Jobs at CareSource

Leads digital strategy, transformation, and roadmap development across member and provider experiences. Directs personalized engagement programs, omni-channel adoption, performance measurement, vendor partnerships, budgets, and digital teams. Aligns technology with business needs, defines customer journeys, promotes user-centered design, and drives organizational change. The role also hires and develops talent, presents digital vision to executives, and manages large initiatives under tight timelines.

Leads systems research and business analysis to identify impacted systems, interfaces, dependencies, and affected business areas. Elicits and documents requirements, creates Agile features and stories, facilitates stakeholder workshops, performs root cause analysis, supports QA testing, and develops training and documentation. Serves as a liaison between technical teams and business users while analyzing complex processes and enterprise systems in a healthcare environment.

Manages digital products from planning through delivery, optimization, communication, and performance tracking. Owns product roadmaps, backlogs, budgets, customer experience, digital strategy, Agile prioritization, stakeholder alignment, agency and IT partner coordination, compliance, and analytics. Leads digital innovation projects, translates business requirements into technical and user experience solutions, and guides teams using Lean Management and Design Thinking principles.

Leads digital products from planning through delivery, execution, communication, and results tracking. Responsibilities include product roadmap and backlog management, customer journey mapping, stakeholder alignment, market and competitive analysis, Agile ceremony facilitation, prioritization of digital initiatives, vendor coordination, and product optimization. The role applies Lean Management and Design Thinking, validates business propositions, supports self-service experiences, and ensures regulatory compliance. It requires five years of digital project experience and strong product, project management, UX, and analytics knowledge.

Manages information security risks, vendor and third-party risk reviews, mitigation plans, policy exceptions, and compliance reporting. Partners with stakeholders and Enterprise Risk Management to maintain risk policies within tolerance. Serves as a technical expert, supports risk awareness and accountability, monitors security controls, and contributes to operational goals. The role requires expertise in IT audit, security monitoring, access management, encryption, networking, incident response, SOX compliance, and project management.

Leads enterprise technology architecture, governance, design validation, roadmaps, lifecycle management, vendor assessments, and IT due diligence. Partners across technology teams to establish architecture strategy and standards while improving cost, availability, security, client experience, and flexibility. Requires substantial IT experience, architecture or technical leadership background, AI security expertise, full-stack development experience, and fluency in Python and server-side JavaScript or TypeScript.

Develop and deploy AI-enabled applications, web interfaces, and workflow integrations using low-code platforms and modern programming frameworks. Build Python and SQL automation, integrate generative AI and NLP capabilities, collaborate with data and business teams, and support testing, troubleshooting, Agile delivery, deployment, and incident management. Ensure solutions meet usability, accessibility, compliance, and performance standards.

Leads advanced data science and machine learning initiatives for healthcare payment integrity, including fraud, waste, and abuse detection, anomaly identification, predictive modeling, statistical analysis, dashboards, and recovery investigations. Provides technical leadership, mentors analysts, integrates production analytical solutions, collaborates with legal and business stakeholders, and presents findings to leadership. Requires healthcare expertise, advanced SQL and programming skills, and knowledge of claims, billing, reimbursement, and program integrity.

Lead a small actuarial team responsible for pricing, forecasting, reserving, and actuarial modeling for supplemental benefits. Develop assumptions, evaluate experience and trends, support rate filings and IBNR reserve estimates, provide strategic recommendations, and ensure compliance with actuarial standards.

Lead the actuarial function to drive pricing, forecasting, rate filings, and financial analysis. Develop statistical models, ensure regulatory compliance, mentor staff, support senior management and business development, and implement AI-enabled solutions to improve efficiency and insights.