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 84 |
Claims Mgmnt Analyst III (HealthPlan EDI experience required)
Job Summary: The Claims Management Analyst III is responsible for leading eBusiness initiatives and coordination of activities across multiple functional areas. Essential Functions: Manage the EDI (Electronic Data Interchange) trading partn...
7h
| Job Type | Full Time |
Business Analyst III - (Clinical & Quality Operations Preferred)
Job Summary: The Business Analyst III is responsible for understanding and properly capturing the stakeholder's business rules, and market /functional priorities to effectively recognize inconsistencies and gaps in complex business processe...
13h
| Job Type | Full Time |
Provider Network Coordinator I
Job Summary: The Provider Network Coordinator I is responsible for the integrity of the data in the provider database system. Essential Functions: Responsible for the integrity of the data in the provider database system Accurately load pro...
13h
| Job Type | Full Time |
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...
13h
| Job Type | Full Time |
Claims Specialist III (Facets Claims)
Job Summary: The Claims Specialist III is responsible for capturing, resolving/facilitating resolution, and reporting on claim adjustment requests. Essential Functions: Resolve complex COB issues through member information updates and adjus...
13h
| Job Type | Full Time |
Project Manager III - (Operations focus)
Job Summary: The Project Manager III is responsible for managing medium to high complexity projects within programs and high complexity standalone projects. Essential Functions: Responsible for successful delivery of project Ensure project ...
13h
| Job Type | Full Time |
Job Summary: Responsible for the definition, oversight, coordination and development of Application Solutions, along with the related road maps and lifecycle management. Essential Functions: Provide architectural guidance for the team to ke...
1d
| Job Type | Full Time |
Full Stack Application Developer III
Job Summary: The Full Stack Application Developer III is responsible for the designing, coding, testing, and analyzing software programs and applications including research, design, documenting and modifying throughout the production lifecy...
1d
| Job Type | Full Time |
Health Plan Data Analyst II (Facets Required)
Job Summary: The Health Plan Data Analyst II is responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces. Essential Functions: Participate as a member of Healt...
1d
| Job Type | Full Time |
Manager, Provider Credentialing Operations Implementation
Job Summary: The Manager, Provider Credentialing Operations Implementation is responsible for managing provider credentialing processes for new market implementations within a managed care organization. This position will ensure that all pr...
3d
| Job Type | Full Time |