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 168 |
Director, Provider Contracting(Must Live In Nevada)
Las Vegas, Nevada
Job Summary: The Director, Provider Contracting executes contracting strategy, develops provisions based on cost, quality/analysis and monitors key metrics. Essential Functions: Conduct annual effectiveness review of contracting strategies;...
1d
| 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...
1d
| Job Type | Full Time |
Job Summary: The Actuarial Analyst I is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives. Essential Functions: Develops actionable recommendations to...
1d
| Job Type | Full Time |
Clinical Operations Configuration Analyst II - GuidingCare/SQL
Job Summary: The Clinical Operations Configuration Analyst II is responsible to lead define system requirements associated with Care Coordination, Utilization Management and Grievance & Appeals systems requirements definition, documentation...
1d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. Essential Functions: Responsib...
1d
| Job Type | Full Time |
Las Vegas, Nevada
Job Summary: **MUST work PST HOURS *** 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, ...
1d
| Job Type | Full Time |
Medical/Clinical Policy Reimbursement Writer
Dayton, Ohio
Job Summary: The Medical/Clinical & Reimbursement Policy Writer researches and develops moderate to complex medical, administrative and reimbursement provider policies; ensures adherence to company, state, and federal guidelines. Essential ...
1d
| Job Type | Full Time |
Team Lead, RX Solutions Center
Dayton, Ohio
Job Summary: The Team Lead for the Rx Solutions Center plays a vital role in overseeing the daily operations of the team. This position involves supervising staff members, ensuring that they are well-supported and equipped to succeed in the...
1d
| Job Type | Full Time |
Enterprise Accreditation Specialist III -
Job Summary: The Enterprise Accreditation Specialist III is responsible for supporting the organization to obtain and maintain appropriate accreditations, distinctions and recognitions through NCQA, URAC or other accrediting bodies. This pe...
1d
| Job Type | Full Time |
Summer Internship 2026 - Actuary
Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students w...
1d
| Job Type | Intern |