator manages operational functions, oversees budget management, vendor relations, and project logistics, while driving efficiency across departments.

Provide analytical support for Claims projects, assist with IT tickets, train staff, analyze claims data, and develop policies. Requires healthcare claims experience.

The Internal Auditor II executes internal audits, evaluates organizational risks, develops audit plans, and communicates results to management, enhancing internal controls.

The Compliance Analyst III assists in risk assessment, compliance monitoring, and corrective action management, ensuring adherence to standards and requirements.

The Operations Software Quality Analyst II develops and executes quality assurance processes, manages testing efforts, and ensures software compliance and performance standards are met.

The Data Modeler III leads data modeling efforts, defines business requirements, develops standards, and mentors junior staff. Responsibilities include creating logical and physical models, ensuring data quality, and supporting data warehouse development.

This internship involves conducting research on EPSDT, collaborating with business owners, analyzing data, and developing insights for performance improvement.

The AI Developer designs and implements AI solutions, develops generative AI platforms, collaborates with teams, and manages model deployments and MLOps pipelines.

The Grievance & Appeals Specialist II reviews Medicaid and Medicare appeals, validates claims, tracks outcomes, and prepares cases for clinical review while adhering to regulatory timeframes.

The AVP of Program Integrity drives compliance and performance in Program Integrity operations, focusing on fraud prevention, regulatory standards, and leadership across healthcare investigations.

The Operations Business Analyst II reviews and analyzes processes for efficiency, aids in strategic planning, and performs data analysis for operational improvements.

The Operations Application Developer II designs, codes, tests, and analyzes software programs, focusing on the Facets core module and claims integrations.

The Quality Analyst III analyzes healthcare data, generates reports, collaborates with teams, and provides insights for quality performance improvements.

The Payment Cycle Analyst II provides analytical support for claims-related projects, defines policy requirements, conducts analysis on reimbursement errors, and ensures documentation accuracy before implementation.

The Community Marketing Representative III develops strategies to promote membership growth and retention by collaborating with community partners and facilitating events to educate the target audience about CareSource services.

The Operations Specialist II provides analytical support for project impacting Claims, assists with claims processing policy training, and resolves provider claim issues through data analysis.