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: 1 - 10 of 153 |
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 ...
8h
| Job Type | Full Time |
G&A Specialists II (Hybrid, Must live in Mississippi)
Jackson, Mississippi
Job Summary: The Grievance & Appeals Specialist II reviews appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. This is a hybrid role and works a few days in our Ridgeland Mississippi off...
8h
| Job Type | Full Time |
Clinical Care Reviewer II-Post Acute - PST Hours
Job Summary: Clinical Care Reviewer II - Post-Acute is responsible for conducting medical necessity reviews to determine the appropriateness of authorization for post-acute health care services including Skilled Nursing Facilities (SNF), Nu...
8h
| Job Type | Full Time |
Job Summary: The Associate Vice President, Program Integrity Operations is responsible for driving overall compliance, process and data Program Integrity and as well as Internal Controls and risk management performance results across all ar...
14h
| Job Type | Full Time |
Provider Relations Account Manager
Dayton, Ohio
Job Summary: The Provider Relations Account Manager is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with providers to build, manage and maintain relation...
21h
| Job Type | Full Time |
2026 CareSource Summer Internship - Teaching Kitchen
Dayton, Ohio
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...
21h
| Job Type | Intern |
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...
21h
| Job Type | Full Time |
Health Partner Incentive Analyst II - Nevada - Mobile
Las Vegas, Nevada
Job Summary: The Health Partner Incentive Analyst II is responsible for performing administrative functions around the set up and maintenance of health partner incentives to ensure accurate and timely implementation of new value based healt...
21h
| Job Type | Full Time |
LTSS Provider Network Operations Analyst II- MUST RESIDE IN THE STATE OF OHIO!
Dayton, Ohio
Job Summary: The Provider Network Operations Analyst II executes small to medium scale project plans, business and data analysis, and provides specialized support of the LTSS & HCBS provider network and EVV compliance initiatives. Essential...
21h
| Job Type | Full Time |
Operations Software Quality Analyst II
Job Summary: The Operations Software Quality Analyst II works with team members, developers and department managers to develop, maintain, implement and execute a quality assurance process. Essential Functions: Responsible to develop routine...
21h
| Job Type | Full Time |