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: 11 - 20 of 92 |
Clinical Care Reviewer II - MyCare, DSNP and Michigan MMP
Dayton, Ohio
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 ...
24h
| Job Type | Full Time |
Clinical Care Reviewer II - Indiana Medicaid
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 ...
24h
| Job Type | Full Time |
Director, Market Quality Improvement(Must Live in Nevada, Preferred Experience In Managed Care)
Las Vegas, Nevada
Job Summary: The Manager, Market Clinical Quality & Accreditation ensures compliance with external Quality Review audits/studies, Performance Improvement Projects, and Quality Improvement Projects required by the Ohio Department of Medicaid...
1d
| Job Type | Full Time |
Las Vegas, Nevada
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...
1d
| Job Type | Full Time |
Operations Technical Business Analyst III (CPC/Claims Editing System is a must) SQL nice to have)
Job Summary: The Operations Technical Business Analyst III is responsible to understand the stakeholder's business culture and priorities to effective identify business problems, assess proposed solutions, and represent the needs of stakeho...
2d
| Job Type | Full Time |
Community Based Care Coordinator I - Garland County
Little Rock, Arkansas
Job Summary: The Community Based Care Coordinator I - Arkansas with oversight from the care coordination team is the member concierge and is the single point of contact for assessment, person-centered planning, service coordination (funded ...
2d
| Job Type | Full Time |
Network Engineer III - Arista/Cisco is a must have
Dayton, Ohio
Job Summary: The Network Engineer III is responsible for evaluating, supporting, implementing and monitoring Network Management Toolsets. Essential Functions: Design, implement, monitor and support Network Transport Infrastructure: Cisco ro...
2d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Care Guides are responsible for participating as a member of the inter-disciplinary Care Coordination Team to coordinate care for members, meeting their individual needs and the needs of the population. The Care Guide serve...
2d
| Job Type | Full Time |
Project Manager I - Provider/Facets knowledge is a must.
Job Summary: The Project Manager I is responsible for managing small complexity projects within programs or small complexity standalone projects. Essential Functions: Responsible for successful delivery of project Ensure project milestone d...
2d
| Job Type | Full Time |
Las Vegas, Nevada
Job Summary: Community Health Liaison is responsible to assist health partners in identifying gaps in care and expected outcomes in the health status of targeted populations. Essential Functions: Assist in prioritizing of care opportunities...
3d
| Job Type | Full Time |