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: 121 - 130 of 176 |
Performance Improvement Evaluator II
Dayton, Ohio
Job Summary: The Performance Improvement Evaluator II assists with implementing and evaluating performance improvement and population health processes through the integration of quality improvement science. Essential Functions: Serves as th...
11d
| Job Type | Full Time |
Pharmacy Technician II - Rx Solutions Center - Hybrid
Dayton, Ohio
Job Summary: Dayton, OH/Hybrid Outside of Dayton area may be considered for remote The Pharmacy Technician II - Rx Solutions Center (RSC) is responsible for handling member, pharmacy, and provider calls related to pharmacy clinical campaign...
11d
| Job Type | Full Time |
LTSS & Dual Eligible Program Report Developer IV
Job Summary: The LTSS & Dual Eligible Report Engineer IV will play a crucial role in utilizing data analytics to drive informed decision-making and optimize business processes within the healthcare environment. This senior-level position is...
12d
| Job Type | Full Time |
LTSS & Dual Eligible Program Report Developer IV
Job Summary: The LTSS & Dual Eligible Report Engineer IV will play a crucial role in utilizing data analytics to drive informed decision-making and optimize business processes within the healthcare environment. This senior-level position is...
12d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Team Lead, Customer Care is responsible for leading and directing their team to ensure goals, regulatory, compliance, and department standards are met. Essential Functions: Conduct regularly scheduled coaching conversations...
12d
| Job Type | Full Time |
Utilization Management Market Operations Manager (Must reside in NV)
Las Vegas, Nevada
Job Summary: The Utilization Management (UM) Market Operations Manager is responsible for the operational activities of UM and Appeals for a specified line(s) of business managing the development of policies and procedures, review of team m...
12d
| Job Type | Full Time |
Dayton, Ohio
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...
12d
| Job Type | Full Time |
Grievance & Appeals Specialist II (Must live in Nevada)
Job Summary: The Grievance & Appeals Specialist II review both grievance and appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. Qualified applicants must live in the state of Nevada. Es...
13d
| Job Type | Full Time |
Medical/Clinical Policy Writer
Job Summary: Medical/Clinical Policy Writer research and develop moderate to complex Medical/Clinical, BH, and Reimbursement policies; ensure adherence to company, state, and federal guidelines. Essential Functions: Support the operational ...
13d
| Job Type | Full Time |
Community Based Waiver Service Coordinator (RN, LSW, LISW), Duals Integrated Care - Ohio Mobile
Dayton, Ohio
Job Summary: The Community Based Waiver Service Coordinator, Duals Integrated Care is responsible for managing and coordinating services for individuals who require long-term care support and are eligible for community-based waiver programs...
13d
| Job Type | Full Time |