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 186 |
Program Integrity Medical Coding Reviewer III (CPC, RHIT or RHIA required)
Job Summary: The Program Integrity Medical Coding Reviewer III generates comprehensive and concise in-depth reporting and analysis to track performance related to the Pre-Pay and Post-Paid Processes. Essential Functions: Provide Provider Pr...
3h
| Job Type | Full Time |
Program Integrity Medical Coding Reviewer II (CPC, RHIT or RHIA required)
Job Summary: The Program Integrity Medical Coding Reviewer II is responsible for review of vendor audit activities, pended claim work queues, medical records work queues as well as claim reviews for provider pre-payment and post-payment fun...
3h
| Job Type | Full Time |
Customer Care Specialist I - Must live in Indiana
Indianapolis, Indiana
Job Summary: The Customer Care Specialist I assists members or providers with routine service inquiries. *Must reside within the state of Indiana** Work from home/remote (may live anywhere in Indiana) Training Hours: Monday-Friday 8a-4:30p ...
3h
| Job Type | Full Time |
Job Summary: The Strategy and Business Development Content Director drives the development of market-specific solutions, capabilities, partnerships, and innovations within area of expertise to successfully position CareSource in existing an...
3h
| Job Type | Full Time |
Program Integrity Medical Coding Reviewer II (CPC, RHIT or RHIA required)
Job Summary: The Program Integrity Medical Coding Reviewer II is responsible for review of vendor audit activities, pended claim work queues, medical records work queues as well as claim reviews for provider pre-payment and post-payment fun...
3h
| Job Type | Full Time |
Program Integrity Medical Coding Reviewer II (CPC, RHIT or RHIA required)
Job Summary: The Program Integrity Medical Coding Reviewer II is responsible for review of vendor audit activities, pended claim work queues, medical records work queues as well as claim reviews for provider pre-payment and post-payment fun...
3h
| Job Type | Full Time |
Director, State Government Affairs
Boston, Massachusetts
Job Summary: The Director, State Government Affairs serves as an advocate for CareSource business priorities and Medicaid & Medicare managed care on a state level. Essential Functions: Develop, implement and lead a strategic approach to adv...
24h
| Job Type | Full Time |
Job Summary: The MDP Platform Engineer III is responsible for the design, implementation, and ongoing optimization of Databricks and Azure platform solutions. This role focuses on aligning cloud architecture strategies with business and IT ...
3d
| 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...
3d
| Job Type | Full Time |
Program Integrity Investigative Coordinator I (Hybrid)
Dayton, Ohio
Job Summary: The Program Integrity Investigative Coordinator I monitors and maintains all SIU fraud reporting mechanisms (hotline, facets routing, fax, emails) to ensure compliance with regulatory requirements. Essential Functions: Accurate...
3d
| Job Type | Full Time |