Medical Director role supporting staff with training and clinical review at CareSource. Overseeing quality improvement and compliance functions alongside developing care standards.
CA
CareSource
Currently Hiring
About the company
Health Care with Heart.
It is more than a tagline; it’s how we do business.
CareSource has been providing life-changing health care to people and communities for 30+ years and we continue to be a transformative force in the industry by placing people over profits.
CareSource is and will always be member-first.
Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being.
Today, CareSource offers a lifetime of health coverage to more than 2 million members through plan offerings including Marketplace, Medicare products and Medicaid.
With our team of 4,500+ employees located across the country, we continue to clear a path to better life for our members.
Visit the "Life" section to see how we are living our mission in the states we serve.
CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law.
If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf
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15 jobs found
Manager responsible for quality improvement in healthcare, overseeing staff activities and compliance with regulations. Collaborating with teams for best practices in quality metrics and improvement projects.
Care Manager collaborating with interdisciplinary care team and community organizations to improve member care quality. Facilitating communication and coordinating care plans to address members' needs
Manager, Program Integrity managing fraud, waste, and abuse investigations in healthcare. Leading investigative teams and ensuring compliance with state and federal regulations while driving innovative approaches.
Provider Contract Manager supporting the Director in developmental and management tasks for healthcare provider contracting operations while ensuring operational effectiveness and collaboration.
Operational Excellence Analyst overseeing compliance and HEDIS initiatives in healthcare operations. Monitoring claims, provider services, and conducting quality reviews collaboration with the management team.
Health Plan Operations Analyst reviews and analyzes existing market operation processes for TrueCare, improving efficiency and effectiveness in the healthcare industry. Collaborates on strategic plans and operational goals.
Quality Program Manager overseeing quality activities for assigned business lines. Collaborating across teams to ensure program milestones and quality improvements are met in the healthcare sector.
Operations Regulatory Specialist II providing support and leadership for regulatory compliance in healthcare operations. Partnering with departments to meet deliverables and resolving claims issues.
Director of State Government Affairs serving as an advocate for CareSource's Medicaid and Medicare priorities at the state level. Collaborating with key stakeholders and developing government affairs programs.
Health Partner Incentive Manager responsible for managing value - based reimbursement programs. Overseeing performance plans and coordinating with stakeholders to enhance provider performance and efficiencies.
Intern providing support on projects and initiatives at CareSource, gaining real - world experience in a collaborative environment.