AmeriHealth Caritas
Role Overview Healthcare Value Optimization (HVO) is AmeriHealth Caritas’ enterprise wide margin improvement program, which delivers value for the organization through improved member experience, health outcomes, and total cost of care. HVO collaborates closely with functional and market leaders, following…
Job Description: Under the direct supervision of Operation Supervisors, the Customer Service Representative is responsible for supporting a diverse membership community and their providers as well as other customers in a timely manner. This includes inbound and outbound engagement with…
Job Description: Under the direct supervision of Operation Supervisors, the Customer Service Representative is responsible for supporting a diverse membership community and their providers as well as other customers in a timely manner. This includes inbound and outbound engagement with…
Role Overview: Under 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…
Role Overview: Reporting to the Manager, Leave Administration, the HR Leave and Accommodations Specialist is responsible for the administration of the Leave of Absence (LOA) process, short and long term disability, Family Medical Leave (FMLA), worker’s compensation, and Americans with…
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,…
Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health…
Role Overview AmeriHealth Caritas is seeking service oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team.;Ideal candidates will have experience assessing those needing;personal care services for instrumental daily living activities. As a Service Coordinator, you…
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 behavioral health members, member caregivers, and providers to assess,…