Come ride the wave of healthcare change! CareCore National is a fast growing company that is tackling the issues of rising healthcare costs. We were founded in 1994 and with more focus in recent years being placed on the expense of healthcare, we have been growing at a tremendous rate. We offer solutions that can impact bottom line for insurance companies and ultimately the patients. Come join us and make a difference to the lives around you. Our corporate office is located in beautiful Bluffton, SC conveniently located near Hilton Head Island, SC; Savannah, GA; and Beaufort, SC. The "low country" offers ocean front beaches, alluring rivers and small town southern charm. Find Work and Play are minutes apart! CareCore National provides physicians with access to the latest evidence-based criteria and works collaboratively with providers to improve the way care is delivered to patients. We focus on appropriateness to ensure that health plan members receive the right procedure for their clinical situation. We achieve this by employing state-of-the-art technology and evidence-based criteria. All CareCore National programs improve quality, streamline patient care and reduce cost.
Business Analyst: Program Operations grows CareCore by Implementing New Clients, Improving Efficiency of current operations and builds new products. Exciting Place to be because challenging environment, guide solutions with real world impact, working with a very talented team. Program operations is the link b/t marketing, sales, IT and operations. Your duties would include working with sales to develop sales, meeting with current/potential customers to discuss programs, presentation, develop business requirements, coordinating internal and external meetings to capture and discuss requirements. Need to be a self starter, strong communication skills. Prefer Mathematics, Statistics, Economics, logistics, or MBA, Majors
Data Analytics: Join our expanding and exciting analytics organization at CCN. We are looking for individuals with skills in using data to drive learning with in a complex and flexible organization. Successful candidates will have experience in statistics, healthcare research, and economics. Exposure to common analytical coding languages such as SQL, R and SAS are a plus. Our analytics organization supports CCN in new contract pricing UM provider profiling, opportunity and savings analysis Prefer Mathematics, Statistics, Economics, and Business Management Majors
Account Management: Account Management is a challenging group focusing on the new growth of CareCore. This position would have responsibility for managing day-to-day relationship with one or more health plan clients. Primary duties include issues resolution, ensuring contract compliance (operational reporting, auditing, site visits, satisfaction surveys, etc.) and accurately processing and maintaining documents, correspondence, and project plans in support of new and existing clients. Prefer Mathematics, Statistics, Economics, and Business Management Majors
Clinical Reviewer: Are you a Registered Nurse that wants to be a part of making a difference in healthcare? Come join our Clinical Reviewer Team at CareCore National and help create the difference with our Managed Care services! Our Clinical Reviewers are responsible for all clinical certification activities to ensure that each patient is receiving the proper care he or she needs by comparing requests against our evidence based criteria. The ideal candidate will need to be a Registered Nurse with strong technical/computer skills. An understanding of Utilization Review is highly preferred.
Human Resources: The HR Department is tasked with supporting 1500 top-notch employees. We partner with the business to provide excellent care for our teams as we support their growth, team building, training, and evaluation needs. Prefer Human Resource Management degrees
CareCore National is an Equal Opportunity Employer M/F/D/V and Drug-Free Workplace
2014 graduates with a Bachelors degree or higher from Notre Dame University.
CareCore National - 6 months ago
Since 1994, CareCore National has provided comprehensive, customized programs to health plan clients that seek to manage appropriate...