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 157 |
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 |
Community Based Care Manager - Wayne County, MI
Detroit, Michigan
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...
3d
| Job Type | Full Time |
Jackson, Mississippi
Job Summary: The Community Based 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 a...
3d
| Job Type | Full Time |
Grievance & Appeals Specialist II (Must live in Indiana)
Indianapolis, Indiana
Job Summary: The Grievance & Appeals Specialist II reviews appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. This position requires candidates to live in the state of Indiana. . Essent...
3d
| Job Type | Full Time |
Housing Supports and Services Specialist - NV
Las Vegas, Nevada
Job Summary: The Housing Supports and Service Specialist assists with administering the Housing Supports and Services Program providing In Lieu of Services (ILOS) for Nevada Medicaid. Essential Functions: Coordinate specialized care managem...
3d
| Job Type | Full Time |
Jackson, Mississippi
Job Summary: The Community Based 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 a...
3d
| Job Type | Full Time |
Pharmacy Technician II- RX Solutions Center
Las Vegas, Nevada
Job Summary: Must reside in Nevada The Pharmacy Technician II - Rx Solutions Center (RSC) is responsible for handling member, pharmacy, and provider calls related to pharmacy clinical campaigns. This role will require collaboration across d...
3d
| Job Type | Full Time |
Women & Children's Health Specialist II
Dayton, Ohio
Job Summary: The Women & Children's Health Specialist II leads regional partnerships with OB providers to ensure at-risk pregnant mothers receive enhanced medical care to drive improved birth outcomes. Essential Functions: Engage community ...
3d
| Job Type | Full Time |
Team Lead, Medical Record Retrieval (Hybrid/Dayton OH)
Dayton, Ohio
Job Summary: The Team Lead, Medical Record Retrieval is responsible for all forms and aspects of retrospective HCC capture and submission including, but not limited to, claims data targeting, outreach data research planning, securing direct...
3d
| Job Type | Full Time |
Community Based Transitions of Care Coordinator - Duals Integrated Care
Detroit, Michigan
Job Summary: The Community Based Transitions of Care Coordinator - Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries that have experienced a transition of care, this position focuses on ...
3d
| Job Type | Full Time |