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 178 |
Payment Cycle Analyst II- Hybrid
Las Vegas, Nevada
Job Summary: The Payment Cycle Analyst II is responsible for providing analytical support and leadership for key Claims-related projects and initiatives. Essential Functions: Define clinical and payment policy requirements to support config...
5h
| Job Type | Full Time |
Manager, Enrollment Operations
Boise, Idaho
Job Summary: The Manager, Enrollment Operations provides leadership and direction to the Enrollment team to ensure the goals and standards of the department, and CareSource, are met. Essential Functions: Understand enrollment end to end pro...
5h
| Job Type | Full Time |
Clinical Data Acquisition Analyst
Las Vegas, Nevada
Job Summary: The Clinical Data Acquisition Analyst is responsible for end-to-end acquisition and implementation of all defined clinical data sources at CareSource. Essential Functions: Effectively work with providers, HIE organizations, imm...
5h
| Job Type | Full Time |
Director, Claims(Preferred Experience in Medicare and Must Live In New York)
New York, New York
ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New ...
5h
| Job Type | Full Time |
PI Medical Coding Reviewer II (CPC, RHIT or RHIA is required)
Job Summary: The Program Integrity Medical Coding Reviewer II is responsible for review of vendor audit activities, pended claim work queues, medical records work queues as well as claim reviews for provider pre-payment and post-payment fun...
20h
| Job Type | Full Time |
Job Summary: The Vendor Governance Manager leads enterprise vendor governance strategy and execution to enable compliant, high-performing third-party partnerships across the organization. This role designs and advances governance frameworks...
22h
| Job Type | Full Time |
Community Based Care Manager-Harris, Chattahoochee, Marion, Macon
Buena Vista, Georgia
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...
1d
| Job Type | Full Time |
Community Based Care Manager-Harris, Chattahoochee, Marion, Macon
Macon, Georgia
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...
1d
| Job Type | Full Time |
Mgr, Compliance (Arkansas or surrounding states)
Little Rock, Arkansas
Job Summary: The Manager, Compliance is responsible for supporting the establishment of a baseline compliance risk, identification of areas of potential exposure, development and alignment of compliance risk management strategies with CareS...
1d
| Job Type | Full Time |
Community Based Care Manager-Harris, Chattahoochee, Marion, Macon
Hamilton, Georgia
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...
1d
| Job Type | Full Time |