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 186 |
Job Summary: The Systems Analyst III is responsible for leading research and analysis to identify systems impacted by requirements, possible interfaces, cross team dependencies and affected lines of business. What we are looking for: Power ...
4h
| Job Type | Full Time |
Team Lead, Configuration Testing (SDET/Facets/AI/RPA background preferred)
Job Summary: The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the knowledge and insight around testing of medical benefits, provider reimbursement, letters, claims workflow and clinical editing. Esse...
4h
| Job Type | Full Time |
Hybrid Clinical Registered Nurse (RN) Educator - MLTC
Brooklyn, 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 ...
4h
| Job Type | Full Time |
Manager, Predictive Analytics and Data Science- NLP/AI experience is a must
Job Summary: The Manager, Predictive Analytics and Data Science is responsible for serving as the leader, subject matter expert, teacher, and mentor of the Predictive Analytics and Data Science team. Essential Functions: Lead a team of data...
4h
| Job Type | Full Time |
Financial Planning Analyst III
Job Summary: The Financial Planning Analyst III is responsible for compiling and analyzing financial information, including but not limited to preparing the evaluation of potential investments, divestitures, contracts, product lines, genera...
4h
| Job Type | Full Time |
Scrum Product Owner (ADO/ServiceNow Queries wanted)
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. What we are looking for: ServiceNow Queries ADO Qu...
4h
| Job Type | Full Time |
Provider Engagement Specialist, Delegated Partnerships
Boston, Massachusetts
Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed ca...
4h
| Job Type | Full Time |
Hybrid Behavioral Health Registered Nurse (RN) Care Manager - Queens, NY
Queens, 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 ...
17h
| Job Type | Full Time |
Job Summary: The Vendor Medical Coding Analyst is responsible for guiding the overall efficiency and accuracy of the vendor payment process through analyzing medical records and supplemental data to ensure diagnostic and procedural codes ac...
17h
| Job Type | Full Time |
Business Resiliency Specialist III
Job Summary: The Business Resiliency Specialist III is responsible for working closely with customers, business partners, project managers, and team members to understand business requirements that drive the analysis and design of quality s...
1d
| Job Type | Full Time |