amerihealth

Job Summary: The primary responsibility of Account Executive is to develop strong relationships with providers to drive for performance, specifically as it relates to core providers as determined by the program who are in fee for service programs and may include PCPs, OB/GYNs, high volume specialists, and FQHCs. Essential Functions Supports network...

Role Overview: The Provider Network Coordinator provides essential operational and administrative support to the Provider Network Management team and providers by coordinating, ensuring accurate data management, resolving issues, tracking activities, and executing initiatives related to provider network development, provider satisfaction, education,...

**Role Overview** The Digital QA/Accessibility Testing Analyst performs manual and automated quality assurance and accessibility testing and remediation on numerous websites, portals, and other digital experiences to ensure they meet functional requirements and conform to WCAG 2.2 Level AA guidelines. This is not a software testing position. Must have...

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, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national...

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, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our...

Job Description Job Description Do you already help a family member or close friend with everyday tasks like cooking, bathing, or running errands? If your loved one is enrolled in Pennsylvania's CHC Waiver Program through AmeriHealth Caritas, PA Health & Wellness, or UPMC Community HealthChoices, you may be eligible to get compensation for the care...

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...

Qualifications: NJ Business Administrator Certification Demonstrates knowledge of school district laws and regulations related to budgeting, purchasing, and other business office functions Three years of accounting experience in computerized accounting, including general ledger, financial statements, payroll, and state reporting Experience in accounts...

Reporting to the Sr Vice President & Deputy General Counsel, the Vice President & Deputy General Counsel, Litigation is responsible for leading and managing Independence’s litigation related activities.The Vice President & Deputy General Counsel will lead a team of attorneys and legal professionals in the Company’s Legal Department to provide advice,...

About The Department The Underwriting team evaluates risk and supports the sales process for commercial group business, helping ensure competitive and financially sound solutions for our customers. Position Overview The Underwriting Analyst Co-op will gain hands-on exposure to healthcare underwriting through a structured learning experience designed to...

Position Summary The 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,...

Reporting to the Sr Vice President & Deputy General Counsel, the Vice President & Deputy General Counsel, Litigation is responsible for leading and managing Independence’s litigation related activities.The Vice President & Deputy General Counsel will lead a team of attorneys and legal professionals in the Company’s Legal Department to provide advice,...

Role Overview: The Pharmacy Director will serve as the market pharmacy subject matter expert, collaborating daily with internal departments and the PBM while managing requests from State regulators. As a key member of the plan’s management team, this role will oversee the clinical and operational aspects of the pharmacy benefit, with a focus on improving...

Family Nurse Practitioner (FNP)Hammonton, New JerseyWe're hiring a Family Nurse Practitioner in Hammonton, New Jersey who wants meaningful patient relationships, a structured weekday schedule, and the opportunity to serve an underserved community.You'll step into an outpatient clinical role focused on full-scope primary care. You'll manage acute and chronic...

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...

Role Overview: The Director, Special Investigations Unit (SIU) provides enterprise leadership for the prevention, detection, investigation, remediation, and reporting of healthcare fraud, waste, and abuse across Medicaid, Medicare, pharmacy, behavioral health, dental, transportation, and other products and services. The role requires a leader who can adapt...

Contract Specialist Provider Contract Specialist Location: Philadelphia PA 19113 Rate: DOE Contract role 3 months with possibility of extension The Provider Contract Specialist is responsible for contract upload and provider data alignment functions for the Plan. The Provider Contract Specialist will operate effectively and efficiently in tracking,...

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...

This website is AudioEye enabled and is being optimized for accessibility. To open the AudioEye Toolbar, press "shift + =". Some assistive technologies may require the use of a passthrough function before this keystroke. For more information, activate the button labeled "Explore your accessibility options". Frontline Applicant Tracking - Salem City School...

Frontline Applicant Tracking - Salem City School District Position Type: Elementary School Teaching Date Posted: 10/17/2025 Date Available: 10/17/2025 QUALIFICATIONS 1. Valid New Jersey Instructional Certification and/orSubject Matter Specialization Endorsement or eligibility. 2. Demonstrates knowledge of effective teaching methods and developmentally...