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Caresource Jobs in Springfield, OH (NOW HIRING)

AVP, Actuarial Science (Medicaid)

Dayton, OH · On-site +1

$150K - $300K/yr

Represent Actuarial Services and CareSource in written and verbal communications, presentations and meetings with regulators, owners and other outside parties regarding matters requiring actuarial ...

Vendor Medical Coding Analyst

Dayton, OH · On-site +1

$54K - $87K/yr

In addition, they are responsible for leading the identification of root causes of claims issues and holding vendors and internal CareSource teams accountable in implementing process improvements.

VP, Chief Medicaid Actuary

Dayton, OH · On-site +1

$150K - $300K/yr

Drive company strategy and manage actuarial expertise in coordination with other leaders on all aspects of CareSource's rate negotiations with the State Medicaid Departments, and to use actuarial ...

Identify and understand the business and the assigned department's role within CareSource and their strategic goals. * Monitor internal and external changes in law, policies, and practices to define ...

Assistant General Counsel

Dayton, OH · On-site +1

$135K - $237K/yr

Serves as lead attorney for a defined portfolio of legal matters, projects, markets, CareSource affiliates/subsidiaries, or specialized area within a practice group, exercising independent judgment ...

Clinical Psychologist

Dayton, OH · On-site +1

$94K - $164K/yr

Represent CareSource as the primary clinical liaison to members, providers and State agencies * Support of regulatory and accreditation functions (e.g. CMS, State, NCQA and URAC) and compliance for ...

Architecture Director

Dayton, OH · Remote

$162K - $284K/yr

Represent CareSource in architecture-related discussions with external vendors and partners, ensuring alignment with strategic goals. Ensure architectural designs adhere to regulatory requirements ...

Operations Specialist II

Dayton, OH · On-site +1

$62K - $100K/yr

CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-RW1 Brand=CareSource

Managing Actuary

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 ...

Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

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 ...

Managing Actuary

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 ...

Data Scientist II

Dayton, OH · On-site +1

$83K - $132K/yr

CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-GB1 Brand=CareSource

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 ...

This role will require collaboration across different areas within CareSource to ensure best in class service is delivered to our members. Essential Functions: Performs technical and clerical duties ...

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Caresource information

See Springfield, OH salary details

$24.8K

$50.5K

$73.9K

How much do caresource jobs pay per year?

As of Jul 26, 2026, the average yearly pay for caresource in Springfield, OH is $50,510.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,500.00 and $58,500.00 per year, depending on experience, location, and employer.

What is a Caresource job?

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, and why are they important?

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 job categories do people searching Caresource jobs in Springfield, OH look for? The top searched job categories for Caresource jobs in Springfield, OH are:
What cities near Springfield, OH are hiring for Caresource jobs? Cities near Springfield, OH with the most Caresource job openings:
Infographic showing various Caresource job openings in Springfield, OH as of July 2026, with employment types broken down into 100% Full Time. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $50,510 per year, or $24.3 per hour.
AVP, Actuarial Science (Medicaid)

AVP, Actuarial Science (Medicaid)

CareSource

Dayton, OH • On-site, Remote

$150K - $300K/yr

Full-time

Posted 16 days ago


CareSource rating

7.7

Company rating: 7.7 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

197th of 298 rated insurance


Job description

Job Summary:
The AVP, Actuarial Science, is responsible for driving and supporting company strategy and managing actuarial expertise in coordination with others to ensure actuarial soundness, and to use actuarial knowledge and tools to help improve profitability of CareSource's lines of business.
Essential Functions:
  • Drive company strategy and manage actuarial expertise in coordination with other leaders on all aspects of CareSource's actuarial functions. This includes pricing, forecasting, month-end close activities, and performance monitoring and explanations. Uses actuarial knowledge and tools to help improve profitability of the business area(s) they oversee.
  • Oversee actuarial functions and assure the coordination, relevance, and performance in support of CareSource business needs
  • Hold responsibility for necessary improvements and changes to models, reports, and processes to keep pace with evolving business needs
  • Manage continual improvement of actuarial processes and make changes as needed to support the business
  • Represent Actuarial Services and CareSource in written and verbal communications, presentations and meetings with regulators, owners and other outside parties regarding matters requiring actuarial expertise
  • Support the alignment of Actuarial Services with Finance Department to assure the best possible business intelligence and understanding of company financials in communications to CareSource executive leadership
  • Support decision making and strategy regarding actuarial inputs to the monthly financial reporting process and reports, such as claim reserves/accruals, variance analysis, and actuarial contributions to executive leadership reports
  • Implement and maintain actuarial processes and controls consistent with best practices to assure accurate and timely reporting and handoff of actuarial components and inputs to financial reporting
  • Perform any other job duties as requested

Education and Experience:
  • Bachelor's degree in actuarial science, mathematics, economics or a related field is required
  • A minimum of ten (10) years of experience in the Actuarial Industry with a minimum of five (5) years of management experience is preferred
  • A minimum of five (5) years of experience for the actuarial function in Healthcare, including Medicaid, Commercial and/or Medicare Advantage business; rate negotiations, process/model/report design, state and federal reporting requirements, as well as other traditional actuarial functions
  • Managed care and state/federal government program experience preferred
  • Experience interacting with state or federal regulators, CMS or other external regulatory or auditing entities preferred
  • Experience communicating/presenting to internal senior leaders

Competencies, Knowledge and Skills:
  • Excellent strategic planning and process design skills
  • Excellent PC skills, including advanced Excel, Word and PowerPoint
  • Strong analytical skills
  • Strong problem solving and critical thinking skills
  • Ability to articulate and defend complex ideas and strategies to non-technical audiences
  • Collaborative, with the ability to effectively influence others
  • Fact-based decision maker
  • Excellent oral, written and interpersonal communication skills
  • Strong managerial and team-building skills, with proven track record of hiring and developing high performers
  • A proven track record of achievement and integrity
  • Strong grasp of business processes, operations, and other business partner competencies

Licensure and Certification:
  • Member of the American Academy of Actuaries (MAAA) and Associate or Fellow of the Society of Actuaries (ASA or FSA) is required
  • Must maintain memberships in the Society of Actuaries and the American Academy of Actuaries

Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • May be required to travel less than 20% of the time

Compensation range $150,000-$300,000. 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
  • Energize and Inspire the Organization
  • 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.
#LI-SW2
Brand=CareSource

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