Operations Careers
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Join us behind the scenes
and ahead of the field.
Operations
A career within Operations at CareSource gives you the opportunity to dig into the details understand how each decision you make impacts our members. In this area, you'll be able to expand your knowledge of the processes and procedures that govern our business. You'll discover we're a place where you and your ideas matter. Plus, we offer a culture that is rooted in transparency, predictability and accountability.
Transformational Growth
CareSource is growing quickly and offers opportunities to help create improved processes that will continue to enhance our member experience. We're proud to employ some of the top talent in the industry. You'll have the opportunity to work alongside these experts and help our Operations department perform more efficiently.
The Pace You Love
We're fast-paced and results-driven, as we strive to achieve goals that can make a difference for our member and provider experience. Our team is highly collaborative, and we listen to employees and implement changes based on their feedback. Your entrepreneurial mindset will allow us to change the world of HealthPlan operations.
Always Learning
As part of our team, you will always be expanding your knowledge of managed care within your area of expertise. Operations offers many career paths within each department, as well as cross functionally. We're leading the way in the adoption of latest technologies and innovative approaches, which makes us an exciting place to be. What's more, our planned growth means that you'll have many new paths to explore as we expand.
Areas of Opportunity
Project Management
Our Project Management team helps CareSource stay on track and achieve its goals in an efficient and timely manner. You will be accountable for managing capital and growth programs/projects, with the exciting potential to broaden your knowledge across payor subject areas in support of Medicare, Medicaid and Marketplace.
Provider Analytics
Our Provider Analytics team is focused on innovation and quality. We move quickly, suggest improvements and work hard to make a true difference to our operations. We invest in both technology and people. Our entrepreneurial thinking provides you with the opportunity to unlock possibilities that will improve the way we operate. Roles include:
- Claims Encounters Analysts and Leaders
- Clinical Appeals Nurses
- Configuration Analysts and Leaders
- Grievance and Appeals Specialists
- Operations Analysts
Quality
Our Quality team supports an enterprise-wide, cross-functional strategy focused on achieving annual performance goals. Key areas include accreditation, reporting and operations, data analytics, member experience, population health management and performance improvement. Each of these areas is comprised of leadership at several levels, including Team Leads, Managers and Directors, as well as key functional roles including Quality Specialists and Quality Analysts with specialized job knowledge. QI Advisors are highly trained in performance improvement and support systems based on data-driven improvement initiatives.
Quality and Performance Outcomes
Our Quality team is very involved in assuring that CareSource meets its strategic goals. You'll gain exposure to multiple areas of our growing organization with the opportunity to move across teams. Key roles in Quality include:
- Accreditation Specialists
- Clinical Quality Specialists
- Enterprise QI Advisors
- Performance Improvement Evaluators
"CareSource is by far one of the greatest places to work. It has a great environment and culture. They care about their staff and the members they serve. What sets them apart from others is the ability to make a lasting difference by placing people first."
Chandrae, Manager, Market Clinical Quality Improvement
"I love my job because everyone shares the same vision and is dedicated to the mission. CareSource values its employees, and we live by the five core values. Our CEO and staff are very caring. This is a nice environment with work/life balance and opportunities for growth."
