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: 101 - 110 of 207 |
Triage Nurse Nights - Compact State Licensed RN
Dayton, Ohio
Job Summary: *Nights - every other weekend, every other holiday* *Shift differential* Essential Functions: Utilize assessment skills and evidence-based triage guidelines for triage of healthy, as well as acutely or chronically ill or injure...
9d
| Job Type | Full Time |
Manager SIU (must live in Ohio)
Job Summary: The Manager, Program Integrity is responsible for managing Program Integrity requirements to include allegation intake, report analysis, triage, investigation, correction and reporting of fraud, waste and abuse Essential Functi...
9d
| Job Type | Full Time |
Data Solutions AI Application Developer III - Must have UI/UX and Python experience
Job Summary: The Data Solutions AI Application Developer III is responsible for designing and rapidly deploying lightweight applications and user interfaces to operationalize advanced AI solutions, including generative AI (LLM-based), agent...
10d
| Job Type | Full Time |
instED Virtual Medical Control Physician (Part Time - $120.83 per Time)
Job Summary: Reporting to the Chief Medical Officer of instED, the Virtual Medical Control (VMC) Physician provides medical decision making, including all elements of diagnostics, treatment, and disposition, to patients seen by instED's Mob...
10d
| Job Type | Part Time |
Quality Analyst II - Hedis Analytics
Job Summary: The Quality Analyst II is responsible for analyzing and interpreting complex healthcare data. This role will collaborate with cross-functional teams, providing analytical insight to inform strategy and interventions to drive im...
10d
| Job Type | Full Time |
Atlanta, Georgia
Job Summary: The Director, Provider Contracting executes contracting strategy, develops provisions based on cost, quality/analysis and monitors key metrics. Essential Functions: Conduct annual effectiveness review of contracting strategies;...
10d
| Job Type | Full Time |
Care Coordinator (Care Manager) - Registered Nurse (RN), Social Worker, or Clinical Counselor
Ravenna, Ohio
Job Summary: The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrati...
10d
| Job Type | Full Time |
Configuration Analyst III (Must have Facets and Automation experience)
Job Summary: The Configuration Systems Analyst III is responsible for managing and defining system configuration requirements. Essential Functions: Manage and define system configuration requirements. Responsibility for requirements, defini...
10d
| Job Type | Full Time |
RN Community Based Care Manager Plus
Dayton, Ohio
Job Summary: The Community Based Care Manager Plus collaborates with members of an inter-disciplinary care team (ICT) to meet the needs of the individual, natural supports and the population through culturally competent delivery of care and...
10d
| Job Type | Full Time |
PM&R Medical Director(Preferred Experience In Managed Care)
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and cli...
10d
| Job Type | Full Time |