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 80 |
Health Partner Incentive Analyst II - Nevada - Mobile
Las Vegas, Nevada
Job Summary: The Health Partner Incentive Analyst II is responsible for performing administrative functions around the set up and maintenance of health partner incentives to ensure accurate and timely implementation of new value based healt...
1d
| Job Type | Full Time |
Community Marketing Representative II - Mobile - Nevada
Las Vegas, Nevada
Job Summary: The Community Marketing Representative II is responsible to support the enrollment and retention strategy in collaboration with management to ensure all membership goals are successfully achieved. Essential Functions: Utilize a...
1d
| Job Type | Full Time |
Manager, Health Partnerships - Nevada - Mobile
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 |
Jackson, Mississippi
Job Summary: The Grievance & Appeals Specialist II reviews appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. . Essential Functions: Prepare the appeals for clinical review and be respo...
1d
| Job Type | Full Time |
Health Partner Network Manager - Nevada - Mobile - Northern Nevada
Las Vegas, Nevada
Job Summary: The Provider Contract Manager supports the Director, Provider Contracting & Strategic Growth with the development, implementation, and management of provider contracting operations processes. Essential Functions: Ensure operati...
1d
| Job Type | Full Time |
Health Partner Network Manager - Mobile - Nevada - Southern Region
Las Vegas, Nevada
Job Summary: The Health Partner Network Manager executes the Health Partner contracting strategy, develops contract provisions based on cost, quality/analysis and monitors key metrics for the assigned Market. Essential Functions: Create, ex...
1d
| Job Type | Full Time |
Health Partner Engagement Specialist II
Las Vegas, Nevada
Job Summary: The Health Partner Engagement Specialist I is responsible for collaborating with key Health Partners in the development of specific strategies for enhanced engagement. Health Partner engagement shall be measured by confidence i...
1d
| Job Type | Full Time |
Community Health Liaison - Nevada - Mobile
Las Vegas, Nevada
Job Summary: Community Health Liaison is responsible to assist health partners in identifying gaps in care and expected outcomes in the health status of targeted populations. Essential Functions: Assist in prioritizing of care opportunities...
1d
| Job Type | Full Time |
Compliance Analyst II - External Audit
Job Summary: The Compliance Analyst II position is a professional compliance role responsible for supporting the Compliance Program by collaborating and overseeing high risk areas to ensure that the compliance program is effective and effic...
2d
| Job Type | Full Time |
Customer Care Specialist I (Must live in Ohio)
Dayton, Ohio
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 |