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: 41 - 50 of 83 |
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 ...
10d
| Job Type | Full Time |
Encounters Systems Analyst III (Prefer 837 file experience)
Job Summary: The Encounters Systems Analyst III is responsible for compiling and analyzing Encounters data and understanding the financial and clinical impact of changes and decision to the business process to ensure that Service Level Agre...
11d
| Job Type | Full Time |
Jackson, Mississippi
Job Summary: The Team Lead, Customer Care is responsible for leading and directing their team to ensure goals, regulatory, compliance, and department standards are met. Essential Functions: Conduct regularly scheduled coaching conversations...
11d
| Job Type | Full Time |
Director, Population Health(Must Live in Mississippi)
Jackson, Mississippi
Job Summary: Director, Population Health is responsible to work directly with the VP, Market Chief Medical Officer in the execution of the population health strategies in collaboration with population health corporate and market leadership....
11d
| Job Type | Full Time |
Financial Analyst IV - Government Revenue
Job Summary: The Financial Analyst IV is responsible for leading and analyzing utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses; understand financial i...
13d
| Job Type | Full Time |
Operations Specialist I (TriZetto Facets)
Job Summary: The Operations Specialist I provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions: Represent claims on cross-functional project work teams Submit, monitor ...
14d
| Job Type | Full Time |
Operations Business Analyst III (Facets Claims)
Job Summary: The Operations Business Analyst III is responsible for reviewing and analyzing the effectiveness and efficiency of existing processes and systems, and participate in development of solutions to improve or further leverage these...
14d
| Job Type | Full Time |
CareSource Military & Veterans Program Director
Job Summary: The CareSource Military & Veterans (CSMV) Program Director leads and provides operational and administrative oversight in the planning, coordination, and execution of CSMV strategies and objectives to meet business and market g...
14d
| Job Type | Full Time |
Team Lead Clinical Operations - Care Management - Must Reside in Mississippi
Jackson, Mississippi
Job Summary: The Team Lead, Clinical Operations - Care Management provides front line management and oversight for providing CareSource members with the right care at the right place at the right time and assisting them to achieve optimal c...
14d
| Job Type | Full Time |
Dir, State Government Relations(Managed Care & Government Relations Experience Preferred)
Job Summary: The Director, State Government Relations serves as an advocate for CareSource business priorities and Medicaid & Medicare managed care on a state level. Essential Functions: Develop, implement and lead a strategic approach to a...
14d
| Job Type | Full Time |