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 158 |
Job Summary: The Data Modeler III is responsible for leading efforts that involve working closely with the business to define, document, and apply business rules to enterprise data. Essential Functions: Responsible for defining business dat...
7h
| Job Type | Full Time |
Team Lead Configuration (Pricing NV MP)
Job Summary: The Team Lead, Configuration is responsible for day-to-day activities surrounding the knowledge and insight around development and support of medical benefits, provider reimbursement, letters, and clinical editing. Essential Fu...
7h
| Job Type | Full Time |
2026 Summer Internship - Quality and Performance Outcomes
Job Description Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for co...
7h
| Job Type | Intern |
Team Lead, Configuration Testing (RPA/Automation)
Job Summary: The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the knowledge and insight around testing of medical benefits, provider reimbursement, letters, claims workflow and clinical editing. Esse...
7h
| Job Type | Full Time |
Operations Regulatory Specialist II (Hybrid) Health Plan Experience & Facets Preferred
Job Summary: The Operations Regulatory Specialist II provides analytical support and leadership for key internal Operations projects and partners with the Operations departments to ensure all regulatory and compliance deliverables are met. ...
7h
| Job Type | Full Time |
Team Lead, Configuration Testing (Benefits/App Support/CES)
Job Summary: The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the knowledge and insight around testing of medical benefits, provider reimbursement, letters, claims workflow and clinical editing. Esse...
7h
| Job Type | Full Time |
Job Summary: The AI Developerplays a key role in designing, developing, and deploying intelligent solutions. This role is focused on solving complex business challenges through innovative AI technologies and will collaborate closely with cr...
1d
| Job Type | Full Time |
Medical/Clinical Policy Reimbursement Writer
Job Summary: The Medical/Clinical & Reimbursement Policy Writer researches and develops moderate to complex medical, administrative and reimbursement provider policies; ensures adherence to company, state, and federal guidelines. Essential ...
1d
| Job Type | Full Time |
Community Marketing Representative III- Must reside in Hamilton County Ohio or contingent county!
Dayton, Ohio
Job Summary: The Community Marketing Representative III is responsible to develop strategy for productive relationships with Public and Private Community partners to promote membership growth and retention for any lines of business in the a...
1d
| Job Type | Full Time |
Medical Director(Preferred Experience In Managed Care)
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and cli...
2d
| Job Type | Full Time |