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: 21 - 30 of 101 |
Detroit, Michigan
Job Summary: The LTSS Provider Relations Account Manager is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with LTSS and HCBS providers to build, manage an...
2d
| Job Type | Full Time |
Program Integrity Controls Analyst III (Certification Required)
Job Summary: The Program Integrity Controls Analyst III is responsible for complex Program Integrity requirement for all product lines in all states to ensure delivery on commitments. Essential Functions: Lead SIU implementation of Program ...
2d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Enrollment Specialist II is responsible for reviewing files and interpreting data to enter members into eligibility systems according to appropriate regulatory guidelines. Essential Functions: Process work items according t...
2d
| Job Type | Full Time |
Job Summary: The Manager, Compliance is responsible for supporting the establishment of a baseline compliance risk, identification of areas of potential exposure, development and alignment of compliance risk management strategies with CareS...
2d
| Job Type | Full Time |
Sales Operations Quality Analyst III
Job Summary: Sales Operations Quality Analyst III is responsible for monitoring agent onboarding activities and ensure they align with communicated policies and procedures and comply with federal and state regulations. Essential Functions: ...
2d
| Job Type | Full Time |
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 |
Manager, Finance Vendor Governance
Dayton, Ohio
Job Summary: Manager, Finance Vendor Governance is responsible for the administration and oversight of the monthly vendor sub-capitation payments including reconciliations of both encounter and Cash Disbursement Journal (CDJ) files. They wi...
2d
| Job Type | Full Time |
Risk Adjustment Coding Auditor II (AAPC or AHIMA coding certification required)
Job Summary: The Risk Adjustment Coding Auditor II is responsible for performing over-reads of vendor ICD-10 coding, reviewing provider documentation supplied to them, and diagnostic codes assigned by vendor. Essential Functions: Meets assi...
2d
| Job Type | Full Time |
Director, Market Quality Improvement(Must Live in Nevada, Preferred Experience In Managed Care)
Las Vegas, Nevada
Job Summary: The Manager, Market Clinical Quality & Accreditation ensures compliance with external Quality Review audits/studies, Performance Improvement Projects, and Quality Improvement Projects required by the Ohio Department of Medicaid...
3d
| Job Type | Full Time |
Las Vegas, Nevada
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...
3d
| Job Type | Full Time |