CareSource
CareSource is nationally recognized for leading the industry in providing member-centric health care coverage. The company’s managed care business model was founded in 1989 and today CareSource is one of the nation’s largest Medicaid managed care plans. Headquartered in Dayton, Ohio, the company has built a legacy of providing quality health care coverage for Medicaid consumers. In addition to Medicaid coverage, CareSource has a diverse offering of insurance plans on the Health Insurance Marketplace. The company also offers Medicare Advantage plans that help consumers close the gap of coverage as they age. CareSource serves 2 million members across five states supported by a growing workforce of 4,500.
The CareSource mission of making a lasting difference in members’ lives by improving their health and well-being was the catalyst for developing several programs that target the social determinants of health. The CareSource Life Services® program is designed to enhance the economic outcome of Medicaid members by addressing their unique needs through life coaching, access to resources and job opportunities. Life Services is widely recognized in the managed care industry for partnering with community agencies on behalf of members in order to reduce dependency on governmental services.
In the battle against the opioid epidemic, CareSource has launched a multifaceted approach to decrease opioids and increase access to treatment. This effort includes an award-winning prescriber outreach program in addition to pharmacy edits and pharmacy lock-in which have resulted in a significant reduction in opioid prescriptions. CareSource supports members seeking treatment with an integrated Medication Assisted Treatment (MAT) program that is grounded in a strong and expanding provider network and committed to providing access to quality care.
CareSource’s holistic model of care called Care4U® breaks down the hurdles of clinical treatment and social qualities that can lead to reduced health outcomes. Our members are more than a name on computer screen or a number in a statistic. Our regional, community-based multi-disciplinary care management teams comb through the data and social aspects that could affect physical, mental, and psychosocial health and integrates insights into how to improve the health and overall well-being of our members and the populations we serve.
At CareSource, our mission is one we take to heart. In fact, we call our mission our “heartbeat.” It is the essence of our company, and our unwavering dedication to it is a hallmark of our success.
Search among CareSource jobs
| Jobs: 1 - 10 of 92 |
Manager, Medical Risk Adjustment Analytics
Job Summary: The Manager, Medical Risk Adjustment Analytics is responsible for the day to day operations of the Finance Information Management area focusing on fulfilling the data and information needs of the broader Finance organization. E...
12h
| Job Type | Full Time |
Team Lead, Market Liaison Support Services
Job Summary: The Team Lead, Market Liaison Support Services (MLSS) will be responsible for leading a team of highly analytical professionals who specialize in root cause analysis and data-driven decision-making. This role requires a hands-o...
12h
| Job Type | Full Time |
Job Summary: Enterprise Service Manager is responsible to consult with enterprise leaders and the accountable executive to ensure initiatives align with overall strategic plan. Essential Functions: Collaborate with market service managers a...
12h
| Job Type | Full Time |
Manager, HP Data Reconciliation
Job Summary: The Manager, HP Data Reconciliation develops and manages all processes related to inbound and outbound provider data files Essential Functions: Perform supervision and support of the Health Partner Lifecycle (HPLC) Data Reconci...
12h
| Job Type | Full Time |
Clinical Care Reviewer II - Post Acute
Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and ...
12h
| Job Type | Full Time |
Community Based Care Manager - Stark and/or Summit Counties
Dayton, Ohio
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
18h
| Job Type | Full Time |
Contact Center Forecasting Analyst II
Job Summary: Contact Center Forecasting Analyst II is responsible for forecasting, capacity planning, and budget management in multi-channel, multi-location contact center environment. This role will focus on developing and implementing str...
1d
| Job Type | Full Time |
Job Summary: The Pharmacist - Implementation is responsible for providing direct support to all new market implementations. This role will facilitate and execute all clinical implementation tasks in partnership with various internal and ext...
1d
| Job Type | Full Time |
Pharmacy Implementation Specialist
Job Summary: The Pharmacy Implementation Specialist supports new market implementation through planning, coordination and execution of implementation needs and deliverables in coordination with internal and external stakeholders. Essential ...
1d
| Job Type | Full Time |
Community Based Care Manager - RN - Detroit Area
Detroit, Michigan
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
1d
| Job Type | Full Time |