amerihealth

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...

Role Overview: AmeriHealth Caritas New Hampshire (ACNH) is seeking a passionate and community-driven Community Educator to join our outreach team and help connect vulnerable and diverse populations across the state to essential healthcare resources. Based out of our Manchester Wellness Center and traveling statewide, this role promotes AmeriHealth Caritas...

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...

Work Arrangement • Qualified candidates must be able to travel to Dauphin and Cumberland 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 is available...

Role Overview The Clinical Training Specialist delivers clinical, systems, onboarding, operational, regulatory, compliance, and professional-skills training to clinical and non-clinical associates who support members. The role facilitates training for internal and external audiences, follows standard operating procedures to meet business needs, supports...

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

Role Overview The In-Office Care Manager (RN/LICSW) assists members appropriate for care management and care coordination services in achieving their optimal level of health through self-management. The Care Manager (RN/LICSW) is responsible for engaging the member, member's caregiver and providers to assess, plan, and establish individual member goals....

Role Overview:The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones are met in compliance with regulatory requirements. This role involves outreach to appellants or their representatives, obtaining and reviewing medical records, packaging pertinent information into a case for determination, interacting directly with...

Role Overview Under the oversight and direction of Financial Reporting management and in support of the Financial Reporting Senior Analyst, responsible for preparing all quarterly and annual external financial statements/reports as required of the Company on the basis of Statement of Statutory Accounting Principles (SSAP). Work Arrangement • Hybrid =...

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...

Job Summary: The Claims Eligibility Specialist is the point of contact for the Provider community to resolve issues related to Medicaid coverage and services. The incumbent coordinates and collaborates with internal associates and staff from various Provider agencies on Medicaid eligibility and claims issues. In addition to resolving discrepancies in...

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...

Work Arrangement: • Qualified candidates must be able to travel to Berks OR Lehigh/Northampton 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 is...

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: Care Manager II Responsible for managing and coordinating care, services, and social determinants of health for Members with acute, chronic, medically complex, and behavioral health conditions and other health needs. Serves as the primary point of contact for the care team that includes Members, physicians as well as community supports to...

Role Overview As Director Strategy & Planning you will be part of a team that is advising our CEO and Executive Council on key enterprise-level strategic initiatives including: Corporate Strategy, Enterprise Business Plan, Market Insights and Competitive Intelligence, and Board Reporting. Work Arrangement • This is a hybrid...

Pharmacy Services Technician - RemoteLocation :Philadelphia, PA Primary Job Function :Pharmacy ID27899Job BriefActive / current National Pharmacy Technician Certification (ExCPT, NCCT or PTCB) required.Your career starts now.We're looking for the next generation of health care leaders.At AmeriHealth Caritas, we're passionate about helping people get care,...

Your career starts now. We're looking for the next generation of healthcare leaders.At AmeriHealth Caritas, we're passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national...

Summary:The Director, Finance is responsible for the oversight of all financial activities for the plan including but not limited to financial statements, audit activities, active participation in the annual budget process and reconciliation of operational staff. The director is a critical member of management who provides membership, financial results and...