amerihealth

If you want to make a living by making a difference, join Acenda as an Therapist FFS/PT Job Title: Therapist - Substance Use, Co-occurring, Mental Health – 6 positions available! (1) Position available in Cape May Court House, NJ (2) Positions available in Sewell, NJ (2) Positions available in Morristown, NJ (1) Positions available in Elmer, NJ About...

Network ContractorThe primary responsibility of the Network Contractor is contracting providers, the contracting and re-contracting of providers in an established market.Work Arrangements:Remote - The associate must reside in Louisiana (LA) and attend site visits to provider and in office meetings in Baton Rouge.Responsibilities:Supports network development...

Role Overview:The Care Manager (RN/SW) assists members appropriate for care management and care coordination services in achieving their optimal level of health through self-management. The Care Manager (RN/SW) engages members, member caregivers, and providers to assess, plan, and establish individual member goals. Will facilitate and coordinate care for the...

Position SummaryThe Care Manager II (RN/SW) provides remote care management and care coordination for members enrolled in a Highly Integrated Dual Eligible Special Needs Plan (HIDE D-SNP). This role serves as the primary point of contact for assigned members, supporting complex medical, behavioral health, and social needs through assessment, care planning,...

Network ContractorThe primary responsibility of the Network Contractor is contracting providers, the contracting and re-contracting of providers in an established market.Work Arrangements:Remote - The associate must reside in Louisiana (LA) and attend site visits to provider and in office meetings in Baton Rouge.Responsibilities:Supports network development...

This role is hybrid, working (4) days in office and one (1) day remote. 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. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth...

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...

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...

Network Contractor The primary responsibility of the Network Contractor is contracting providers, the contracting and re-contracting of providers in an established market. Work Arrangements: Remote - The associate must reside in Louisiana (LA) and attend site visits to provider and in office meetings in Baton Rouge. Responsibilities: Supports network...

The Associate Account Executive works with the Sales Executive and Functional Management to manage external customer, client, consultant, or broker relationships. Assists in the development and execution of sales strategy for each group, customer or prospect. Participate in sales meetings, presentations, and site visits to cultivate account relationships....

Job Brief Active, unrestricted RN licensure. Sign-on Bonus: Eligible candidates may receive a sign-on bonus starting at $7,500, with the potential for a higher amount based on experience and qualifications.Role Overview: The Director, ICT Care Coordination, is responsible for leading the strategic direction, operational execution, and performance of care...

Appeals & Grievance Case Resolution Specialist The Appeals & Grievance Case Resolution Specialist is responsible for the full life cycle of assigned member and/or provider appeals and grievance cases. Working under general supervision, this role conducts case intake, investigation, and documentation to ensure accurate and timely resolution consistent with...

Responsibilities: Under the general direction of the ACA Operations Supervisor, responsible for responding in a timely, professional and courteous manner to all and member needs. This includes inbound and outbound phone calls or correspondence regarding benefit, eligibility, member premium billing, and other member issues. Provides member education and...

Senior Clinical Quality Performance Specialist The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions. The position is grounded in data analytics skills in order to work...

Responsibilities: Under the general direction of the ACA Operations Supervisor, responsible for responding in a timely, professional and courteous manner to all and member needs. This includes inbound and outbound phone calls or correspondence regarding benefit, eligibility, member premium billing, and other member issues. Provides member education and...

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...

THIS IS A HYBRID, OFFICE BASED POSITION WORKING AT OUR ELLIS PRESERVE OFFICE LOCATED IN NEWTOWN SQUARE, PA. WE WILL NOT CONSIDER REMOTE CANDIDATES! Role Overview The Senior Azure Data Engineer designs, builds, and optimizes large scale cloud data solutions on Microsoft Azure. The role requires deep hands on expertise with modern ingestion frameworks to...

Role Overview: The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions. The position is grounded in data analytics skills in order to work collaboratively with providers, members, and...

Role Overview The Technical Project Manager Senior is responsible for leading complex healthcare technology projects from initiation through delivery. This role serves as the bridge between business stakeholders, product owners, architects, engineering teams, data teams, and operations to ensure successful delivery of strategic initiatives. The Technical...

Role Overview: The Digital QA/Accessibility Testing Analyst performs manual quality assurance and accessibility testing for assigned websites, portals, and digital experiences to help ensure releases meet functional requirements and conform to WCAG 2.2 Level AA standards, including requirements governed by Sections 504 and 508 of the Rehabilitation Act. This...