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: 21 - 30 of 85 |
Community Based Case Manager RN
Cleveland, 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 |
Advertising and Brand Specialist III
Dayton, Ohio
Job Summary: The Advertising and Brand Specialist III is responsible for developing and executing comprehensive marketing advertising strategies for market positioning of both existing and new health plan products. Essential Functions: Ensu...
1d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Claims Adjudicator III is responsible for processing a wide variety of claims within department standards and act as a technical resource to all Claims team associates. Essential Functions: Process a wide variety of claims ...
1d
| Job Type | Full Time |
Market Quality Improvement Specialist III
Jackson, Mississippi
Job Summary: The Market Quality Improvement Specialist III collaborates with department manager and other leadership to evaluate opportunity for HEDIS data and process improvement in new or existing projects with focus on measurable benefit...
1d
| Job Type | Full Time |
Community Based Care Coordinator
Little Rock, 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 ...
1d
| Job Type | Full Time |
Pharmacy Technician II - RX Solutions Center - HYBRID
Dayton, Ohio
Job Summary: The Pharmacy Technician II - Rx Solutions Center (RSC) is responsible for handling member, pharmacy, and provider calls related to pharmacy clinical campaigns. This role will require collaboration across different areas within ...
1d
| Job Type | Full Time |
Grievance & Appeals Specialist II (NSA Experience Preferred)
Job Summary: The Grievance & Appeals Specialist II reviews appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. In regards to the No Surprise Act. (NSA Experience Preferred) . Essential F...
1d
| Job Type | Full Time |
Team Lead, Operational Excellence Oversight (Hybrid)
Dayton, Ohio
Job Summary: The Team Lead, Operational Excellence Oversight provides leadership and direction to direct reports to ensure the goals, policies and standards of the department and CareSource are met. This is a hybrid position, working both i...
1d
| 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 |
Senior Director, Clinical Applications
Job Summary: The Senior Director, Application Development is responsible for strategic oversight of software development using innovated solutions. They will define, implement, and maintain the company's clinical integrations with Guiding C...
1d
| Job Type | Full Time |