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 79 |
Jackson, Mississippi
Job Summary: The Grievance & Appeals Specialist II reviews appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. . Essential Functions: Prepare the appeals for clinical review and be respo...
12h
| Job Type | Full Time |
Health Plan Operations Analyst III
Job Summary: The Health Plan Operations Analyst III reviews and analyzes the effectiveness and efficiency of existing market operation processes and systems and participates in development of solutions to improve or further leverage these f...
12h
| Job Type | Full Time |
Jackson, Mississippi
Job Summary: The Grievance & Appeals Specialist II reviews appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. . Essential Functions: Prepare the appeals for clinical review and be respo...
12h
| Job Type | Full Time |
Clinical Care Reviewer II - OH MCD and MS MCD
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 |
Health Partner Incentive Analyst II - Nevada - Mobile
Las Vegas, Nevada
Job Summary: The Health Partner Incentive Analyst II is responsible for performing administrative functions around the set up and maintenance of health partner incentives to ensure accurate and timely implementation of new value based healt...
18h
| Job Type | Full Time |
Market Intelligence Analyst III
Job Summary: The Market Intelligence Analyst III supports all business units directly in market analysis need for business development of new products/markets as well as competitive intelligence. Essential Functions: Meet with functional ar...
18h
| Job Type | Full Time |
Manager, Information Technology - Release Management
Job Summary: The Manager, Information Technology - Release Management is responsible for management of a release management methodology incorporating technical structures, standards, processes, documentation and reporting that meets the nee...
18h
| Job Type | Full Time |
Health Partner Network Manager - Nevada - Mobile - Northern Nevada
Las Vegas, Nevada
Job Summary: The Provider Contract Manager supports the Director, Provider Contracting & Strategic Growth with the development, implementation, and management of provider contracting operations processes. Essential Functions: Ensure operati...
18h
| Job Type | Full Time |
Manager, Health Partnerships - Nevada - Mobile
Las Vegas, Nevada
Job Summary: The Manager, Health Partnerships oversees and encourages the collaboration with key Health Partners in the development of specific strategies for enhanced engagement. Health Partner engagement shall be measured by confidence in...
18h
| Job Type | Full Time |
Community Health Liaison - Nevada - Mobile
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...
18h
| Job Type | Full Time |