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Results based on filters ( 421 jobs found )

Media Relations Specialist IV

CareSource
Located in Ohio
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Job Summary: The Media Relations Specialist IV is responsible for leveraging ...
Details
Summary
About the job:
advanced media relations expertise to protect the CareSource brand and drive brand awareness and positioning across a broad range of platforms. The role focuses on strategic planning, metrics and reporting, and identifying and executing integrated earned media campaigns. Essential Functions: - Lead the development of strategic communications plans that drive reputation and growth. - Proactively identify and lead high-impact media relations opportunities to enhance CareSource's brand presence both locally and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Public Relations Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
CareSource
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Associate Director, Utilization Management - Behavioral Health

CareSource
Massachusetts
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Job Summary: The Associate Director, Utilization Management – Behavioral ...
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Summary
About the job:
Health assists UM leadership in leading and managing all functions within behavioral health management to ensure consistent, efficient delivery of services throughout the healthcare continuum and demonstration of positive outcomes. Essential Functions: - Collaborate with market and enterprise leaders to support development and knowledge transfer for Behavioral Health UM - Monitor effective use of prior authorizations, policies, and benefits to ensure consistent, effective and efficient delivery to members while meeting...
Location:
Massachusetts
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CareSource
Certifications / Licenses:
Licensed Social Worker
Licensed Master Social Worker
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Member Svc. Rep. - Bronx

CareSource
New York
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Job Summary: Responsible for receiving and handling incoming calls on the ...
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Summary
About the job:
general 1-800 numbers and provide first call resolution for members and callers. Directs calls as necessary and/or takes detailed messages if unable to complete request of caller. Provides excellent customer service to all callers/customers and provides requested information as needed. Essential Functions: - Answer and handle phone calls and warm transfer only as needed. - Assist members with finding providers and setting up appointments. - Demonstrate knowledge of eligibility and benefits for all plans. - Provide...
Location:
New York
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CareSource
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

2026 Summer Internship - Data Analyst Intern, Program Integrity

CareSource
Located in Ohio
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Job Description Internship Program The CareSource Intern is responsible for ...
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Summary
About the job:
providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the pack. This is an exciting opportunity to obtain real-world experience and prepare yourself for your career after college. The program offers: - The opportunity to work on projects that truly impact the company - Journey-to-the-Job seminars with CareSource leaders to network and learn about their career...
Location:
Located in Ohio
Job Type:
Full-Time
Internship
Occupation:
Compensation, Benefits, and Job Analysis Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CareSource
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Operations Analyst II

CareSource
Located in Ohio
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Job Summary: The Provider Operations Analyst II is responsible for ...
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Summary
About the job:
assimilating large quantities and/or complicated data into meaningful formats for tracking and status requirements. Essential Functions: - Develop queries to identify and quantify provider data issues within the organization and assist in the development plans to resolve data issues - Provide operations teams; Contracting, Credentialing, Data Load, Directories, and Pended Claims with analysis and oversight for all provider data, workflows and processes - Act as Subject Matter Expert (SME)/Business Analyst/Data Analyst for...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
CareSource
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Records Coordinator II

CareSource
Springfield, MA
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Job Summary: The Medical Records Coordinator II is responsible for all forms ...
Details
Summary
About the job:
and aspects of retrospective medical record retrieval including, but not limited to, claims data analysis, outreach data research, direct EMR retrieval, Requests of Information (ROI) deployment, pend-record resolution, medical record audits, attestation capture, and report documentation. Essential Functions: - Execute the request, retrieval, and pend resolution of medical records through various channels - Utilize custom and SFTP portals to facilitate PHI data transfer - When needed provide personal information...
Location:
Springfield, MA
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CareSource
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

SIU Investigator III (Must live in Georgia)

CareSource
Georgia
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Job Summary: The Special Investigations Unit (SIU) III is responsible for ...
Details
Summary
About the job:
investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for other investigators. Must live in Georgia. Essential Functions: - Develop, coordinate and conduct strategic fact-driven investigative projects including business process review, execution of investigative...
Location:
Georgia
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
CareSource
Certifications / Licenses:
Certified Financial Examiner
Certified Fraud Examiner
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Records Coordinator II

CareSource
Located in Ohio
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Job Summary: The Medical Records Coordinator II is responsible for all forms ...
Details
Summary
About the job:
and aspects of retrospective medical record retrieval including, but not limited to, claims data analysis, outreach data research, direct EMR retrieval, Requests of Information (ROI) deployment, pend-record resolution, medical record audits, attestation capture, and report documentation. Essential Functions: - Execute the request, retrieval, and pend resolution of medical records through various channels - Utilize custom and SFTP portals to facilitate PHI data transfer - When needed provide personal information...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Customer Care Specialist I (3/16/26)

CareSource
Jackson, MS
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CareSource $35,900.00 - $57,300.00 United States, Mississippi, Jackson Feb ...
Details
Summary
About the job:
18, 2026 Job Summary: The Customer Care Specialist I assists members/beneficiaries or providers with routine service inquiries. Essential Functions: - Resolve member/beneficiaries or provider routine service inquiries; examples include claims processing, member benefit education, contracting and credentialing requests, and when applicable, eligibility inquiries, and transportation arrangements - Ensure all HIPAA, State and/or Federal requirements/regulations are always adhered to - Research, follow up, and resolve all...
Location:
Jackson, MS
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

SIU Investigator III (Must live in Georgia)

CareSource
Atlanta, GA
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CareSource $72,200.00 - $115,500.00 United States, Georgia, Atlanta Feb 18, ...
Details
Summary
About the job:
2026 Job Summary: The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for other investigators. Must live in Georgia. Essential Functions: - Develop, coordinate and conduct strategic fact-driven...
Location:
Atlanta, GA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
Certified Financial Examiner
Certified Fraud Examiner
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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