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 166 |
Program Integrity Investigator IV
Dayton, Ohio
Job Summary: The Program Integrity Investigator IV / FWA Lead Generator conducts research and interactions on claims, industry and other sources (internal and external) of data and information to identify potential FWA and support ongoing f...
1d
| Job Type | Full Time |
Job Summary: The Applied AI Scientist III is responsible for the development and application of cutting-edge advanced analytics solutions using emerging Artificial Intelligence (AI) technologies such as Agentic AI, Retrieval Augmented Gener...
1d
| Job Type | Full Time |
PI Medical Coding Reviewer III (CPC, RHIT or RHIA required)
Job Summary: The Program Integrity Medical Coding Reviewer III supports most complex medical record audit programs, dispute management, escalation management and generates concise in-depth reporting and analysis to track performance related...
1d
| Job Type | Full Time |
Health Partner Engagement Specialist I
Jackson, Mississippi
TrueCare is a not-for-profit Mississippi health maintenance organization that was formed by a coalition of Mississippi's most well-respected hospitals and health systems to serve as Mississippi's one and only provider-sponsored health plan....
2d
| Job Type | Full Time |
Hybrid Registered Nusre (RN) Clinical Care Manager - Hyde Park and surrounding areas
Boston, Massachusetts
Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed ca...
2d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: CareSource is looking for talented candidates to join its in-house legal department team. The internship is designed to develop the skills and abilities of future attorneys, as well as to identify and attract talent to our orga...
2d
| Job Type | Intern |
Mgr, Ohio Market Contracting- Managed Care- Healthcare-Leadership Experience
Dayton, Ohio
Job Summary: The Manager, Ohio Market Contracting is responsible for leading specialized contracting efforts, handle unique contracting situations, including facilitating contracting changes and negotiations. Essential Functions: Responsibl...
2d
| Job Type | Full Time |
PI Medical Coding Reviewer III (CPC, RHIT or RHIA required)
Job Summary: The Program Integrity Medical Coding Reviewer III supports most complex medical record audit programs, dispute management, escalation management and generates concise in-depth reporting and analysis to track performance related...
2d
| Job Type | Full Time |
Dir, Finance - Market(Must Live In Georgia And Preferred Experience in Managed Care)
Atlanta, Georgia
Job Summary: Director, Finance - Market provides financial oversight, leadership and support to the market/corporate and ensures the department proactively collaborates with and provides support for analyses being conducted by areas outside...
2d
| Job Type | Full Time |
Customer Care Specialist I (Must live in Ohio)
Dayton, Ohio
Job Summary: The Customer Care Specialist I assists members/beneficiaries or providers with routine service inquiries. Essential Functions: Resolve member/beneficiaries or provider routine service inquiries; examples include claims processi...
2d
| Job Type | Full Time |