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 93 |
Provider Engagement Specialist III
Jackson, Mississippi
Job Summary: The Provider Engagement Specialist III is responsible for provider contracting services, provider assistance and acts as the engagement lead for high value, strategic health partners. Essential Functions: Execute the quality, e...
5h
| Job Type | Full Time |
Accountant II - Managed Care Experience Required
Job Summary: The Accountant II is responsible for preparing journal entries, account reconciliations, supporting journals, supplementary schedules, etc. in compliance with Generally Accepted Accounting Principles (GAAP), Statutory Accountin...
17h
| Job Type | Full Time |
Atlanta, Georgia
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...
17h
| Job Type | Full Time |
Clinical Care Reviewer - Board Certified Behavioral Analyst
Job Summary: Clinical Care Reviewer II - Behavioral Health is responsible for processing medical necessity reviews for appropriateness of authorization for behavioral health care services, assisting with discharge planning activities (i.e. ...
17h
| Job Type | Full Time |
Manager - M&A Data Acquisition and Integration
Job Summary: The Manager - M&A Data Acquisition and Integrationis responsible for working closely with customers, business partners, project managers, and team members to understand business requirements that drive the analysis and design o...
17h
| Job Type | Full Time |
Customer Care Specialist I (Must live in Ohio)
Dayton, Ohio
Job Summary: The Customer Care Specialist I assists members or providers with routine service inquiries. Essential Functions: Resolve member or provider routine service inquiries; examples include claims processing, member benefit education...
17h
| Job Type | Full Time |
Provider Relations Account Manager
Dayton, Ohio
Job Summary: The Provider Relations Account Manager is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with providers to build, manage and maintain relation...
3d
| Job Type | Full Time |
SAP Functional Analyst - Systems Analyst III
Job Summary: Responsible for the analyzing, designing, and implementing SAP Financial Services Collections and Disbursements (FSCD) solutions running on an SAP S4/HANA environment. Support operations of the organization's SAP FSCD system an...
3d
| Job Type | Full Time |
Senior Manager, Payment Integrity Data Analytics
Job Summary: The Senior Manager, Payment Integrity Data Analytics is responsible for leading the creation, scoping, planning, prioritizing, and managing of all Payment Integrity predictive analytic projects, vendor management/integration of...
4d
| Job Type | Full Time |
Associate Vice President, Quality Operations(Preferred Managed Care Experience)
Job Summary: The Associate Vice President, Quality Operations is responsible for driving quality performance results across multiple markets. They will develop and lead quality strategy and ensure effective execution of both market and ente...
5d
| Job Type | Full Time |