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Results based on filters ( 181 jobs found )
Your career starts now. We’re looking for the next generation of health care ...
Details
Summary
About the job:
leaders. The Market Chief Medical Officer Medicare, reports directly to the Executive Vice President Chief Medical Officer. The position is responsible for Medicare clinical leadership and execution of all health care affordability and clinical quality initiatives to achieve goals Responsibilities: - Helps to lead AmeriHealth Caritas Medicare clinical programs - Quality initiatives to improve HEDIS and other quality ratings - Collaborates with the providers, community and state regulatory agencies to improve care. -...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
AmeriHealth Caritas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

Care Connector

The Care Connector is responsible for supporting the daily operations of ...
Details
Summary
About the job:
integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers and other areas, internal and external to the company. The CC identifies members with Care Gaps/HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Assistants
Career Level / Education:
Postsecondary nondegree award
Salary:
Middle Income Jobs ($30K-$49K)
From:
AmeriHealth Caritas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

Care Connector

The Care Connector is responsible for supporting the daily operations of ...
Details
Summary
About the job:
integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers, and other areas, internal and external to the company. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase healthcare adherence and reduce barriers to care. Work Arrangement: Remote (Eastern Time Zone work hours required) Education/Experience:...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Secretaries and Administrative Assistants
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
AmeriHealth Caritas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Role Overview The Personal Care Connector (PCC) is vital in delivering ...
Details
Summary
About the job:
high-quality, personalized service to Medicare members. Operating within a call center environment, the PCC supports daily functions of the Personal Service Program, Integrated Care Management, and Utilization Management initiatives. This role involves direct interaction with members, providers, and internal teams to ensure seamless access to care, resolution of issues, and promotion of health plan benefits and community resources. Work Arrangement - Location: Remote Detroit, MI - Schedule: Full-time (40 hours/week) -...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
AmeriHealth Caritas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

Care Manager II

Your career starts now. We’re looking for the next generation of healthcare ...
Details
Summary
About the job:
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 footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear...
Location:
Dublin, OH
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
AmeriHealth Caritas
Certifications / Licenses:
Licensed Master Social Worker
Driver's License
Licensed Social Worker
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Department Overview PerformCare provides access to the NJ Children’s System ...
Details
Summary
About the job:
of Care. The Behavioral Health Care Manager is responsible for the daily functions of the clinical department including triage of calls, care coordination, and utilization management. Role Overview The Care Manager facilitates access to behavioral health, substance use, and intellectual/developmental disabilities therapeutic services, ensuring that every youth receives the right services at the right time as part of an integrated service plan. The Manager makes the timely intensity of service determinations based on...
Location:
Robbinsville, NJ
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
High Income Jobs ($80K-$99K)
From:
AmeriHealth Caritas
Certifications / Licenses:
Licensed marriage and family therapist
Licensed Psychologist
Licensed Clinical Social Worker
Licensed Professional Counselor
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

Care Manager II

Your career starts now. We’re looking for the next generation of healthcare ...
Details
Summary
About the job:
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 footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear...
Location:
Philadelphia, PA
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
AmeriHealth Caritas
Certifications / Licenses:
Driver's License
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Work Arrangement - This role is remote but candidates need to live in the ...
Details
Summary
About the job:
state of DE. We have open positions in all 3 counties. Member Outreach : Establishes connection and acts as the primary ACFC contact to a targeted member population, including some high-risk members, through home visits and outreach calls. Exercises judgment and discretion in coordinating care by handling basic follow-up tasks and collaborating with AmeriHealth Caritas care management teams, community-based healthcare providers, and other organizations. Informs members through phone calls or home visits of the required...
Location:
Dover, DE
Job Type:
Full-Time
Permanent
Occupation:
Community Health Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
AmeriHealth Caritas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

Market CMO

Your career starts now. We’re looking for the next generation of health care ...
Details
Summary
About the job:
leaders. The Market Chief Medical Officer Medicare, reports directly to the Executive Vice President Chief Medical Officer. The position is responsible for Medicare clinical leadership and execution of all health care affordability and clinical quality initiatives to achieve goals Responsibilities: - Helps to lead AmeriHealth Caritas Medicare clinical programs - Quality initiatives to improve HEDIS and other quality ratings - Collaborates with the providers, community and state regulatory agencies to improve care. -...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
AmeriHealth Caritas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

Care Manager II

Your career starts now. We’re looking for the next generation of healthcare ...
Details
Summary
About the job:
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 footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear...
Location:
Philadelphia, PA
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
AmeriHealth Caritas
Certifications / Licenses:
Driver's License
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

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