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 126 |
Job Summary: The Enterprise Project Management Office (EPMO) Governance Lead assists with promoting project portfolio management and the project delivery governance life cycle, practices, roles and responsibility across the enterprise. Esse...
15h
| Job Type | Full Time |
Physical Health RN Clinical Care Reviewer II - MUST have UM experience
Mesquite, Nevada
Job Summary: **MUST HAVE UM EXPERIENCE *** 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. D...
15h
| Job Type | Full Time |
Part Time (20 hours) Behavioral Health Medical Director
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...
15h
| Job Type | Part Time |
Physical Health RN Clinical Care Reviewer II - MUST have UM experience
Winnemucca, Nevada
Job Summary: **MUST HAVE UM EXPERIENCE *** 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. D...
15h
| Job Type | Full Time |
Compliance Analyst II - External Audit
Job Summary: The Compliance Analyst II position is a professional compliance role responsible for supporting the Compliance Program by collaborating and overseeing high risk areas to ensure that the compliance program is effective and effic...
15h
| 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;...
22h
| Job Type | Full Time |
Health Partner Incentive Analyst
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...
22h
| 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...
22h
| 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...
22h
| Job Type | Full Time |
Community Based Care Coordinator
Little Rock, Arkansas
Job Summary: The Community Based Care Coordinator I - Arkansas with oversight from the care coordination team is the member concierge and is the single point of contact for assessment, person-centered planning, service coordination (funded ...
1d
| Job Type | Full Time |