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 145 |
Team Lead, Operational Excellence Oversight (Hybrid/Dayton Ohio)
Dayton, Ohio
Job Summary: The Team Lead, Operational Excellence Oversight provides leadership and direction to direct reports to ensure the goals, policies and standards of the department and CareSource are met. This position works Wed & Thurs in the Da...
2h
| Job Type | Full Time |
Las Vegas, Nevada
Job Summary: The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. Essential Functions: Responsib...
12h
| Job Type | Full Time |
Project Manager I - Business Integration/Managed Care Experience
Job Summary: The Project Manager I is responsible for managing small complexity projects within programs or small complexity standalone projects. Essential Functions: Responsible for successful delivery of project Ensure project milestone d...
12h
| Job Type | Full Time |
Market Quality Improvement Specialist II - (Prefer NV Based)
Job Summary: The Market Quality Improvement Specialist II collaborates with department manager and other leadership to evaluate opportunity for HEDIS data and process improvement in new or existing projects with focus on measurable benefits...
12h
| Job Type | Full Time |
Las Vegas, Nevada
Job Summary: The Care Manager - NICU collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the social determinant of health (SDOH) needs of the ind...
12h
| Job Type | Full Time |
Medicare Sales Representative - Base Salary + Commission Opportunities (Must Reside in Ohio)
Dayton, Ohio
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we're looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a job; it's an opportun...
12h
| Job Type | Full Time |
Azure Application Developer III
Job Summary: We are seeking a highly skilled Azure Application Developer with deep expertise in C#/.NET, TypeScript, Azure-native design patterns, and Infrastructure as Code (IaC). The ideal candidate will possess a well-rounded set of tech...
12h
| Job Type | Full Time |
Medicare Sales Representative - Base Salary + Commission Opportunities (Must reside in Georgia)
Atlanta, Georgia
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we're looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a job; it's an opportun...
12h
| Job Type | Full Time |
Outpatient Physical Health Clinical Care Reviewer II - RN - MSL
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 ...
19h
| Job Type | Full Time |
Pharmacy Technician II- RX Solutions Center
Las Vegas, Nevada
Job Summary: Must reside in Nevada The Pharmacy Technician II - Rx Solutions Center (RSC) is responsible for handling member, pharmacy, and provider calls related to pharmacy clinical campaigns. This role will require collaboration across d...
19h
| Job Type | Full Time |