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 93 |
Grievance & Appeals Specialist II
Job Summary: The Grievance & Appeals Specialist II reviews appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. . Essential Functions: Prepare the appeals for clinical review and be respo...
1d
| Job Type | Full Time |
Encounters Sys Analyst II (Must live in Mississippi)
Job Summary: The Encounters Systems Analyst II is responsible for performing analysis of Encounters data and understanding the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level A...
1d
| Job Type | Full Time |
Provider Relations Account Manager
Dayton, Ohio
Job Summary: The Provider Relations Account Manager is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with providers to build, manage and maintain relation...
1d
| Job Type | Full Time |
SAP Functional Analyst - Systems Analyst III
Job Summary: Responsible for the analyzing, designing, and implementing SAP Financial Services Collections and Disbursements (FSCD) solutions running on an SAP S4/HANA environment. Support operations of the organization's SAP FSCD system an...
1d
| Job Type | Full Time |
Benefit Support Analyst III (Implementation)
Job Summary: The Benefit Support Analyst III is responsible for reviewing and breaking down complex medical business requirements into configurable requirements and working with configuration and other partners in helping to develop the str...
2d
| Job Type | Full Time |
Senior Manager, Payment Integrity Data Analytics
Job Summary: The Senior Manager, Payment Integrity Data Analytics is responsible for leading the creation, scoping, planning, prioritizing, and managing of all Payment Integrity predictive analytic projects, vendor management/integration of...
2d
| Job Type | Full Time |
Associate Vice President, Quality Operations(Preferred Managed Care Experience)
Job Summary: The Associate Vice President, Quality Operations is responsible for driving quality performance results across multiple markets. They will develop and lead quality strategy and ensure effective execution of both market and ente...
3d
| Job Type | Full Time |
Job Summary: The Business Analyst IV is responsible to understand CareSource business rules, culture, and complex, strategic priorities to effectively identify business gaps or problems, propose solutions, and assess proposed business solut...
3d
| Job Type | Full Time |
AVP, Accounting(Preferred Managed Care Experience)
Job Summary: The Associate Vice President, Accounting role is responsible for oversight of critical accounting functions and related control structure. They will provide status of the financial condition of the company by collecting, interp...
4d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: Provider Performance Liaisons (PPLs) will develop partnerships with providers to close identified gaps in care and achieve targeted thresholds in Alternative Payment Model (APM) programs and customized plans. The PPL will work ...
4d
| Job Type | Full Time |