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 89 |
Health Partner Network Manager
Charlotte, North Carolina
Job Summary: The Health Partner Network Manager executes the Health Partner contracting strategy, develops contract provisions based on cost, quality/analysis and monitors key metrics for the assigned Market. Essential Functions: Create, ex...
18h
| Job Type | Full Time |
Compliance Analyst II (External Regulatory Audits)
Job Summary: The Compliance Analyst II position is a professional compliance role responsible for supporting the Compliance Program by collaborating and overseeing high risk areas to ensure that the compliance program is effective and effic...
18h
| Job Type | Full Time |
Director, Claims Life Cycle Management & Implementation
Job Summary: The Director, Claims Life Cycle Management and Implementation is entrusted with overseeing and directing the strategic enhancement of claim outcomes across existing and emerging lines of business within the Claims organization....
18h
| Job Type | Full Time |
Community Based Care Manager - Mississippi Mobile
Clinton, 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...
18h
| Job Type | Full Time |
Manager, Revenue Cycle Operations Analysis
Job Summary: The Manager, Revenue Cycle Operations Analysis is responsible for leading the technical and analytical support for key production-related activities and projects within the Revenue Cycle Operations team. Essential Functions: Le...
1d
| Job Type | Full Time |
Director, Finance Vendor Governance(Capitation Experience Preferred)
Job Summary: Director, 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. Mainta...
1d
| Job Type | Full Time |
Team Lead, Clinical Operations RN license Required
Atlanta, Georgia
Job Summary: RN License Required South GA preferred The Team Lead, Clinical Operations - Care Management provides front line management and oversight for providing CareSource members with the right care at the right place at the right time ...
1d
| Job Type | Full Time |
RN Community Based Care Manager
Atlanta, Georgia
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...
1d
| Job Type | Full Time |
Health Plan Sales Associate II
Las Vegas, Nevada
Job Summary: The Health Plan Sales Associate II is responsible for identifying and education consumers about the CareSource exchange product lines, generating enrollment leads and referrals, supporting enrollment of eligible consumers in th...
1d
| Job Type | Full Time |
Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and ...
2d
| Job Type | Full Time |