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: 71 - 80 of 171 |
Community Based Care Coordinator I - Crittenden County
West Memphis, Arkansas
Job Summary: The Community Based Care Coordinator I - Arkansas with oversight from the care coordination team is the member concierge and is the single point of contact for assessment, person-centered planning, service coordination (funded ...
4d
| Job Type | Full Time |
Clinical Operations Configuration Analyst II - GuidingCare/FICO is a must have
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...
4d
| Job Type | Full Time |
Compliance Analyst II - External Audit
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...
4d
| Job Type | Full Time |
Team Lead Configuration (NETWORX/SQL/MEDICAID)
Job Summary: The Team Lead, Configuration is responsible for day-to-day activities surrounding the knowledge and insight around development and support of medical benefits, provider reimbursement, letters, and clinical editing. Essential Fu...
4d
| Job Type | Full Time |
Team Lead Configuration (NETWORX/SQL/MEDICAID)
Job Summary: The Team Lead, Configuration is responsible for day-to-day activities surrounding the knowledge and insight around development and support of medical benefits, provider reimbursement, letters, and clinical editing. Essential Fu...
4d
| Job Type | Full Time |
Service Process Analyst I, Medicaid Focused
Dayton, Ohio
Job Summary: The Service Process Analyst I, Medicaid Focused identify opportunities for improvement in Customer Care's business processes and recommends projects aimed at enhancing quality, reducing costs, and promoting automation and call ...
4d
| Job Type | Full Time |
Part Time (24 hours) Behavioral Health Medical Director
Job Summary: The Behavioral Health Medical Director is responsible for the overall safety of patients with a BH diagnosis, with a special focus on safe prescribing. Essential Functions: Assume responsibility for the overall safety of patien...
4d
| Job Type | Part Time |
Community Health Worker - Ohio Mobile
Dayton, Ohio
Job Summary: The Community Health Worker participates as a member of the inter-disciplinary care team (ICT) to coordinate care for members. Essential Functions: Engage with the member in a variety of settings to establish an effective, prof...
4d
| Job Type | Full Time |
Actuarial Analyst II (Federal Programs)
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 ...
4d
| Job Type | Full Time |
Mesquite, 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, ...
4d
| Job Type | Full Time |