Jobs at CareSource

Owns the AI strategy, roadmap, and initiative portfolio for assigned business areas. Identifies and prioritizes AI opportunities, translates business needs into compliant AI solutions, and partners with stakeholders, IT, and AI teams to deliver outcomes. Builds less complex AI agents using approved tools, supports technology adoption, monitors KPIs, and uses analytics, feedback, and market trends to guide continuous improvement and investment decisions.

Manages digital products from planning through execution, optimization, budgeting, stakeholder communication, and results tracking. Owns product roadmaps, backlogs, customer experience, digital quality, analytics, compliance, and Agile delivery. Coordinates internal teams, IT partners, agencies, and vendors while translating business needs into digital solutions. Leads innovation initiatives, including IoT projects, and applies Lean Management and Design Thinking to develop capabilities and improve customer engagement, adoption, and product maturity.

Develops and maintains business continuity, disaster recovery, incident management, and crisis response programs. Conducts impact analyses and risk assessments, evaluates third-party dependencies, coordinates response and recovery activities, and validates readiness through training, exercises, and testing. Tracks preparedness metrics, corrective actions, and compliance with resiliency standards including ISO 22301 and NIST SP 800-34. Provides guidance to less experienced personnel and drives continuous improvement across business and technology stakeholders.

Manages medium- to high-complexity projects from initiation through closure, including schedules, budgets, resources, risks, issues, governance, reporting, and stakeholder communication. Leads cross-functional business and IT teams, coordinates vendors, maintains project documentation and metrics, ensures compliance with EPMO standards, develops communication and training plans, and mentors junior project staff. The role requires managing projects with teams of 20 or more and budgets up to $3.5 million.

Supports the design, validation, and operationalization of predictive, machine learning, and AI models. Analyzes structured and unstructured data, develops algorithms, validates outcomes, creates visualizations, and communicates findings to stakeholders. Collaborates cross-functionally to integrate solutions and prepares model pipelines for business use. The role also involves statistical analysis, NLP, exploratory data analysis, feature engineering, and research into emerging technologies.

Manages healthcare cost reporting, including financial data accuracy, detailed report preparation, reimbursement analysis, regulatory compliance, reporting-system improvements, and management presentations. Collaborates across departments, identifies trends and discrepancies, supports strategic planning, and leads process improvements. Requires expertise in Medicaid cost reporting, healthcare reimbursement, finance technologies, analytics, and staff leadership.

Leads enterprise business analysis strategy across programs and portfolios, partnering with executives to define requirements, evaluate investments, measure business value, manage risks, and guide transformation initiatives. Establishes standards and governance, analyzes operational and financial data, supports regulatory compliance, and mentors analysts. The role also advances AI-enabled tools, automation, and analytics to improve decision-making and business outcomes within a healthcare payer environment.

Owns product strategy, vision, operating models, governance, and roadmaps for data migration, integrations, and enterprise transformation initiatives. Translates business and technical objectives into prioritized delivery plans, coordinates cross-functional teams and vendors, oversees readiness, testing, implementation, stabilization, and transition to operations. Manages risks, dependencies, stakeholder expectations, compliance, and executive reporting while guiding product owners and delivery teams.

Leads systems research and business analysis to identify impacted systems, interfaces, dependencies, and affected business areas. Elicits and documents requirements, creates Agile features and stories, facilitates stakeholder workshops, performs root cause analysis, supports QA testing, and develops training and documentation. Serves as a liaison between technical teams and business users while analyzing complex processes and enterprise systems in a healthcare environment.

Lead a small actuarial team responsible for pricing, forecasting, reserving, and actuarial modeling for supplemental benefits. Develop assumptions, evaluate experience and trends, support rate filings and IBNR reserve estimates, provide strategic recommendations, and ensure compliance with actuarial standards.