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 148 |
Manager Human Resources (Benefits)
Job Summary: The Manager, Human Resources (Benefits) leads the development, maintenance and communication of respective policies and procedures in conjunction with the Director. Essential Functions: Maintain management guidelines by prepari...
1d
| Job Type | Full Time |
Clinical Reviewer II - RN - TRICARE
Dayton, Ohio
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...
1d
| Job Type | Full Time |
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...
1d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance. Essential Functions: Accountable for pricing...
1d
| Job Type | Full Time |
Job Summary: The Internal Auditor IV is primarily responsible for managing the Internal Audit Control Assurance Program while also working in a self-directed team environment to execute internal audits as defined by management and the Audit...
1d
| Job Type | Full Time |
Job Summary: The Application Developer III is responsible for the designing, coding, testing, and analyzing software programs and applications including research, design, documenting and modifying throughout the production lifecycle. Essent...
1d
| 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...
1d
| Job Type | Full Time |
Admin Assistant III (In Las Vegas office)
Las Vegas, Nevada
Job Summary: The Administrative Assistant III is responsible for meeting the administrative needs of their executive and assigned organization within the company. Greet visitors and members to our Rainbow Sunset Pavilion location in Las Veg...
1d
| 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 ...
1d
| Job Type | Full Time |
Mgr, Provider Data Operations Implementation (MCO Experience a must)
Job Summary: The Manager, Provider Data Operations Implementation is responsible for overseeing the implementation and integration of provider data into company's provider data management system. This role ensures the accurate, timely, and ...
1d
| Job Type | Full Time |