CareSource
1001 - 5000 employees
Founded 30+ years
⚕️ Healthcare Insurance
Healthcare Insurance
CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.
Team Lead, Program Integrity – Triage
Job not on LinkedIn
🔥 0 minutes ago
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CareSource
1001 - 5000 employees
Founded 30+ years
⚕️ Healthcare Insurance
Healthcare Insurance
CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.
📋 Description
• Drive and encourage innovative investigative processes and workflows • Direct the day-to-day activities of investigative staff • Serve as investigative planning consultant to teams • Monitor and prioritize investigation allocation • Identify knowledge gaps and provide training opportunities • Mentor direct reports including coaching and performance feedback • Identify workflow and process inefficiencies • Collaborate cross functionally with investigative teams • Maintain knowledge of Health Care Fraud trends and schemes
🎯 Requirements
• Bachelor's degree in Health-Related Field, Law Enforcement, or Insurance required • Master's degree preferred • Five (5) years of experience in healthcare fraud investigations, auditing or related field required • Supervisory or leadership experience preferred • Intermediate proficiency in Microsoft Outlook, Word, Excel, Access, and Power Point
🏖️ Benefits
• Health insurance • Flexible hours • Paid time off • Professional development opportunities • Comprehensive total rewards package
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