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 130 |
Clinical Care Reviewer II-NICU - Must have MSL
Las Vegas, Nevada
Job Summary: Clinical Care Reviewer II - NICU 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 service...
1d
| Job Type | Full Time |
Job Summary: Responsible for the definition, oversight, coordination and development of technology designs, along with the related road maps and lifecycle management. Essential Functions: Aligns efforts across the various technical architec...
2d
| Job Type | Full Time |
Population Health Strategy Program Lead
Job Summary: The Population Health Strategy Program Lead designs, implements, evaluates and provides oversight to the Population Health Strategy through the integration of quality improvement science methodologies. Essential Functions: Desi...
2d
| Job Type | Full Time |
Job Summary: The Service Process Analyst II identifies opportunities for improvement in Customer Care's business processes and recommends projects aimed at enhancing quality, reducing costs, and promoting automation and call reduction. This...
2d
| Job Type | Full Time |
IT Market Director - Nevada(Must Live in Nevada)
Las Vegas, Nevada
Job Summary: The IT Market Director serves as the primary business relationship leader between the IT department and the Nevada Market health plan. This role ensures that the market needs are represented across IT for the market's IT strate...
2d
| Job Type | Full Time |
Director, Pharmacy - Market(Must Live In Nevada)
Las Vegas, Nevada
Job Summary: Director, Pharmacy - Market is responsible to participate in the Traditional Work Group and lead CareSource market-specific Pharmacy & Therapeutics (P&T) committee. Essential Functions: Act as key pharmacy point of contact for ...
2d
| Job Type | Full Time |
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...
2d
| 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...
2d
| 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...
2d
| Job Type | Full Time |
Medical Records Coordinator II
Dayton, Ohio
Job Summary: The Medical Records Coordinator II is responsible for all forms and aspects of retrospective medical record retrieval including, but not limited to, claims data analysis, outreach data research, direct EMR retrieval, Requests o...
2d
| Job Type | Full Time |