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Caresource Jobs in Springfield, OH (NOW HIRING)

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 ...

Team Lead, Customer Care

Dayton, OH · On-site

$54K - $87K/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-KM1 Brand=CareSource

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 ...

Enterprise Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Conduct clinical reviews for designated CareSource members * Clinical Appeals * Collaborate with market/product leaders to help define market strategy * Provides oversight and direction of assigned ...

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 ...

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 ...

Actuarial Analyst I

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

Team Lead, Customer Care

Dayton, OH · On-site

$54K - $87K/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-KM1 Apply.

Behavioral Health Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Represent CareSource as the primary psychiatric liaison to members, providers and state agencies * Participate in the development, implementation and revision of the clinical care standards and ...

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 6, 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 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 June 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 100% In-person job distribution, with an average salary of $50,510 per year, or $24.3 per hour.
VP, Chief Medicaid Actuary

VP, Chief Medicaid Actuary

CareSource

Dayton, OH • On-site, Remote

$150K - $300K/yr

Full-time

Posted 7 days ago


CareSource rating

7.7

Company rating: 7.7 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

180th of 277 rated insurance


Job description

Job Summary:
Vice President, Actuarial - Product is responsible for driving company strategy and managing actuarial expertise in coordination with other leaders on all aspects of CareSource's rate levels 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 rate negotiations with the State Medicaid Departments, and to use actuarial knowledge and tools to help improve profitability of CareSource's lines of business
  • Oversee and be responsible for all actuarial aspects of rate filing and bid development, including filing strategy, benefit strategy and design, filing compliance and manage external and internal actuarial resources and relationships involved with those functions
  • Evaluate and advise on the impact of long-range planning, introduction of new programs/strategies, and regulatory actions
  • Oversees the actuarial forecast process; ensures the integrity of the data and methodology of the results and tracks changes and variances
  • Proactively researches existing and new regulations/legislation and advises management of actions and potential risks
  • Provide strategic decision making support to market leadership on all aspects of the business including financial, clinical, operations, and product development.
  • Oversee and assure the coordination, relevance and performance of all actuarial functions in support of CareSource business needs, and hold ultimate responsibility for necessary improvements and changes to keep pace with evolving business needs Lead the selection and hiring of actuarial staff, and managing actuarial and other staff on a project basis for both actuarial and inter-departmental projects
  • 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
  • Use analytical understanding to provide strategic insights and recommendations to CareSource's C-suite leadership in support of decisions related to the strategic direction of the company
  • Oversee and 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
  • Responsibility for decision making and strategy regarding actuarial inputs to the monthly financial reporting process and reports, such as claim reserves/accruals, variance analysis, actuarial contributions to Management Discussion & Analysis, etc.
  • 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 of Science/Arts (BA/BS) degree in Actuarial Science, Mathematics or Finance
  • A minimum of ten (10) years of experience in the Actuarial Industry with a minimum of five (5) years of management experience is required
  • A minimum of seven (7) years of experience for the actuarial function in Healthcare, including Medicaid, Commercial and/or MA business, rate negotiations, 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

Competencies, Knowledge and 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
  • Experience with using a data warehouse
  • 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

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

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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