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 114 |
Configuration System Analyst II - Benefits Configuration
Job Summary: The Configuration Systems Analyst II Leads and defines system requirements associated with Member Benefits, Provider Reimbursement and payment systems requirements definition, documentation, design, testing, training and implem...
8h
| Job Type | Full Time |
Pharmacist - Clinical Strategy Pharmacy Execution
Job Summary: The Pharmacist - Clinical Strategy Pharmacy Execution is a high-functioning individual contributor role responsible for providing direct support to the Pharmacy Clinical Strategy team to support and facilitate the creation, imp...
8h
| Job Type | Full Time |
Enterprise Accreditation Specialist III
Las Vegas, Nevada
Job Summary: The Enterprise Accreditation Specialist III is responsible for supporting the organization to obtain and maintain appropriate accreditations, distinctions and recognitions through NCQA, URAC or other accrediting bodies. This pe...
8h
| Job Type | Full Time |
RN Clinical Ops Education & Excellence Coordinator
Las Vegas, Nevada
Job Summary: The Clinical Operations Education & Excellence Coordinator creates and delivers state of the art training to Clinical Operation's employees and monitors the quality and competency of performance through auditing for achieving o...
8h
| Job Type | Full Time |
Las Vegas, Nevada
Job Summary: The Pharmacist - Formulary Strategy and Management researches and develops moderate to complex industry-leading medical and pharmaceutical formularies, criteria, and drug policies that are cost effective and drive best clinical...
8h
| Job Type | Full Time |
Job Summary: The Program Integrity Medical Coding Reviewer I is responsible for the medical records request and receipt processes, dispute report tracking and updates, claim reviews for provider pre-payment and post-payment functions. Essen...
8h
| Job Type | Full Time |
Market Quality Improvement Specialist II
Las Vegas, Nevada
Job Summary: The Market Quality Improvement Specialist II 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 benefits...
8h
| Job Type | Full Time |
Configuration System Analyst II - Benefits Configuration
Mississippi
Job Summary: The Configuration Systems Analyst II Leads and defines system requirements associated with Member Benefits, Provider Reimbursement and payment systems requirements definition, documentation, design, testing, training and implem...
8h
| Job Type | Full Time |
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...
8h
| 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...
21h
| Job Type | Full Time |