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 173 |
Job Summary: The Risk & Oversight Manager II provides oversight for assigned vendors and providers in compliance with state and federal provider agreements, business and accreditation requirements. Essential Functions: Maintain direct overs...
16h
| Job Type | Full Time |
Team Lead, Clinical Care Review - Behavioral Health-2
Job Summary: The Team Lead, Clinical Care Review is responsible for providing direct oversight of Clinical Care Review (CCR) employees and overseeing day-to-day workflow within the CCR team. Essential Functions: Provide direct oversight of ...
16h
| Job Type | Full Time |
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...
16h
| 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...
23h
| Job Type | Full Time |
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 |
Clinical Psychologist(Preferred Experience in Substance Abuse & Managed Care)
Job Summary: The Clinical Psychologist provides Behavioral Health coverage determination for utilization management to ensure members receive appropriate and medically necessary care in the most cost-effective setting. Essential Functions: ...
1d
| Job Type | Full Time |
Clinical Psychologist(Preferred Experience in Substance Abuse & Managed Care)
Job Summary: The Clinical Psychologist provides Behavioral Health coverage determination for utilization management to ensure members receive appropriate and medically necessary care in the most cost-effective setting. Essential Functions: ...
1d
| Job Type | Full Time |
Board Certified Behavioral Analyst
Job Summary: The Board-Certified Behavior Analyst - D serves as the clinical lead in developing and implementing evidenced based clinical policies and practices for members with Autism and their families Essential Functions: Oversee coverag...
1d
| Job Type | Full Time |
Provider Network Coordinator I
Job Summary: The Provider Network Coordinator I is responsible for the integrity of the data in the provider database system. Essential Functions: Responsible for the integrity of the data in the provider database system Accurately load pro...
1d
| Job Type | Full Time |
Clinical Care Reviewer - Board Certified Behavioral Analyst-2
Job Summary: Clinical Care Reviewer - BCBA is responsible for determining medical necessity and appropriateness of authorization for behavioral health care services, (i.e. outpatient services, applied behavior analysis (ABA) and care coordi...
1d
| Job Type | Full Time |