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 153 |
Dayton, Ohio
Job Summary: The Pharmacy Technician III 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 ...
4d
| Job Type | Full Time |
Community Partnership Specialist
Indianapolis, Indiana
Job Summary: The Community Partnership Specialist develops and fosters new working relationships with community stakeholders/partners in targeted geographical communities, and oversees the partnership development process. Essential Function...
4d
| Job Type | Full Time |
Clinical Care Reviewer II - RN - Nevada WFH - Must be Nevada Resident
Las Vegas, Nevada
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 ...
4d
| Job Type | Full Time |
Atlanta, Georgia
Job Summary: The Director, Provider Contracting executes contracting strategy, develops provisions based on cost, quality/analysis and monitors key metrics. Essential Functions: Conduct annual effectiveness review of contracting strategies;...
4d
| Job Type | Full Time |
Care Coordinator (Care Manager) - Registered Nurse (RN), Social Worker, or Clinical Counselor
Port Clinton, Ohio
Job Summary: The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrati...
5d
| Job Type | Full Time |
Care Coordinator (Care Manager) - Registered Nurse (RN), Social Worker, or Clinical Counselor
Warren, Ohio
Job Summary: The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrati...
5d
| Job Type | Full Time |
Health Partner Engagement Specialist II-NorthWestern Indiana
Indianapolis, Indiana
Job Summary: The Health Partner Engagement Specialist II collaborates with key Health Partners in the development of specific strategies for enhanced engagements. Health Partner engagement shall be measured by confidence in CareSource and a...
6d
| Job Type | Full Time |
Network Development Director(Preferred Experience In Contracting And Managed Care)
Job Summary: The Network Development Director is responsible for hospital, provider and ancillary provider contracting, service, and provider data integrity to facilitate optimal member access, successful business growth initiatives and sou...
7d
| Job Type | Full Time |
Director, Vendor Performance & Oversight(Preferred Experience in Managed Care & Vendor Management)
Job Summary: The Director, Vendor Performance & Oversight is responsible for the overall strategy, implementation and day-to-day operations of the Vendor Performance & Oversight management team. Responsible for ensuring that all delegated a...
7d
| Job Type | Full Time |
Operational Excellence Analyst I
Dayton, Ohio
Job Summary: The Operational Excellence Analyst I is responsible for oversight and monitoring of Operations regulatory and accreditation requirements as well as specific HEDIS initiatives. Enrollment experience is preferred. Essential Funct...
7d
| Job Type | Full Time |