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 75 |
Network Adequacy Reporting Analyst II
Job Summary: The Health Plan Data Analyst II is responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces. Essential Functions: Participate as a member of Healt...
1h
| Job Type | Full Time |
Clinical Psychologist(Preferred Experience in Substance Use Disorder Or Utilization Management)
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: ...
7h
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Navigator is responsible for coordinating logistics for plan adherence - reminders, transportation, and childcare arrangements - for our members and accompanying patients to appointments and other social service encounters ...
7h
| Job Type | Full Time |
Team Lead, Claims Oversight (TriZetto Facets)
Job Summary: The Team Lead, Claims Oversight is responsible for managing and maintaining policy and performance of claim adjudication and implementation activities to ensure performance objectives are met. Essential Functions: Responsible f...
21h
| Job Type | Full Time |
Job Summary: The Compliance Analyst III is a professional compliance role responsible for supporting the Compliance program by focusing on areas of risk assessment to effectively stratify compliance risk, detection of non-compliance through...
21h
| Job Type | Full Time |
Job Summary: The Vice President, Strategic Sourcing and Vendor Performance is a pivotal leadership role responsible for the development and management of a comprehensive enterprise-wide vendor management program. This position encompasses t...
21h
| Job Type | Full Time |
Medicaid Financial Analyst II - SQL Required
Job Summary: Prior experience in Managed Care will be required to be considered for this role. The Financial Analyst II is responsible for preparing analysis for utilization and financial trends, costs, revenues, financial commitments and o...
1d
| 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 |
Dayton, Ohio
Job Summary: The Claims Specialist III is responsible for capturing, resolving/facilitating resolution, and reporting on claim adjustment requests. Essential Functions: Resolve complex COB issues through member information updates and adjus...
2d
| Job Type | Full Time |
Team Lead, Health Partner Life Cycle
Job Summary: The role of the Team Lead, Health Partner Life Cycle (HPLC) is to perform supervision and support of the Health Partner Life Cycle team.. Essential Functions: Responsible for accurate and timely processing of provider additions...
2d
| Job Type | Full Time |