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 83 |
PI Medical Coding Reviewer III (CPC, RHIT or RHIA required)
Job Summary: The Program Integrity Medical Coding Reviewer III generates comprehensive and concise in-depth reporting and analysis to track performance related to the Pre-Pay and Post-Paid Processes. Essential Functions: Provide Provider Pr...
3h
| Job Type | Full Time |
Job Summary: The Release Train Engineer (RTE) III will play a pivotal role in orchestrating the delivery of complex projects across multiple agile teams, ensuring alignment with organizational goals and objectives. Essential Functions: Over...
15h
| Job Type | Full Time |
Director, EDI & Encounters Business Implementation
Job Summary: The Director, EDI and Encounters Business Implementation will oversee the strategic planning, development, and execution of Electronic Data Interchange (EDI) and encounters processing initiatives within our healthcare organizat...
15h
| Job Type | Full Time |
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...
21h
| Job Type | Full Time |
Community Based Care Coordinator I - Fulton County
Salem, Arkansas
Job Summary: The Community Based Care Coordinator I - Arkansas with oversight from the care coordination team is the member concierge and is the single point of contact for assessment, person-centered planning, service coordination (funded ...
1d
| Job Type | Full Time |
Project Manager I - Integration
Dayton, Ohio
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...
1d
| Job Type | Full Time |
Triage Nurse - RN - Evening Hours - 3pm-1:30am - Must live within 1hr of Ridgeland Mississippi 39157
Jackson, Mississippi
Job Summary: *Evening hours - 3pm-1:30am - every other weekend, every other holiday* *Shift differential* The Triage Nurse is responsible for using decision support software to perform telephonic clinical triage and health information servi...
1d
| Job Type | Full Time |
Utilization Management Clinical Care Reviewer II - MUST be Multi-State Licensed - Must reside in MS
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 |
Project Manager III (Claims Workstream experience)
Job Summary: The Project Manager III is responsible for managing medium to high complexity projects within programs and high complexity standalone projects. Essential Functions: Responsible for successful delivery of project Ensure project ...
1d
| Job Type | Full Time |
Summer Internship 2025 - Data Science
Dayton, Ohio
Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students w...
1d
| Job Type | Intern |