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 83 |
Cleveland, Ohio
Job Summary: The Care Guides are responsible for participating as a member of the inter-disciplinary Care Coordination Team to coordinate care for members, meeting their individual needs and the needs of the population. The Care Guide serve...
7h
| 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...
7h
| Job Type | Full Time |
Configuration Architect (Networx/Pricer - Implementation)
Job Summary: Configuration Architect is responsible for the definition, oversight, coordination and development of designs and processes along with related road maps and lifecycle management to provide custom configuration solutions. This p...
7h
| Job Type | Full Time |
Community Based Care Manager- Lorain County
Cleveland, Ohio
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...
7h
| Job Type | Full Time |
Accountant IV - CSMV - Federal Contract Accounting Experience Required
Job Summary: Federal Contract Accounting Experience is required to be considered for this position. The Accountant IV-CSMV is responsible for preparing and reviewing complex journal entries, account reconciliations, and financial reporting ...
7h
| Job Type | Full Time |
Director, Customer Care(Must Live In Nevada, Preferred Experience In Leadership, MCO's & Operations)
Las Vegas, Nevada
Job Summary: The Director, Customer Care has overarching responsibility for building a best - in - class service experience for our Members and Providers, across our products and markets. This role serves as a key senior leader within the c...
13h
| Job Type | Full Time |
Community Based Care Manager - Stark and/or Summit Counties
Cleveland, Ohio
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...
13h
| Job Type | Full Time |
VP, Market Chief Medical Officer
Las Vegas, Nevada
Job Summary: The Vice President, Market Chief Medical Officer has accountability for ensuring that local health plan, CareSource initiatives focusing on clinical excellence, quality improvement, appropriate inpatient and outpatient utilizat...
13h
| Job Type | Full Time |
PI Medical Coding Reviewer III (CPC, RHIT or RHIA required)
Job Summary: The Program Integrity Medical Coding Reviewer III generates comprehensive and concise in-depth reporting and analysis to track performance related to the Pre-Pay and Post-Paid Processes. Essential Functions: Provide Provider Pr...
24h
| Job Type | Full Time |
Jackson, Mississippi
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...
2d
| Job Type | Full Time |