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Caresource Jobsexternal in Springboro, OH (NOW HIRING)

CareSource

Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Conduct clinical reviews for designated CareSource members as requested * Provide physician review for clinical appeals cases * Participate in the evaluation and investigations of cases suspected of ...

CareSource

2027 Summer Internship - Actuary

Dayton, OH · On-site +1

$41K - $66K/yr

Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer ...

CareSource

Service Integration Analyst II

Dayton, OH · On-site

$62K - $100K/yr

Partner with leaders and subject matter experts across CareSource to identify and prioritize process improvement opportunities aligned with organizational strategic goals. * Assess incoming service ...

CareSource

Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Conduct clinical reviews for designated CareSource members as requested * Provide physician review for clinical appeals cases * Participate in the evaluation and investigations of cases suspected of ...

CareSource

Data Scientist III

Dayton, OH · On-site +1

$94K - $164K/yr

Develop innovation models to differentiate CareSource as a leader in advanced healthcare analytics * Evaluate new software and other tools to advance data science capabilities * Lead collaboration ...

CareSource

Managing Actuary - Value-Based Care

Dayton, OH · On-site +1

$94K - $164K/yr

Specific function may require overseeing development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basis * Perform any other job ...

CareSource

EDI Technical Product Manager

Dayton, OH · On-site +1

$94K - $164K/yr

The EDI Technical Product Manager serves as the strategic and technical owner of CareSource's EDI platform, responsible for driving the vision, roadmap, and execution of enterprise data exchange ...

CareSource

Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Conduct clinical reviews for designated CareSource members as requested * Provide physician review for clinical appeals cases * Participate in the evaluation and investigations of cases suspected of ...

CareSource

Managing Actuary - Value-Based Care

Dayton, OH · On-site

$94K - $164K/yr

Specific function may require overseeing development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basis. Perform any other job ...

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All JobsCaresource JobsCaresource Jobs in Springboro, OH

Caresource information

See Springboro, OH salary details

$24.2K

$49.4K

$72.3K

How much do caresource jobs pay per year?

As of Sep 12, 2026, the average yearly pay for caresource in Springboro, OH is $49,443.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,700.00 and $57,300.00 per year, depending on experience, location, and employer.

What is a CareSource?

A CareSource job typically refers to a position at CareSource, a nonprofit managed care company that provides health insurance plans, including Medicaid and Medicare Advantage. Employees work in various roles, such as customer service, healthcare coordination, case management, and IT, to support members and improve healthcare outcomes. CareSource offers opportunities in healthcare administration, policy, and direct patient support, depending on the job function.

What are the key skills and qualifications needed to thrive in the CareSource position?

To thrive at CareSource, especially in common roles such as Case Manager or Customer Care Representative, candidates need a solid understanding of healthcare systems, insurance processes, and familiarity with Medicaid and Medicare regulations. Proficiency with healthcare management software, claims processing systems, and industry certifications like Certified Case Manager (CCM) are often required. Strong communication, problem-solving, and organizational skills are vital for effectively assisting members and collaborating with multidisciplinary teams. These skills and qualifications are critical to ensuring efficient service delivery and improving health outcomes for members within a managed care environment.

What are the typical challenges faced by employees working at CareSource, and how do they overcome them?

Employees at CareSource often navigate complex healthcare regulations and work with diverse member populations who have varying needs and backgrounds. One common challenge is balancing administrative tasks with providing empathetic, high-quality support to members. Team collaboration, ongoing training, and access to supportive management help staff overcome these hurdles. By leveraging strong problem-solving skills and staying updated on healthcare policy changes, CareSource employees are equipped to deliver exceptional service while maintaining compliance in a dynamic industry.

What cities near Springboro, OH are hiring for Caresource jobs?

Cities near Springboro, OH with the most Caresource job openings:

Caresource jobs near you
Infographic showing various Caresource job openings in Springboro, OH as of September 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 64% Physical, 3% Hybrid, and 33% Remote job distribution, with an average salary of $49,443 per year, or $23.8 per hour.

Medical Director

Dayton, OH • On-site, Remote

CareSource
Insurance Services • 1 - 5K employees
Learn more about CareSourceexternal

$195K - $341K/yr

Full-time

Re-posted 10 days ago

CareSource rating

7.7

Company rating: 7.7 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

Job description

Job Summary:
The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members.
Essential Functions:
  • Provide prior authorization medical reviews, consultation and clinical review services
  • Participate in peer-to-peer discussions
  • Provide provider education, training, data sharing, performance evaluations and orientation to the plan
  • Conduct clinical reviews for designated CareSource members as requested
  • Provide physician review for clinical appeals cases
  • Participate in the evaluation and investigations of cases suspected of fraud, abuse, and quality of care concerns
  • Participate in development of policies and procedures
  • Participates in quality improvement initiatives, case management activities and member safety activities (i.e. incident management
  • Provide cross-coverage for other Medical Directors and/or markets, as needed
  • Oversight and quality improvement activities associated with case management activities
  • Assist in the review of utilization data to identify variances in patterns, and provide feedback and education to MCP staff and providers as appropriate
  • Participate in the development, implementation and revision of the clinical care standards and practice guidelines ensuring compliance with nationally accepted quality standards
  • Participate in the development, implementation and revision of the Quality Improvement Plan and corporate level quality initiatives
  • Collaborate with market/product leaders to help define market strategy
  • Community collaborative participation
  • Support of regulatory and accreditation functions (eg. CMS, State, NCQA and URAC) and compliance for all programs
  • Perform any other job related instructions, as requested

Education and Experience:
  • Completion of an accredited Medical Degree program as a medical doctor (MD) or Doctor of Osteopathic (DO) medicine is required
  • Successful completion of a residency training program, preferably in primary care is required
  • Minimum of five (5) years of clinical practice experience is required
  • Managed care medical review/medical director experience is preferred
  • Bachelor's or Master's degree in Business Administration, Operational Excellence, Healthcare Administration or Medical Management is preferred

Competencies, Knowledge and Skills:
  • Basic Microsoft Word skills
  • Excellent communication skills, both written and oral
  • Ability to work well independently and within a team environment
  • Ability to create strong relationships with Providers and Members
  • High ethical standards
  • Attention to detail
  • Critical listening and systematic thinking skills
  • Ability to maintain confidentiality and act in the company's best interest
  • Ability to act with diplomacy and sensitivity to cultural diversity
  • Decision making/problem solving skills
  • Conflict resolution skills
  • Strong sense of mission and commitment of time, effort and resources to the betterment of the communities served

Licensure and Certification:
  • Current, unrestricted license to practice medicine in state of practice as necessary to meet regulatory requirements is required
  • Board Certification, preferably in primary care specialty is required
  • Re-certification, as required by specialty board, must be maintained (exceptions may be granted by Chief Medical Officer)
  • MCG Certification is required or must be obtained within six (6) months of hire

Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • May be required to work evenings/weekends
  • May be required to travel to fulfill duties of position

Compensation Range:
$195,200.00 - $341,600.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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Brand=CareSource

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