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 74 |
Job Summary: The MDP Analytical Engineer II is responsible for designing, developing, and optimizing data solutions using Databricks SQL and the business intelligence platforms to generate regulatory reporting and extracts for the organizat...
47m
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Navigator is responsible for coordinating logistics for plan adherence - reminders, transportation, and childcare arrangements - for our members and accompanying patients to appointments and other social service encounters ...
24h
| Job Type | Full Time |
Operations Software Quality Analyst II - Facets Benefits Configuration Testing
Job Summary We are seeking a highly skilled Operations Software Quality Analyst II to join our team, specializing in Facets Benefits Configuration testing. In this role, you will collaborate with developers, QA team members, and managers to...
24h
| Job Type | Full Time |
Clinical Psychologist(Preferred Experience in Substance Use Disorder Or Utilization Management)
Job Summary: The Clinical Psychologist provides Behavioral Health coverage determination for utilization management to ensure members receive appropriate and medically necessary care in the most cost-effective setting. Essential Functions: ...
24h
| Job Type | Full Time |
Network Adequacy Reporting Analyst II
Job Summary: The Health Plan Data Analyst II is responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces. Essential Functions: Participate as a member of Healt...
24h
| Job Type | Full Time |
Contact Center Forecasting Analyst II
Job Summary: The Call Center Analyst III is responsible to serve as the Service Operations expert related to accreditation and government regulatory requirement and design internal operating procedures that ensure processes and reporting me...
2d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Claims Specialist III is responsible for capturing, resolving/facilitating resolution, and reporting on claim adjustment requests. Essential Functions: Resolve complex COB issues through member information updates and adjus...
2d
| Job Type | Full Time |
Community Based Care Manager - Nevada
Las Vegas, Nevada
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...
2d
| Job Type | Full Time |
Job Summary: The Systems Analyst III is responsible for leading research and analysis to identify systems impacted by requirements, possible interfaces, cross team dependencies and affected lines of business. Essential Functions: Leverage a...
2d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Pharmacy Technician II is responsible for data entry and review of submitted authorization requests, providing assistance to providers or pharmacies calling for assistance, and ensuring resolution for escalations received i...
3d
| Job Type | Full Time |