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: 11 - 20 of 137 |
Operational Excellence Analyst I (Claims experience preferred)
Dayton, Ohio
Job Summary: The Operational Excellence Analyst I is responsible for oversight and monitoring of Operations regulatory and accreditation requirements as well as specific HEDIS initiatives. Claims experience is preferred. Essential Functions...
24h
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Pharmacy Resident interacts professionally as a pharmacist resident within an interdisciplinary team of health care professionals to provide support and leadership within the managed care environment and an academic setting...
1d
| Job Type | Full Time |
Job Summary: The Quality Analyst II is responsible for analyzing and interpreting complex healthcare data. This role will collaborate with cross-functional teams, providing analytical insight to inform strategy and interventions to drive im...
1d
| Job Type | Full Time |
Dayton, Ohio
Job Summary: The Pharmacy Resident interacts professionally as a pharmacist resident within an interdisciplinary team of health care professionals to provide support and leadership within the managed care environment and an academic setting...
1d
| Job Type | Full Time |
Strategic Sourcing Specialist (Health Plan/MCO experience preferred)
Job Summary: The Strategic Sourcing Specialist supports the corporate strategic sourcing and vendor relations function and associated processes to ensure the company is strategically sourcing materials, equipment, and services with the high...
1d
| Job Type | Full Time |
Job Summary: The Data Product Manager I is responsible for supporting the analytics and data strategy within the healthcare insurance space. In this role, you will work closely with product managers, data teams, and stakeholders to implemen...
2d
| Job Type | Full Time |
Job Summary: The Lead Digital Product Manager drives and aligns digital product vision, strategy, and development. This role champions key digital product management initiatives that move the needle for the digital product management team a...
2d
| Job Type | Full Time |
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...
2d
| Job Type | Full Time |
Vice President, Market Chief Medical Officer(Must Live in Georgia)
Atlanta, Georgia
Job Summary: The Vice President, Market Chief Medical Officer is responsible for ensuring the successful implementation and management of local health plan initiatives, with a focus on clinical excellence and quality improvement, ensuring e...
2d
| Job Type | Full Time |
Job Summary: The 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 lifecycle. Essent...
2d
| Job Type | Full Time |