CareSource
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: 101 - 110 of 137 |
Job Summary: The Operations Specialist III provides analytical support and leadership for key Claims-related projects. Essential Functions: Regulatory reporting such as CMS and Medicaid Prompt Pay Serve as high dollar claims reviewer Identi...
9d
Community Based Care Manager - RN - Greater Detroit Area
Monroe, Michigan
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...
9d
Facets Application Architect II
Job Summary: Strategically provides solutions for the design and implementation of in-house information systems, hardware and networked software architectures that support core organizational functions and assure their high availability. Th...
9d
Dayton, Ohio
Job Summary: The Data Scientist II is responsible for designing and validating predictive models, machine learning models, and artificial intelligence that inform and improve business processes across the organization (operational, clinical...
9d
Pharmacy Technician II- RX Solutions Center
Las Vegas, Nevada
Job Summary: Must reside in Nevada The Pharmacy Technician II - Rx Solutions Center (RSC) is responsible for handling member, pharmacy, and provider calls related to pharmacy clinical campaigns. This role will require collaboration across d...
9d
Community Based Care Coordinator - Duals Integrated Care - Ohio Mobile
Dayton, Ohio
Job Summary: The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrati...
9d
Community Health Worker - Ohio Mobile
Dayton, Ohio
Job Summary: The Community Health Worker participates as a member of the inter-disciplinary care team (ICT) to coordinate care for members. Essential Functions: Engage with the member in a variety of settings to establish an effective, prof...
9d
Team Lead Configuration (NETWORX/SQL/MEDICAID)
Job Summary: The Team Lead, Configuration is responsible for day-to-day activities surrounding the knowledge and insight around development and support of medical benefits, provider reimbursement, letters, and clinical editing. Essential Fu...
9d
Bilingual (Burmese) Customer Care Specialist I - (Must Live in Indiana)
Indianapolis, Indiana
Job Summary: **Must live in Indiana** The Customer Care Specialist I - Bilingual assists members or providers with routine service inquiries. Essential Functions: Resolve member or provider routine service inquiries; examples include claims...
9d
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...
9d