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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 110
Remote New
CareSource

Actuarial Analyst II

CareSource

Job Summary: The Actuarial Analyst II is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, area, and corporate key initiatives. Essential Functions: Develops actionable ...

Job Type Full Time
Remote New
CareSource

Provider Network Analyst II (Facets experience a must)

CareSource

Job Summary: The Provider Network Analyst II ensures operational effectiveness by assisting in strategic and business planning, including business, financial, and operational goals and objectives. Essential Functions: Provide oversight to a...

Job Type Full Time
Remote New
CareSource

Health Plan Data Analyst II (Facets Required)

CareSource

Job Summary: The Health Plan Data Analyst II is responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces. Essential Functions: Participate as a member of Healt...

Job Type Full Time
Remote New
CareSource

Managed Care Contract Coordinator

CareSource

Job Summary: The Managed Care Contract Coordinator is responsible for ensuring contracts are accurate and compliant with regulatory guidelines, by reviewing all contact details, and ensuring approvals are received for non-standard agreement...

Job Type Full Time
Remote New
CareSource

Mgr, Provider Data Operations Implementation (MCO Experience a must)

CareSource

Job Summary: The Manager, Provider Data Operations Implementation is responsible for overseeing the implementation and integration of provider data into company's provider data management system. This role ensures the accurate, timely, and ...

Job Type Full Time
Remote New
CareSource

SIU Investigator III (AHFI or CFE required)

CareSource

Job Summary: The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathe...

Job Type Full Time
New
CareSource

Justice Liaisons

Las Vegas, Nevada

CareSource

Job Summary: Community Justice Liaison is responsible for engaging with members prior to their release from incarceration and during the transition period as these members re-enter their community. The Liaison will assist in delivering a co...

Job Type Full Time
Remote New
CareSource

Provider Operations Analyst II (Health Plan Experience Required)

CareSource

Job Summary: The Provider Operations Analyst II is responsible for assimilating large quantities and/or complicated data into meaningful formats for tracking and status requirements. Essential Functions: Develop queries to identify and quan...

Job Type Full Time
Remote New
CareSource

Consumer Insight Advisor

CareSource

Job Summary: The Consumer Insight Advisor leads and manages Consumer Experience (CX) initiated research projects (Quantitative and Qualitative) from beginning to end including primary and secondary research. Works with Market Leaders to lev...

Job Type Full Time
Remote New
CareSource

Quality Analyst III

CareSource

Job Summary: The Quality Analyst III 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 i...

Job Type Full Time
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