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: 91 - 100 of 125 |
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and cli...
15d
| Job Type | Full Time |
Director, Market Quality Improvement(Must Live in Nevada, Preferred Experience In Managed Care)
Las Vegas, Nevada
Job Summary: The Manager, Market Clinical Quality & Accreditation ensures compliance with external Quality Review audits/studies, Performance Improvement Projects, and Quality Improvement Projects required by the Ohio Department of Medicaid...
16d
| Job Type | Full Time |
Las Vegas, Nevada
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and cli...
16d
| Job Type | Full Time |
Network Engineer III - Arista experience nice to have
Dayton, Ohio
The Network Engineer III is responsible for evaluating, supporting, implementing, and monitoring Network Management Toolsets. Essential Functions: Design, implement, monitor, and support Network Transport Infrastructure: Cisco or Arista rou...
17d
| Job Type | Full Time |
BH Medical Director-(Part Time, Must Live In Nevada)
Las Vegas, Nevada
Job Summary: The Behavioral Health Medical Director is responsible for the overall safety of patients with a BH diagnosis, with a special focus on safe prescribing. Essential Functions: Assume responsibility for the overall safety of patien...
17d
| Job Type | Part Time |
Community Marketing Representative II
Las Vegas, Nevada
Job Summary: The Community Marketing Representative II is responsible to support the enrollment and retention strategy in collaboration with management to ensure all membership goals are successfully achieved. Essential Functions: Utilize a...
17d
| Job Type | Full Time |
Las Vegas, Nevada
Job Summary: The Health Partner Incentive Analyst II is responsible for performing administrative functions around the set up and maintenance of health partner incentives to ensure accurate and timely implementation of new value based healt...
17d
| Job Type | Full Time |
Director, Provider Contracting(Must Live In Nevada)
Las Vegas, Nevada
Job Summary: The Director, Provider Contracting executes contracting strategy, develops provisions based on cost, quality/analysis and monitors key metrics. Essential Functions: Conduct annual effectiveness review of contracting strategies;...
18d
| Job Type | Full Time |
Las Vegas, Nevada
Job Summary: The Customer Care Specialist I assists members or providers with routine service inquiries. Essential Functions: Resolve member or provider routine service inquiries; examples include claims processing, member benefit education...
18d
| Job Type | Full Time |
Integrations & API Product Manager
Job Summary: The Integrations & API Product Manager will be responsible for the end-to-end strategy, development, and execution of Integration and API products and technology platforms across CareSource. This role uses a collaborative appro...
18d
| Job Type | Full Time |