Must be a DAX Developer The Quality Analyst IV is responsible for developing, implementing, modeling, and leveraging high volume and highly complex healthcare data to transform into advanced analyses or visual analytic solutions. This role will collaborate with cross functional teams, providing analytical insight to inform strategy and interventions to drive improved qual

The Market Quality Improvement Specialist II collaborates with department manager and other leadership to evaluate opportunity for HEDIS data and process improvement in new or existing projects with focus on measurable benefits. Essential Functions Conducts business process and gap analysis to diagnose process improvement opportunities and to develop re usable solutions u

The Risk Adjustment Analyst III is responsible for compiling and analyzing member information to ensure the Risk Adjustment Factor accurately reflects the member health profile, financial and clinical information. Essential Functions Compile and analyze member information to ensure the Risk Adjustment Factor accurately reflects the member health profile, financial and cli

Schedule is N ights and Evenings 8p 6 30a and 3p 1 30a The Triage Nurse is responsible for using decision support software to perform telephonic clinical triage and health information service for CareSource managed health plans and external clients. Essential Functions Utilize assessment skills and the nursing process for care of healthy, as well as acutely or chronically

The Medicare Sales Representative II is responsible for supporting the sales strategy and enrollment goals in collaboration with management to ensure goals are successfully achieved for the Medicare Advantage product line within an assigned territory and consistent with state and federal regulations. Essential Functions Contribute and support the development of educationa

The Content Strategist II is responsible for developing, producing, and maintaining plain language content for member or provider materials and collateral. Essential Functions Create content, manage content workflows, and coordinate deliverables that will help improve audience comprehension Develop interesting, plain language content to assist with customer engagement and

The Content Strategist III is responsible for creating content, managing content workflows, and coordinating deliverables that will help improve audience comprehension and support appropriate channel execution. Essential Functions Develop, produce and maintain plain language content for member or provider materials and collateral Develop interesting, plain language conten

The Health Plan Sales Associate II is responsible for identifying and education consumers about the CareSource exchange product lines, generating enrollment leads and referrals, supporting enrollment of eligible consumers in the CareSource plan, and facilitating enrollment growth in the product. Essential Functions Assist prospective members with selecting and enrolling i

The Market Administrative Assistant III is responsible for assisting with special projects, conduct research, compile data and maintain records. Essential Functions Compose and prepare advanced business presentation documents and spreadsheets Compose correspondence related to administrative matters and general office policies for executive approval Gather and prepare repo

The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions Represent claims on cross functional project work teams Submit, monitor and prioritize IT tickets for the Claims department Review special projects and identify issue trends and potential resolutions Assist with Onbase

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Financial Planning Analyst III is responsible for compiling and analyzing financial information, including but not limited to preparing the evaluation of potential investments, divestitures, contracts, product lines, generating and managing cost saving initiatives. Essential Functions Responsible for analyzing monthly department reports to maintain expenditure control

The Network Adequacy Reporting Analyst II is responsible for analyzing and producing provider network adequacy reporting for CareSource's various products and provider networks. This role involves ensuring that the network adequacy reports filed with regulators are timely, complete, and accurate, and that data on gaps and exceptions are readily available to the Network De

The Director, Provider Information Management, is responsible for provider data management operations across Health Partner Life Cycle (HPLC) and throughout the organization including delegated vendors, solution partners, and client plans. Essential Functions Initiate, develop, implement, optimize, and oversee provider data processes to ensure overall data quality, accura

The Health Partner Contracting Specialist II focuses on building and maintaining provider partnerships that optimize network access, availability, and financial outcomes. Essential Functions Identify, evaluate, and onboard healthcare providers to expand the CareSource provider network. Collaborate with providers to negotiate favorable terms and conditions for contracts. E