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 99 |
Sr. Manager Compliance (Must live in Mississippi)
Job Summary: The Senior Manager, Compliance provides compliance oversight, organizational leadership related to compliance, ensures the department proactively collaborates with partners, provides insights from analyses being conducted and l...
9h
| Job Type | Full Time |
Manager, Grievance and Appeals Service Integration
Job Summary: The Manager, Grievance and Appeals Service Integration is responsible for driving strategic integration of regulatory, operational, and technical initiatives within the Grievance and Appeals function. This role supports the imp...
9h
| Job Type | Full Time |
System Analyst III - Digital Solutions
The System Analyst III is a senior-level, non-technical IT professional responsible for analyzing, documenting, and translating business requirements into actionable development work. This role is critical in bridging the gap between busine...
9h
| Job Type | Full Time |
Encounters Operations Data Reporting Analyst III
Job Summary: Prior experience analyzing Claims and Encounters data is required to be considered for this position. The Operations Reporting Data Analyst III partners with Operations team to develop and continually evaluate the effectiveness...
9h
| Job Type | Full Time |
Behavioral Health Medical Director
Dayton, Ohio
Job Summary: The Behavioral Health Medical Director is responsible for the overall safety of patients with a BH diagnosis, with a special focus on safe prescribing. Essential Functions: Assume responsibility for the overall safety of patien...
9h
| Job Type | Full Time |
Triage Nurse - RN - Evening Hours - 3pm-1:30am and Every other Weekend
Job Summary: *Evening hours - 3pm-1:30am - every other weekend, every other holiday* *Shift differential* The Triage Nurse is responsible for using decision support software to perform telephonic clinical triage and health information servi...
9h
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Enterprise Medical Director is responsible for the development, implementation and revision of corporate level clinical care standards and practice guidelines, ensuring compliance with nationally accepted quality standards....
9h
| Job Type | Full Time |
Operations Specialist II (TriZetto Facets)
Job Summary: The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions: Represent claims on cross-functional project work teams Submit, monitor...
9h
| Job Type | Full Time |
Job Summary: The Scrum Product Owner fulfills the role of Scrum Product Owner as defined by the principles of Scrum to maximize the value of the IT product and work of the development team. Essential Functions: Develop the strategic vision ...
15h
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Sourcing Systems Analyst I is responsible for supporting the daily operating functions of the ERP system, maintenance and support of Vendor Lifecycle Management system, and other departmental systems that may be implemented...
15h
| Job Type | Full Time |