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 110 |
Job Summary: The Compliance Analyst II position is a professional compliance role responsible for supporting the Compliance Program by collaborating and overseeing high risk areas to ensure that the compliance program is effective and effic...
15h
| Job Type | Full Time |
The EDI Application Architect II is responsible for defining, overseeing, and coordinating the development of application solutions, ensuring alignment with enterprise architecture standards, and managing their lifecycle. This role will dri...
1d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Navigator is responsible for coordinating logistics for plan adherence - reminders, transportation, and childcare arrangements - for our members and accompanying patients to appointments and other social service encounters ...
1d
| Job Type | Full Time |
Job Summary: The AI Architect III leads the design and integration of scalable, secure, and sustainable Generative AI solutions within CareSource's enterprise technology ecosystem. This role partners across architecture, engineering, and se...
1d
| Job Type | Full Time |
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 |
Health Partner Engagement Specialist II
Detroit, Michigan
Job Summary: The Health Partner Engagement Specialist II collaborates with key Health Partners in the development of specific strategies for enhanced engagements. Health Partner engagement shall be measured by confidence in CareSource and a...
1d
| Job Type | Full Time |
EDI/Edifecs Application Developer III
Job Summary: The EDI/Edifecs Developer III is responsible for the designing, coding, testing, and analyzing software programs and applications including research, design, documenting and modifying throughout the production lifecycle. Essent...
1d
| Job Type | Full Time |
Community Based Care Manager- Cuyahago County
Mayfield Heights, Ohio
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports a...
1d
| Job Type | Full Time |
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 ...
1d
| Job Type | Full Time |
Provider Network Analyst II (Facets experience a must)
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...
1d
| Job Type | Full Time |