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: 131 - 140 of 171 |
Dayton, Ohio
Job Summary: The Medical Director is responsible for appeals medical necessity determinations, for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide APPEALS med...
17d
| Job Type | Full Time |
Job Summary: The Internal Auditor IV is responsible for supporting the oversight of effective management of internal audit operations including, but not limited to overseeing department programs, supporting the audit team, and ensuring comp...
17d
| Job Type | Full Time |
Clinical Care Reviewer II - RN - MSL
Dayton, Ohio
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 ...
17d
| Job Type | Full Time |
Job Summary: Medicare role is for an experienced developer of actuarial pricing and forecasting models, specifically for Medicare Advantage plans. The Managing Actuary - Medicare has intimate knowledge of CMS Medicare policy and applies tha...
18d
| Job Type | Full Time |
Job Summary: This position supports TRICARE Prime Demo by CareSource Military & Veterans, which aims to enhance healthcare access and prioritize the unique needs of the military community. We encourage military affiliated individuals, veter...
19d
| Job Type | Full Time |
Health Plan Sales Associate II (Health Insurance)- Base Salary + Bonus and Commission-
Job Summary: The Health Plan Sales Associate II is responsible for identifying and education consumers about the CareSource exchange product lines, generating enrollment leads and referrals, supporting enrollment of eligible consumers in th...
19d
| Job Type | Full Time |
Mom & Baby Care Manager - Social Worker - Must Reside In Nevada
Las Vegas, Nevada
Job Summary: The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the populatio...
19d
| Job Type | Full Time |
Job Summary: The IT Financial Analyst III is responsible for the leading development of expense projections to support forecast and budget and monitor monthly variances to identify trends in IT. Essential Functions: Prepares monthly IT depa...
19d
| Job Type | Full Time |
Health Partner Engagement Specialist II-Account Managment- Healthcare Sales--Northern Nevada
Las Vegas, Nevada
Job Summary: The Health Partner Engagement Specialist II collaborates with key Health Partners in the development of specific strategies for enhanced engagements. Health Partner engagement shall be measured by confidence in CareSource and a...
19d
| Job Type | Full Time |
Community Health Advocate - TRICARE
Jacksonville, Florida
Job Summary: This position supports TRICARE Prime Demo by CareSource Military & Veterans, which aims to enhance healthcare access and prioritize the unique needs of the military community. We encourage military affiliated individuals, veter...
19d
| Job Type | Full Time |