Jobs at CareSource

Leads user research and product design for member- and provider-facing digital experiences. Creates user flows, wireframes, prototypes, journey maps, and recommendations; partners with product, engineering, analytics, and business teams; defines experience metrics; and ensures accessibility and human-centered design standards. Independently manages multiple initiatives and communicates research findings, design rationale, and improvement opportunities to stakeholders and leadership.

Supports the design, validation, and operationalization of predictive, machine learning, and AI models. Analyzes structured and unstructured data, develops algorithms, validates outcomes, creates visualizations, and communicates findings to stakeholders. Collaborates cross-functionally to integrate solutions and prepares model pipelines for business use. The role also involves statistical analysis, NLP, exploratory data analysis, feature engineering, and research into emerging technologies.

Manages healthcare cost reporting, including financial data accuracy, detailed report preparation, reimbursement analysis, regulatory compliance, reporting-system improvements, and management presentations. Collaborates across departments, identifies trends and discrepancies, supports strategic planning, and leads process improvements. Requires expertise in Medicaid cost reporting, healthcare reimbursement, finance technologies, analytics, and staff leadership.

Leads enterprise business analysis strategy across programs and portfolios, partnering with executives to define requirements, evaluate investments, measure business value, manage risks, and guide transformation initiatives. Establishes standards and governance, analyzes operational and financial data, supports regulatory compliance, and mentors analysts. The role also advances AI-enabled tools, automation, and analytics to improve decision-making and business outcomes within a healthcare payer environment.

Owns product strategy, vision, operating models, governance, and roadmaps for data migration, integrations, and enterprise transformation initiatives. Translates business and technical objectives into prioritized delivery plans, coordinates cross-functional teams and vendors, oversees readiness, testing, implementation, stabilization, and transition to operations. Manages risks, dependencies, stakeholder expectations, compliance, and executive reporting while guiding product owners and delivery teams.

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.

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.