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: 71 - 80 of 176 |
Job Summary: The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions: Represent claims on cross-functional project work teams Submit, monitor...
7d
| Job Type | Full Time |
Incident Management Investigator
Dayton, Ohio
Job Summary: The Incident Management Investigator conducts clinical case investigations related to incidents submitted to the incident management system. Essential Functions: Investigation includes interviewing member, claimant (if claimant...
7d
| Job Type | Full Time |
Care Coordinator (Care Manager) - Registered Nurse (RN), Social Worker, or Clinical Counselor
Ravenna, 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...
7d
| Job Type | Full Time |
Job Summary: The Operations Specialist III provides analytical support and leadership for key Claims-related projects. Essential Functions: Regulatory reporting such as CMS and Medicaid Prompt Pay Serve as high dollar claims reviewer Identi...
7d
| Job Type | Full Time |
National Broker Account Manager (Must be available for PST Hours)
Job Summary: The National Broker Account Manager is responsible for creating and overseeing execution of a winning CareSource sales strategy for Marketplace and Medicare or other related products. Essential Functions: Oversee General Agents...
7d
| Job Type | Full Time |
Team Lead, Case Management, Integrated Care - Franklin, Delaware, Union, Pickaway, and Madison
Dayton, Ohio
Job Summary: The role of the Team Lead, Case Management - Integrated Care is to provide support, direction and assistance to Case Management staff. Essential Functions: Give effective and timely feedback to staff in regard to performance ou...
7d
| Job Type | Full Time |
Senior Manager, Program Integrity (CPC, RHIT or RHIA is required)
Job Summary: The Senior Manager, Program Integrity is responsible to provide leadership and direction to ensure the goals and strategies of the department are successfully achieved. Essential Functions: Implement optimization opportunities ...
8d
| Job Type | Full Time |
Jackson, Mississippi
Job Summary: The Child Welfare Advisor assists with development of strategy and key initiatives to impact health outcomes of youth experiencing foster care based on best practice and acts as the Subject Matter expert with thorough understan...
8d
| Job Type | Full Time |
Operations Application Developer II
Job Summary: The Operations Application Developer II designs, codes, tests and analyzes software programs. Essential Functions: Design, develop, and implement custom code and enhancements within the Facets core module Apply expertise in SQL...
8d
| Job Type | Full Time |
LTSS Provider Network Operations Analyst II- MUST RESIDE IN THE STATE OF OHIO!
Dayton, Ohio
Job Summary: The Provider Network Operations Analyst II executes small to medium scale project plans, business and data analysis, and provides specialized support of the LTSS & HCBS provider network and EVV compliance initiatives. Essential...
9d
| Job Type | Full Time |