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Caresource Jobs (NOW HIRING)

CareSource

Member Services Rep - Bronx, NY

Bronx, NY

$41K - $66K/yr

The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: Responsible for receiving and handling ...

CareSource

Regulatory Affairs Director - Hybrid

Bronx, NY · Hybrid

$156K - $206K/yr

The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Regulatory Affairs Director is ...

CareSource

Medical Director

Dayton, OH

$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

Regulatory Affairs Director - Hybrid

Bronx, NY · Hybrid

$156K - $206K/yr

The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Regulatory Affairs Director is ...

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

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

Medical Director

Dayton, OH

$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 ...

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$27.5K

$56.1K

$82K

How much do caresource jobs pay per year?

As of Jun 11, 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 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 are hiring for Caresource jobs? Cities with the most Caresource job openings:
What states have the most Caresource jobs? States with the most job openings for Caresource jobs include:
What job categories do people searching Caresource jobs look for? The top searched job categories for Caresource jobs are:
Caresource jobs near you
Infographic showing various Caresource job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 33% In-person, and 67% Remote job distribution, with an average salary of $56,076 per year, or $27 per hour.
Associate Behavioral Health Medical Director(Part Time)

Associate Behavioral Health Medical Director(Part Time)

CareSource

Dayton, OH • On-site

$195K - $341K/yr

Other

This job post has expired 1 day ago. Applications are no longer accepted.

CareSource rating

7.7

Company rating: 7.7 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

176th of 260 rated insurance

Job description

Job Summary:

The Associate Medical Director, Behavioral Health supports staff by providing training, clinical consultation, and clinical case reviews members.

Essential Functions:

  • Participate in peer-to-peer discussions
  • Provide provider education, training, data sharing, performance evaluations and orientation to the plan
  • Participate in the evaluation and investigations of cases suspected of fraud, abuse, and quality of care concerns
  • Participate in development of policies and procedures
  • Provide cross-coverage for other Medical Directors and/or markets, as needed
  • Provide prior authorization medical reviews, consultation and clinical review services
  • Conduct clinical reviews for designated CareSource members
  • Conduct Clinical Appeals
  • Support of regulatory and accreditation functions (e.g. 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 in psychiatry is required
  • Minimum of three (3) years of clinical practice experience is required
  • Experience in safe prescribing is required
  • Managed care medical review/medical director experience 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 in Psychiatry is required
  • Re-certification, as required by specialty board, must be maintained
  • MCG Certification is required or must be obtained within six (6) months of hire

Working Conditions:

  • General office environment; required to use general office equipment
  • 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

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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