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$41.2k - $66k
...to sit or stand for extended periods of time Travel is not typically required Compensation Range: $41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and...SuggestedHourly payWork at office- ...appropriate Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation Continuously assess for areas to improve the process to make the members...SuggestedWork experience placementWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift
CareSource
Las Vegas, NV4 days ago $195.2k - $341.6k
...education, training, data sharing, performance evaluations and orientation to the plan Conduct clinical reviews for designated CareSource members as requested Provide physician review for clinical appeals cases Participate in the evaluation and investigations...SuggestedHourly payWork at officeWeekend workAfternoon shift- ...Planner) and is funded by leading Midwest investors, such as Allos Ventures, First Trust Capital Partners, Elevate Ventures, and CareSource. Key Responsibilities Build strong relationships with your book of assigned clients as their main point of contact. Foster...SuggestedWork at office
$61.5k - $98.4k
...functions and processes and influence standards for expected team behaviors Assist in the coordination of external audits of CareSource by government agencies, accounting firms, etc. Develop and maintain productive professional relationships with CareSource staff...SuggestedHourly payWork experience placementWork at officeFlexible hours$62.7k - $100.4k
...periods of time Ability to travel as required by the needs of the department. Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and...SuggestedHourly payContract workWork experience placementWork at office$41.2k - $66k
...employee has started in position, employment in position will be terminated. Compensation Range: $41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity...SuggestedHourly payWork at office- ...confidence, improve self-efficacy, and reduce inappropriate healthcare spend. Role Overview: Activate Care is teaming up with CareSource, and we're building a team of hybrid, Care Coordinators located in Michigan, who will play a key role in supporting the...SuggestedFull timeWork experience placementLocal areaWork from homeVisa sponsorshipWork visa
- ...Planner™) and is funded by leading Midwest investors, such as Allos Ventures, First Trust Capital Partners, Elevate Ventures, and CareSource. Key Responsibilities Own reporting and data analysis for the Client Success team, defining and building reports that...SuggestedFull timeWork at office
$62.7k - $100.4k
...appeals within required timeframes Communicate with state agencies and internal departments to prepare for State Hearings Apply CareSource Medical Policy and Milliman guidelines when processing clinical appeals Issue administrative denials appropriately Refer...Suggested$62.7k - $100.4k
...provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare will change the way health care is delivered in Mississippi...SuggestedFull timeWork experience placementWork at officeLocal areaFlexible hoursWeekend workAfternoon shift- ...Planner™) and is funded by leading Midwest investors, such as Allos Ventures, First Trust Capital Partners, Elevate Ventures, and CareSource. Key Responsibilities Broker Channel Prospecting & Qualification Identify, research, and prioritize potential...SuggestedFull timeWork at office
$72.2k - $115.5k
...predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as...SuggestedMinimum wageFull timeContract workWork experience placementWork at office$35.9k - $57.3k
...mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed care organization with over 2 million members across multiple states, CCA serves...SuggestedHourly payFull time- ...confidence, improve self-efficacy, and reduce inappropriate healthcare spend. Role Overview: Activate Care is teaming up with CareSource, and were building a team of hybrid, Care Coordinators located in Nevada, who will play a key role in supporting the screening...SuggestedFull timeWork experience placementLocal areaWork from homeVisa sponsorshipWork visaRelocation package
$72.2k - $115.5k
...office environment; may be required to sit or stand for extended periods of time Compensation Range: $72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and...Remote jobFull timeWork at office$35.9k - $57.3k
...HAP CareSource is a joint venture between Health Alliance Plan (HAP) a Michigan-based health plan that provides health coverage to individuals and companies of all sizes, and CareSource a nationally recognized managed care organization with more than 2 million members...Hourly payFull timeWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift$83k - $132.8k
...sit or stand for extended periods of time Travel is not typically required Compensation Range: $83,000.00 - $132,800.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity...Remote jobFull timeWork experience placementWork at office$41.2k - $66k
...mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed care organization with over 2 million members across multiple states, CCA serves...Hourly payDaily paidPart timeWork experience placementWork at officeRemote workShift workWeekend workAfternoon shift$54.5k - $87.3k
...projects by performing a variety of tasks as assigned by residency director to further support pharmacy’s role in supporting the CareSource mission of “transforming lives through innovative health and life services” Focus on producing high quality, cost-effective, and...Full timeWork at officeLocal areaFlexible hours$72.2k - $115.5k
...environment; may be required to sit or stand for extended periods of time Compensation Range: $72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity...Remote job$62.7k - $100.4k
...appeals within required timeframes Communicate with state agencies and internal departments to prepare for State Hearings Apply CareSource Medical Policy and Milliman guidelines when processing clinical appeals Issue administrative denials appropriately Refer...Hourly payFull timeWork at officeWeekend workAfternoon shift$94.1k - $164.8k
...office environment; may be required to sit or stand for extended periods of time Compensation Range: $94,100.00 - $164,800.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and...Remote jobFull timeWork experience placementWork at office$94.1k - $164.8k
...Specific function may require overseeing development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basis Perform any other job related instructions as requested Education and Experience:...Remote jobFull timeWork experience placementWork at office$72.2k - $115.5k
...office environment; may be required to sit or stand for extended periods of time Compensation Range: $72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and...Remote jobFull timeWork experience placementWork at office$72.2k - $115.5k
...confidential investigative information Maintain compliance with state and federal laws and regulations and contracts Adhere to the CareSource Corporate Compliance Plan and the Anti-Fraud Plan Assist in Federal and State regulatory audits, as needed Perform any...Full timeWork experience placementLive inWork at office$62.7k - $100.4k
...HAP CareSource is a joint venture between Health Alliance Plan (HAP) a Michigan-based health plan that provides health coverage to individuals and companies of all sizes, and CareSource a nationally recognized managed care organization with more than 2 million members...Full timeWork experience placementWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift$94.1k - $164.8k
...periods of time Ability to travel as required by the needs of the department. Compensation Range: $94,100.00 - $164,800.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and...Remote jobFull timeWork experience placementWork at office$100k - $160k
...predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as...Full timeWork at officeLocal areaHome office$35.9k - $57.3k
...to an assigned daily work schedule and have predictable and reliable attendance Compensation Range: $35,900.00 - $57,300.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity...Hourly payFull timeLive inWork at officeRemote workWork from homeMonday to FridayShift work
