amerihealth

Recruiter Recruiter location: 200 Stevens Drive, Philadelphia, PA 19113 (should be local to the area) Contract role Source candidates using various mechanisms e.g., internet job postings, resume searches, referrals, networking, etc. Evaluate candidate resumes against defined specifications. Phone screen applicants. Conduct initial HR interview to discuss our...

Role Overview:Responsible for managing and coordinating care, services, and social determinants of health for Members with behavioral health conditions and acute, chronic, and medically complex needs. Serves as the primary point of contact for the care team that includes Members, physicians as well as community supports to guide members in achieving their...

Role Overview:Responsible for managing and coordinating care, services, and social determinants of health for Members with behavioral health conditions and acute, chronic, and medically complex needs. Serves as the primary point of contact for the care team that includes Members, physicians as well as community supports to guide members in achieving their...

Role Overview:Responsible for managing and coordinating care, services, and social determinants of health for Members with behavioral health conditions and acute, chronic, and medically complex needs. Serves as the primary point of contact for the care team that includes Members, physicians as well as community supports to guide members in achieving their...

Manager - Quality ManagementUnder the direction of the Director, Quality Management, the Manager, Quality Management is responsible for providing oversight, daily administrative management, and direct supervision of the Quality Management team. This position is also responsible and accountable for maintaining the Health Plan's compliance with all state...

Role Overview:Responsible for managing and coordinating care, services, and social determinants of health for Members with behavioral health conditions and acute, chronic, and medically complex needs. Serves as the primary point of contact for the care team that includes Members, physicians as well as community supports to guide members in achieving their...

Manager - Quality ManagementUnder the direction of the Director, Quality Management, the Manager, Quality Management is responsible for providing oversight, daily administrative management, and direct supervision of the Quality Management team. This position is also responsible and accountable for maintaining the Health Plan's compliance with all state...

Role OverviewUnder the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information...

Bring your drive for excellence, team orientation and customer commitment to Independence Blue Cross; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we...

Position Type: Middle School Teaching/Elementary 3, 4, 5 Date Posted: 6/22/2026 Location: Salem Middle School Date Available: 09/01/2026 Closing Date: 09/08/2026 TITLE: TEACHERQUALIFICATIONS: 1. Valid New Jersey Instructional Certification and/or Subject Matter Specialization Endorsement or eligibility. 2. Demonstrates knowledge of effective teaching...

Position Type: Elementary School Teaching Date Posted: 10/17/2025 Location: John Fenwick Academy Date Available: 10/17/2025 General Education Preschool Teacher QUALIFICATIONS: 1. Valid New Jersey Instructional Certification and/or Subject Matter Specialization Endorsement or eligibility. 2. Demonstrates knowledge of effective teaching methods and...

tion - Provider Partnership Assoc (260138) Job DescriptionProvider Partnership Assoc - (260138)Description The Provider Network Services Provider Partnership Associate supports Integrated Delivery Health Systems (IDS) and community providers including but not limited to primary care physicians, specialists, ancillary, behavioral health, and institutional...

Work Arrangement This position is a remote field based position. Will make face to face visits to members in the Upstate Region, primarily in the Cherokee and Greenville counties. Role Overview: Responsible for managing and coordinating care, services, and social determinants of health for Members with behavioral health conditions and acute, chronic, and...

Position Type: Elementary School Teaching/Reading Specialist Date Posted: 7/16/2026 Location: Salem High School Date Available: 09/01/2026 TITLE: READING SPECIALIST QUALIFICATIONS: 1. Hold a master's degree in a reading specialty. 2. Valid New Jersey Certificate as a teacher and reading specialist. 3. At least five (5) years of experience in public...

Role Overview: The Investigator is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving the full range of products at the AmeriHealth Caritas Family of Companies (ACFC). Work Arrangement: • Hybrid- Must reside in DC or surrounding areas contractually: Montgomery, Prince George's, MD, or Arlington or...

Work Arrangement: • Qualified candidates must be able to travel to York/Adams OR Lancaster/Lebanon counties in PA. • Must be able to travel up to 75% in the community • Monday thru Friday 8:30 AM - 5 PM EST Sign-On Bonus Available: • Eligible Service Coordinators may receive a $3,000 sign-on bonus, paid in two installments after hire. This bonus...

Role Overview: The Performance Practice Advisor is part of the POD support model and provides support to the Provider Network Management team and Provider Network responsible for producing and presenting performance reports, value-based contract (VBC) models, care coordination effectiveness and practice efficiencies. Work Arrangements: • Remote - The...

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities.A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required.Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for...

Position Type: Elementary School Teaching/Special EducationDate Posted: 9/28/2026Location: John Fenwick AcademyDate Available: 11/27/2026Closing Date: 10/19/2026TITLE: SPECIAL EDUCATION TEACHERQUALIFICATIONS:Valid New Jersey Instructional Certification and appropriate Special Education Endorsement or eligibility.Minimum experience as determined by the...

Work Arrangement: • Qualified candidates must be able to travel to Chester, Bucks, Montgomery, Delaware, and Philadelphia counties in PA. • Must be able to travel up to 75% in the community • Monday thru Friday 8:30 AM - 5 PM EST Sign-On Bonus Available: • Eligible Service Coordinators may receive a $3,000 sign-on bonus, paid in two installments...