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 140 |
Director, Network Development and Engagement(Military Program Experience Preferred)
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...
11h
| Job Type | Full Time |
Pharmacy Lock-In Program RN - MSL (Nevada Based Ideal)
Las Vegas, Nevada
Job Summary: The Pharmacy Lock-In Program RN is responsible for appropriately identifying members from multiple referral points for inclusion in the Lock-In Programs. Essential Functions: Verify eligibility, previous enrollment history, dem...
11h
| Job Type | Full Time |
Job Summary: The Payment Cycle Analyst II is responsible for providing analytical support and leadership for key Claims-related projects and initiatives. Essential Functions: Define clinical and payment policy requirements to support config...
11h
| Job Type | Full Time |
National Broker Account Manager (Must reside in Ohio)
Job Summary: The National Broker Account Manager is responsible for creating and overseeing execution of a winning CareSource sales strategy for Marketplace and Medicare or other related products. (Eligible candidates must reside in Ohio) E...
11h
| Job Type | Full Time |
Job Summary: The Operations Specialist III provides analytical support and leadership for key Claims-related projects. Essential Functions: Regulatory reporting such as CMS and Medicaid Prompt Pay Serve as high dollar claims reviewer Identi...
11h
| Job Type | Full Time |
Jackson, Mississippi
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...
11h
| Job Type | Full Time |
Manager, Clinical Call Center Operations - Must be RN with MSL
Job Summary: The Manager, Clinical Call Center Operations is responsible for coordinating and leading inbound and outbound call center activities to achieve compliance with AAACN, URAC, NCQA, and regulatory standards. Essential Functions: G...
11h
| Job Type | Full Time |
Job Summary: The Member Health Assessor engages with the member to establish an effective, professional relationship with primary responsibility to conduct their health risk assessment. Essential Functions: Participate in the Integrated Car...
11h
| Job Type | Full Time |
Las Vegas, Nevada
Job Summary: The Pharmacy Technician II is responsible for data entry and review of submitted authorization requests, providing assistance to providers or pharmacies calling for assistance, and ensuring resolution for escalations received i...
11h
| Job Type | Full Time |
Team Lead, Customer Care - Member
Las Vegas, Nevada
Job Summary: The Team Lead, Customer Care is responsible for leading and directing their team to ensure goals, regulatory, compliance, and department standards are met. Essential Functions: Conduct regularly scheduled coaching conversations...
11h
| Job Type | Full Time |