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: 31 - 40 of 82 |
Director, Claims Life Cycle Management & Implementation
Job Summary: The Director, Claims Life Cycle Management and Implementation is entrusted with overseeing and directing the strategic enhancement of claim outcomes across existing and emerging lines of business within the Claims organization....
10d
| Job Type | Full Time |
VP, Market Chief Medical Officer(Must live in Wisconsin & Open To Relocation)
Milwaukee, Wisconsin
Job Summary: The Vice President, Market Chief Medical Officer has accountability for ensuring that local health plan, CareSource initiatives focusing on clinical excellence, quality improvement, appropriate inpatient and outpatient utilizat...
10d
| Job Type | Full Time |
Compliance Analyst II (External Regulatory Audits)
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...
10d
| Job Type | Full Time |
Bilingual (Burmese) Customer Care Specialist I - (Must Live in Indiana)
Indianapolis, Indiana
Job Summary: **Must live in Indiana** The Customer Care Specialist I - Bilingual assists members or providers with routine service inquiries. Essential Functions: Resolve member or provider routine service inquiries; examples include claims...
10d
| Job Type | Full Time |
Team Lead, Configuration Testing
Dayton, Ohio
Job Summary: Team Lead, Configuration Testing (Facets/ GuidingCare ) - Local/Relocation is preferred We are looking for a Test Engineering Transformation Team Lead with 10+ years of experience in Facets/ GuidingCare configuration to lead qu...
10d
| Job Type | Full Time |
Manager, Provider Relations (Highly Prefer Provider Relations Leadership Experience)
Dayton, Ohio
Job Summary: The Manager, Provider Relations is responsible for overseeing and encouraging the collaboration with key Health Partners in the development of specific strategies for enhanced operational engagement. Essential Functions: Overse...
10d
| Job Type | Full Time |
Director, EDI & Encounters Business Implementation
Job Summary: The Director, EDI and Encounters Business Implementation will oversee the strategic planning, development, and execution of Electronic Data Interchange (EDI) and encounters processing initiatives within our healthcare organizat...
10d
| Job Type | Full Time |
Encounters Sys Analyst II-Vendor (must live in Mississippi)
Jackson, Mississippi
Job Summary: The Encounters Systems Analyst II is responsible for performing analysis of Encounters data and understanding the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level A...
10d
| Job Type | Full Time |
Arkansas PASSE Manager, Compliance (Must live in Arkansas)
Job Summary: The Manager, Compliance is responsible for is responsible for ensuring and documenting CareSource AR and CareSource PASSE have an effective ethics and compliance program. To include, supporting the establishment of a baseline c...
11d
| Job Type | Full Time |
Clinical Care Reviewer II BH - MUST HAVE a BH UM Background
Jackson, Mississippi
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 ...
11d
| Job Type | Full Time |