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Caresource Jobs (NOW HIRING)

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

Human Resources Business Partner III

Dayton, KY · On-site

$83K - $132K/yr

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 ...

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

Enterprise Quality Statistician

Dayton, KY · On-site

$72K - $115K/yr

CareSource reserves the right to amend this at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals ...

CareSource

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

WI · On-site

$83K - $132K/yr

Discover what it means to be #UniquelyCareSource. #LI-JM1 Brand=CareSource #J-18808-Ljbffr

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 ...

CareSource

Minimize financial risks to CareSource * Confer with Treasury regarding capital expenditures by conducting lease versus purchase analyses and recommendations * Apply and deliver enterprise wide ...

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How much do caresource jobs pay per year?

As of Sep 12, 2026, the average yearly pay for caresource in the United States is $56,076.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,000.00 and $65,000.00 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.

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Caresource jobs near you
Infographic showing various Caresource job openings in the United States as of September 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 64% Physical, 3% Hybrid, and 33% Remote job distribution, with an average salary of $56,076 per year, or $27 per hour.

Managing Actuary - Value-Based Care

Dayton, OH • On-site, Remote

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

$94K - $164K/yr

Full-time

Re-posted 3 hours 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 Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved.
Essential Functions:
  • Lead a small team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development.
  • Responsible for pricing, forecasting, reserving or other actuarial processes including development of key assumptions, as well as evaluation of financial experience and trend drivers
  • Develop and communicate actionable and strategic recommendations to leadership in support of company goals
  • Manage the development and maintenance of actuarial models to support key business goals and initiatives, such as actual to expected experience reporting, actuarial reserves and accruals, bid pricing/rate filings, forecasting, and contracting models
  • Own the actuarial processes being managed (i.e., rate/bid filings, pricing, forecasting, reserving) within the company and with external vendors for assigned lines of business
  • Specific function may require performing baseline analysis on expectations of rate changes for future years and work with federal and state agencies to support rate filings and other relevant activities
  • 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 related instructions as requested

Education and Experience:
  • Bachelor's degree in actuarial science, mathematics, economics or a related field or equivalent years of relevant work experience is required
  • Prior experience with value-based care, alternative payment models, and/or other risk-bearing arrangements preferred
  • Two to three (2 to 3) years or more of management experience is preferred
  • Two to three (2 to 3) years or more of actuarial experience is preferred
  • Strong database (SQL, SAS or Access) experience is preferred
  • Managed care or healthcare experience is preferred

Competencies, Knowledge and Skills:
  • Excellent written and verbal communication skills
  • Excellent listening and critical thinking skills
  • Strong interpersonal skills and high level of professionalism
  • Ability to manage, develop, and motivate staff
  • Ability to develop, prioritize and accomplish goals
  • Ability to interact with all levels of management as well as external stakeholders
  • Excellent problem-solving skills with attention to detail
  • Excellent auditing and peer reviewing skills
  • Ability to work independently and within a team
  • Ability to effectively analyze data, develop/maintain appropriate models, draw and report findings and/or conclusions tailored for respective audiences
  • Demonstrate sound business judgment when drawing conclusions and making recommendations
  • Communicate status and results of processes, projects, goals and tasks with leader as needed or requested
  • Expert proficiency level with Microsoft Excel
  • Advanced proficiency with Microsoft Suite to include Word and Power Point
  • Knowledge of SQL, SAS, R, Python or other data manipulation software

Licensure and Certification:
  • Associate of the Society of Actuaries (ASA) is required
  • Fellow of the Society of Actuaries (FSA) is preferred

Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • May be required to travel less than 10% of the time

Compensation Range:
$94,100.00 - $164,800.00
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.
#LI-RW1
Brand=CareSource

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