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 85 |
Las Vegas, Nevada
Job Summary: The Manager, Health Partnerships oversees and encourages the collaboration with key Health Partners in the development of specific strategies for enhanced engagement. Health Partner engagement shall be measured by confidence in...
1d
| Job Type | Full Time |
Cleveland, Ohio
Job Summary: The Care Guides are responsible for participating as a member of the inter-disciplinary Care Coordination Team to coordinate care for members, meeting their individual needs and the needs of the population. The Care Guide serve...
1d
| Job Type | Full Time |
Clinical Operations Project Management Specialist
Job Summary: The Clinical Operations Project Management Specialist is responsible for establishing and maintaining key relationships with Clinical Operations Leadership and external vendors to ensure the successful delivery of Clinical proj...
1d
| Job Type | Full Time |
Community Based Case Manager - RN Required in Southwest Georgia Area
Albany, Georgia
Job Summary: Southwest Georgia Area Preferred Albany, Bainbridge, Damascus, Valdosta, Moultrie and surrounding areas The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community a...
1d
| Job Type | Full Time |
Community Based Case Manager - RN Required in Southwest Georgia Area
Atlanta, Georgia
Job Summary: Southwest Georgia Area Preferred Albany, Bainbridge, Damascus, Valdosta, Moultrie and surrounding areas The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community a...
1d
| Job Type | Full Time |
Integrations & API Product Manager
Job Summary: The Integrations & API Product Manager will be responsible for the end-to-end strategy, development, and execution of Integration and API products and technology platforms across CareSource. This role uses a collaborative appro...
2d
| Job Type | Full Time |
Las Vegas, Nevada
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...
2d
| 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...
2d
| Job Type | Full Time |
Application Developer III - Digital Solutions
The Application Developer III is a senior-level software engineer responsible for designing, developing, and maintaining software solutions across front-end, back-end, and full-stack architectures. This role requires independent problem-sol...
4d
| Job Type | Full Time |
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...
4d
| Job Type | Full Time |