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: 11 - 20 of 196 |
Customer Care Specialist I (3/16/26)
Dayton, Ohio
Job Summary: The Customer Care Specialist I assists members/beneficiaries or providers with routine service inquiries. Essential Functions: Resolve member/beneficiaries or provider routine service inquiries; examples include claims processi...
20h
| Job Type | Full Time |
SIU Investigator III (Must live in Georgia)
Atlanta, Georgia
Job Summary: The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathe...
20h
| Job Type | Full Time |
Associate Director, Utilization Management - Behavioral Health
Boston, Massachusetts
Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed ca...
1d
| Job Type | Full Time |
Portland, Oregon
Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed ca...
1d
| Job Type | Part Time |
Job Summary: The Technical Delivery Lead is responsible for owning technical delivery and technical management for a defined domain or platform. The role will work closely with cross-functional teams, including product managers, designers, ...
1d
| Job Type | Full Time |
Indianapolis, Indiana
Job Summary: The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. Essential Functions: Responsib...
1d
| Job Type | Full Time |
Senior Manager, Program Integrity (CPC, RHIT or RHIA 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 ...
1d
| Job Type | Full Time |
Medicare Sales Representative - Base Salary + Commission Opportunities (Must Reside in Ohio)
Gallipolis, Ohio
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we're looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a job; it's an opportun...
1d
| Job Type | Full Time |
Senior Manager, Quality Risk Adjustment
Job Summary: The Senior Manager, Quality Risk Adjustment is responsible for overseeing the Quality Risk Adjustment (QRA) Medical Record Review (MRR) program which includes chart retrieval and coding while ensuring compliance with regulatory...
1d
| Job Type | Full Time |
Behavioral Health Medical Director
Job Summary: The Behavioral Health Medical Director is responsible for the overall safety of patients with a BH diagnosis, with a special focus on safe prescribing. Essential Functions: Assume responsibility for the overall safety of patien...
2d
| Job Type | Full Time |