Remote Jobs at CareSource
Find your next remote opportunity · 26 Open Positions
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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Clinical Care Reviewer II – Unrestricted Massachusetts RN License
Clinical care reviewer processing medical necessity reviews and coordinating care for CareSource health plan members. Supporting authorization, discharge planning, quality improvement, and care management referrals.
Program Manager – National Networks
Program Manager coordinating provider-network initiatives for CareSource, a healthcare payer. Managing workplans, risks, reporting, vendors, and cross-functional execution across national programs.
Business Analyst IV
Senior Business Analyst leading requirements management and strategic initiatives at CareSource, a health insurer. Overseeing Epics, KPIs, process improvement, and cross-functional delivery.
Senior Director, Supplemental Providers – Enhanced Benefits
Senior Director overseeing Medicaid supplemental benefits and vendor strategy for CareSource health plans. Leading compliant vendor operations, benefit optimization, governance, and enterprise teams.
Director, Actuarial Science
Director leading pricing, forecasting, regulatory analysis, and actuarial teams at CareSource, a healthcare organization. Driving AI-enabled solutions for financial analysis, compliance, and business decision support.
Senior Director, Actuarial Science
Senior Director guiding actuarial strategy, pricing, financial modeling, and regulatory insight for CareSource health plans. Leading actuaries and cross-functional initiatives supporting affordability, compliance, and company performance.
RN MDS Reviewer
RN MDS Reviewer supporting successful MDS completion and submission to MassHealth. Collaborating with clinical staff and providing training for Care Management team.
Actuarial Analyst I
Actuarial Analyst I responsible for data analysis and recommendations to improve CareSource operations. Working within a team to enhance efficiency and assess business profitability.
Communications & Content Governance Specialist III
Communications & Content Governance Specialist III responsible for creating CareSource messaging and content compliance. Collaborating across teams to develop communications materials and track speaking opportunities.
Enterprise Medical Director
Enterprise Medical Director leading clinical care standards development and implementation at CareSource. Ensuring compliance with national quality standards and supporting medical leadership in operational roles.
HEDIS Quality Analyst III
Quality Analyst III responsible for analyzing complex healthcare data. Collaborating with teams to provide insights for improved quality performance and reporting.
Health Plan Data Analyst III, Health Plan & Provider Experience
Health Plan Data Analyst III responsible for analyzing and reporting provider data. Collaborating with cross-functional teams to support existing operations and new market implementations.
PI Medical Coding Reviewer III, CPC, RHIT, RHIA
Medical Coding Reviewer managing complex medical record audits and performance reports. Collaborating across departments and mentoring audit analysts for enhanced coding accuracy and efficiency.
Payment Cycle Analyst IV
Payment Cycle Analyst IV responsible for analyzing reimbursement errors and collaborating with teams for comprehensive test scripts. Position involves contract implementations and communication of findings.
Configuration Architect
Configuration Architect responsible for building and maintaining technology strategy for CareSource's clinical systems while ensuring alignment with evolving business needs and communication.
Clinical Audit Specialist – Utilization Management
Clinical Audit Specialist responsible for auditing medical necessity determinations to ensure regulatory compliance. Collaborating with healthcare providers to enhance utilization management practices.
Healthcare Analyst II – Vendor Management
Healthcare Analyst II analyzing healthcare utilization to identify opportunities to reduce costs. Collaborating to improve provider performance and clinical program efficiency in a remote role.
Identity and Access Management Engineer III, Development Experience Required
Identity and Access Management Engineer III focusing on SailPoint IdentityNow for IAM technologies. Evaluating complex IAM issues and providing technical leadership in strategic design.
AVP, Actuarial Science
AVP, Actuarial Science responsible for driving and supporting company strategy at CareSource. Overseeing actuarial functions and utilizing expertise to inform financial reporting and profitability.
Compliance Analyst II – Healthcare Experience Required
Compliance Analyst II supporting CareSource's Compliance Program by overseeing high risk areas. Collaborating with business owners to ensure effective implementation of compliance regulations.