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 87 |
Job Summary: The Healthcare Analyst II is responsible for analyzing healthcare utilization to identify patterns, variation, and outliers as well as identify and quantify opportunities to reduce medical costs. Essential Functions: Analyze he...
12h
| Job Type | Full Time |
Arkansas PASSE Manager, Compliance (Must live in Arkansas)
Job Summary: The Manager, Compliance is responsible for is responsible for ensuring and documenting CareSource AR and CareSource PASSE have an effective ethics and compliance program. To include, supporting the establishment of a baseline c...
12h
| Job Type | Full Time |
Community Based Case Manager - Licensed Clinical Professionals - Must Live in Mississippi
Jackson, Mississippi
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...
19h
| Job Type | Full Time |
Project Manager I - Integration
Job Summary: The Project Manager I is responsible for managing small complexity projects within programs or small complexity standalone projects. Essential Functions: Responsible for successful delivery of project Ensure project milestone d...
19h
| Job Type | Full Time |
Community Based Case Manager - Licensed Clinical Professionals - Must Live in Mississippi
Ridgeland, Mississippi
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...
19h
| Job Type | Full Time |
Community Based Case Manager - Licensed Clinical Professionals - Must Live in Mississippi
Clinton, Mississippi
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...
19h
| Job Type | Full Time |
Job Summary: The Provider Enrollment Coordinator II is responsible for ensuring that credentialing activities comply with URAC, NCQA, state and federal regulations. Essential Functions: Ensure credentialing activities comply with URAC, NCQA...
1d
| Job Type | Full Time |
Clinical Care Reviewer II BH - MUST HAVE a BH UM Background
Jackson, Mississippi
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 ...
1d
| Job Type | Full Time |
Customer Care Specialist I - Indiana ONLY
Indianapolis, Indiana
Job Summary: The Customer Care Specialist I assists members or providers with routine service inquiries. *Must reside within the state of Indiana** Work from home/remote (may live anywhere in Indiana) Training Hours: Monday-Friday 8a-4:30p ...
1d
| Job Type | Full Time |
Encounters Systems Analyst III (Prefer 837 file experience)
Job Summary: The Encounters Systems Analyst III is responsible for compiling and analyzing Encounters data and understanding the financial and clinical impact of changes and decision to the business process to ensure that Service Level Agre...
2d
| Job Type | Full Time |