CommunityCare

2 days ago

Quality Improvement - Manager STARS

Analytics Data Analytics Process Improvement Regulatory Compliance

Job Summary: The Stars Manager is responsible for leading the design, implementation, and continuous improvement of strategies to achieve and maintain superior CMS Star Ratings. This role serves as the key driver of…

NewBe an early applicant North AmericaSenior

2 days ago

Care Innovation - Senior Solution Architect 136-2001

Agentic AI AI API AutoGen Azure +30 skills

JOB SUMMARY: The Senior Solution Architect is responsible for owning the enterprise AI architecture and providing technical leadership across AI initiatives by defining target architectures, standards, solution…

NewBe an early applicant North AmericaFull-time

3 days ago

Behavioral Health Specialist

Behavioral Health Specialist, Full time, Day Shift, Walworth/Racine County, WI Community Care is hiring a Behavioral Health Specialist for our rewarding opportunity to join our Behavioral Health Department who enjoys…

3 days ago

Medical Management - Supervisor Concurrent Review 145-4006

JOB SUMMARY: Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources. KEY RESPONSIBILITIES: Serves as…

NewBe an early applicant North AmericaFull-time

Primary Care Administrative Coordinator

Community Care is hiring a Primary Care Administrative Coordinator. This rewarding opportunity is perfect for someone who enjoys team collaboration and being part of a mission driven organization. Community Care’s…

Accounting - Accounts Receivable Specialist 125-1009

JOB SUMMARY: Support revenue cycle through accurate billing, payment processing, and customer account maintenance. Plans include Medicare, Marketplace, Group coverage and EAP. Collaborates closely with internal teams…

Accounts Receivable

Medical Management - Medical Review Examiner Nurse 135-1009

JOB SUMMARY: The Medical Review Examiner Nurse is responsible for auditing provider and facility claims. Identifying issues related to and/or participates in various projects aimed at identifying areas of…

Business Intelligence - Data Engineer 133-2016

Analytics Data Pipelines ETL SSIS

JOB SUMMARY: The Data Engineer will be responsible for expanding, optimizing and monitoring our data and data pipeline architecture, as well as optimizing data flow and collection across organizational teams. The Data…

5 days ago

Medical Management - Director Utilization Management 145-7002

AI Analytics Automation Corrective Action Performance Management +1 skills

JOB SUMMARY: The Director Utilization Management provides strategic and operational leadership for the health plan's Physical Health Utilization Management department and reports to the Chief Medical Officer. The…

New HybridNorth AmericaFull-time

5 days ago

Care Manager - Rock County, WI

Community Care is hiring a Case Manager/Care Manager to join our Family Care Program team. This rewarding opportunity is perfect for someone who enjoys team collaboration, community case management, and being part of a…

New North AmericaPart-time

Infection Prevention - Control Coordinator, RN

Infection Prevention - Control Coordinator (RN), Part-Time, Day ShiftCommunity Care is hiring a Infection Prevention - Control Coordinator who enjoys team collaboration, community-based work, being part of a mission…

New North AmericaFull-time

Nurse Practitioner

Nurse Practitioner, Full-Time, Day Shift Community Care is hiring a Nurse Practitioner for our Pace Program. This rewarding opportunity is perfect for someone who enjoys team collaboration, community nursing case…

Corporate Data - Senior Health Data Analyst 133-2013

New North AmericaSenior

Analytics Data Modeling Power BI SAS SQL +2 skills

JOB SUMMARY: The Senior Health Data Analyst provides the analytical support for Executives and all departments including analysis, pricing, capitation, network, and provider specific reporting. Analytical support…

Administration - Executive Administrative Assistant 120-1001

JOB SUMMARY: Responsible for providing assistance to Executive Level Officer(s) on all scheduling, travel arrangements, meeting preparation, report compilations and special projects. Provides administrative support…

Healthy Equity - Social Worker - Population Health & Case Management 148-2004

JOB SUMMARY: Responsible for conducting care management and population health activities, including assessing member needs, coordinating care, and facilitating referrals for behavioral health and substance use…

Hipaa

Health Equity - Clinical Pharmacist - Population Health 148-2003

JOB SUMMARY: The Clinical Pharmacist - Population Health supports Population Health Management (PHM) and Case Management by optimizing medication safety, effectiveness, adherence, and affordability. Working with…

Business Intelligence - Health Data Analyst 133-2022

Data Modeling Data Warehousing Power BI SAS SQL +2 skills

JOB SUMMARY: The Analyst provides analytical support for all departments, including analysis, pricing, capitation, network and provider specific reporting. Analytical support includes creating and executing beginner…

Business Intelligence - Health Data Analyst 133-2023

Data Modeling Data Warehousing Power BI SAS SQL +2 skills

JOB SUMMARY: The Analyst provides analytical support for all departments, including analysis, pricing, capitation, network and provider specific reporting. Analytical support includes creating and executing beginner…

Business Intelligence - Data Engineer 133-2021

Analytics Data Pipelines ETL SSIS

JOB SUMMARY: The Data Engineer will be responsible for expanding, optimizing and monitoring our data and data pipeline architecture, as well as optimizing data flow and collection across organizational teams. The Data…