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 125 |
Provider Enrollment Coordinator II (Credentialling)
Job Summary: The Provider Enrollment Coordinator II is responsible for ensuring that credentialing activities comply with URAC, NCQA, state and federal regulations. Essential Functions: Ensure credentialing activities comply with URAC, NCQA...
23h
| Job Type | Full Time |
LTSS Provider Network Operations Analyst II
Dayton, Ohio
Job Summary: The Provider Network Operations Analyst II executes small to medium scale project plans, business and data analysis, and provides specialized support of the LTSS & HCBS provider network and EVV compliance initiatives. Essential...
23h
| Job Type | Full Time |
LTSS Provider Relations Account Manager
Dayton, Ohio
Job Summary: The LTSS Provider Relations Account Manager is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with LTSS and HCBS providers to build, manage an...
23h
| Job Type | Full Time |
LTSS Provider Relations Account Manager
Dayton, Ohio
Job Summary: The LTSS Provider Relations Account Manager is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with LTSS and HCBS providers to build, manage an...
23h
| Job Type | Full Time |
Scrum Product Owner (Provider Operations Experience Preferred)
Job Summary: The Scrum Product Owner fulfills the role of Scrum Product Owner as defined by the principles of Scrum to maximize the value of the IT product and work of the development team. Health Plan Provider Operations experience preferr...
23h
| Job Type | Full Time |
Jackson, Mississippi
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...
23h
| Job Type | Full Time |
LTSS Provider Network Operations Analyst II
Dayton, Ohio
Job Summary: The Provider Network Operations Analyst II executes small to medium scale project plans, business and data analysis, and provides specialized support of the LTSS & HCBS provider network and EVV compliance initiatives. Essential...
23h
| Job Type | Full Time |
Team Lead, Member Benefits (Benefits/Config Experience Required)
Job Summary: The Team Lead, Benefits Support oversees the day-to-day activities, development, and support of Benefit Analyst Team for all markets and products to ensure department goals and standards are achieved. Essential Functions: Super...
23h
| Job Type | Full Time |
Operational Excellence Analyst I (Hybrid/Dayton Ohio)
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. This hybrid position works Wed & Thurs in office ev...
23h
| Job Type | Full Time |
Senior Manager, Enrollment Operations
Job Summary: The Senior Manager, Enrollment Operations will oversee the daily operations of member enrollment processes, ensuring efficient execution and monitoring of enrollment activities. This role will focus on coaching and developing t...
23h
| Job Type | Full Time |