Jobs at CareSource

The Sales Coordinator II supports sales strategy, manages onboarding of agents, coordinates commissions, and serves as primary contact for broker inquiries.

The Compliance Analyst II supports the Compliance Program through analysis, training, and collaboration, ensuring effective implementation of compliance requirements and managing corrective actions.

The Claims Specialist III resolves claim adjustment requests, processes claims, and ensures compliance with regulations while supporting providers with inquiries and training peers.

The Operations Specialist III provides analytical support for claims projects, leads initiatives, reviews claims, and develops policies for claims processing.

The Claims Management Analyst III leads eBusiness initiatives, manages EDI trading partners, ensures compliance, and analyzes performance for continuous improvement.

The Clinical Psychologist provides oversight for Behavioral Health coverage, develops clinical policies, participates in quality improvement, and ensures compliance with regulations while working with providers, members, and state agencies.

The Clinical Psychologist provides behavioral health coverage determination, ensuring appropriate care in a cost-effective setting. Responsibilities include patient safety, developing clinical policies, participating in quality improvement, and serving as a clinical liaison.

The AI Engineer II designs and develops generative AI software solutions, oversees architecture, evaluates technologies, and collaborates with teams for project delivery.

The AVP, Network and Contracting oversees provider contracting and network strategy, ensuring compliance and optimizing member access while leading a high-performing team.

The Configuration Architect oversees the architecture for clinical system configurations, ensures alignment with business needs, evaluates solutions, and leads teams in implementing standards and guidelines while mentoring others in the department.

Design, develop, and deploy AI/ML solutions—especially generative and agentic AI—build LLM and RAG architectures, implement MLOps pipelines, prototype PoCs, and integrate models into production using cloud, containerization, and CI/CD practices while collaborating across teams.

The AI Solution Consultant acts as a bridge between clinical operations and the AI Platform team, leading AI initiative triage, developing business cases, and advising on AI tools.

The AI Engineer III is responsible for the reliability and scalability of AI solutions, managing CI/CD pipelines, observability, and ensuring security in deployments. They architect and maintain tools within Azure AI Foundry, collaborate with SRE teams, and optimize model performance while enforcing governance through automated controls.

The Business Resiliency Specialist III coordinates disaster recovery processes, provides guidance to staff, ensures compliance with recovery plans, and develops strategies for business continuity.

The Program Integrity Medical Coding Reviewer III analyzes claims submissions, mentors analysts, implements process improvements, and ensures compliance with coding guidelines and regulations.

The Scrum Product Owner is responsible for maximizing product value by defining user stories, prioritizing the backlog, and collaborating with stakeholders and the Scrum team to meet strategic goals.

Lead market finance activities including reporting, budgeting, forecasting, monthly close support, financial modeling, pricing and reimbursement analysis, regulatory filings, audit support, risk adjustment coordination, and staff management to drive financial performance and process improvements.

The Intelligent Automation Developer II designs and implements AI and automation solutions, collaborating on project requirements, developing machine learning models, and ensuring seamless integration across systems.

The Applied AI Scientist III develops and applies advanced analytics using AI to enhance healthcare operations and patient care. This role involves evaluating technologies, leading projects, utilizing NLP and machine learning to extract insights from data, and collaborating with interdisciplinary teams.

The Business Insights & Planning Analyst III coordinates mergers and acquisition efforts, business planning, and work product development, while managing due diligence and supporting various teams in the business development process.