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 89 |
Team Lead, Operational Excellence Oversight
Job Summary: The Team Lead, Operational Excellence Oversight provides leadership and direction to direct reports to ensure the goals, policies and standards of the department and CareSource are met Essential Functions: Monitor scheduling, a...
5h
| Job Type | Full Time |
Job Summary: The Team Lead, Claims is responsible for managing and maintaining workflow/assignments to ensure timely processing of claims and research and resolution workload. Essential Functions: Direct day-to-day staff activities to ensur...
5h
| Job Type | Full Time |
Team Lead, Configuration Testing - Facets/Benefits Configuration Testing is a must
Job Summary: The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the knowledge and insight around testing of medical benefits, provider reimbursement, letters, claims workflow and clinical editing. Esse...
5h
| Job Type | Full Time |
Job Summary: The Compliance Analyst III is a professional compliance role responsible for supporting the Compliance program by focusing on areas of risk assessment to effectively stratify compliance risk, detection of non-compliance through...
5h
| Job Type | Full Time |
Job Summary: Responsible for the definition, oversight, coordination, and development of technology designs, along with the related road maps and lifecycle management, with a focus on data and Azure cloud solutions. Essential Functions: Ali...
12h
| Job Type | Full Time |
Job Summary: The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved. Essential Functions: Responsible for pricing, forecasting, reserving or other actuarial processes including d...
23h
| Job Type | Full Time |
Operations Software Quality Analyst II - Facets/Benefits Configuration Testing is a must have
Job Summary We are seeking a highly skilled Operations Software Quality Analyst II to join our team, specializing in Facets Benefits Configuration testing. In this role, you will collaborate with developers, QA team members, and managers to...
1d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Risk & Oversight Manager II provides oversight for assigned vendors and providers in compliance with state and federal provider agreements, business and accreditation requirements. Essential Functions: Maintain direct overs...
1d
| Job Type | Full Time |
Manager, Medical Risk Adjustment Analytics
Job Summary: The Manager, Medical Risk Adjustment Analytics is responsible for the day to day operations of the Finance Information Management area focusing on fulfilling the data and information needs of the broader Finance organization. E...
2d
| Job Type | Full Time |
Team Lead, Market Liaison Support Services
Job Summary: The Team Lead, Market Liaison Support Services (MLSS) will be responsible for leading a team of highly analytical professionals who specialize in root cause analysis and data-driven decision-making. This role requires a hands-o...
2d
| Job Type | Full Time |