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Results based on filters ( 56 jobs found )

Supervisor Contact Center

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Responsibilities:** Responsible for ...
Details
Summary
About the job:
day-to-day operations of Member/Provider services contact center team. Manage 15-20 Contact Center Associates. Plans, directs, manages, and evaluates team performance to ensure customers are receiving a high level of service with a focus on quality and first call closure. Ensures professional and courteous customer service for all Contact Center encounters. Coordinates customer service activities which include email, faxes and all other customer correspondence. Leads team to meet all Service Level standards. Handles...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Account Executive

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Job Summary** The primary responsibility ...
Details
Summary
About the job:
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. **Work Arrangement:** This position is required to reside in North Carolina **Essential Functions** + Supports network development and network management strategies. + Responsible for assisting the Leader with departmental activities related to...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Summer Intern (Graduate, Public Health, Business)

AmeriHealth Caritas
Washington
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data-type="string"> Description : AmeriHealth Caritas Family of Companies ...
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Summary
About the job:
offers paid summer internships to students enrolled in full time undergraduate or graduate degree programs. The AmeriHealth Caritas Summer Internship Program provides students with the opportunity to gain meaningful professional experience while learning about the healthcare industry and the work we do to improve access to care and support healthier communities. Interns will work closely with a designated manager and mentor to contribute to real team initiatives and complete a defined project aligned with departmental...
Location:
Washington
Job Type:
Full-Time
Internship
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Network Account Executive I

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : Your career starts now. We’re looking for ...
Details
Summary
About the job:
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 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...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Network Contractor Provider Network Management

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Job Summary** The primary responsibility ...
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Summary
About the job:
of the Network Contractor is contractingproviders, the contracting and re-contracting of providers in an established market. **Essential Functions** + Supports network development strategy. + Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication. + Responsible for negotiating contracts to execute on network strategy and ensure an adequate, compliant and marketable network. + Responsible for negotiating Single Case Agreements (SCA) rates and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director Data & Technology Services

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Role Overview** The Director of Data and ...
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Summary
About the job:
Technical Services (DTS) provides strategic direction and leadership for data and technical services including telecommunication systems, operating systems and all hardware and software located in-house and at remote locations in support of our Community Health Choices (CHC) LTSS Program in Pennsylvania. Under the combined direction of the CHC Market President and the Director, Plan Operations & Administration, the Director of Data and Technical Services (DTS) provides strategic direction and leadership for data and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Knowledge Management Team Lead

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : Your career starts now. We’re looking for ...
Details
Summary
About the job:
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 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...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Logistics Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Enrollment Specialist

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Role Overview** The Provider Enrollment ...
Details
Summary
About the job:
Specialist, under the direct supervision of the Provider Enrollment Supervisor, is responsible for maintaining participating and non‑participating provider records in the provider database, mapping claims in the invalid provider queue, and resolving provider‑related issues for claims suspended to Provider Enrollment. This role also executes the panel transfer process, completes assigned projects, and interacts with internal and external clients regarding provider maintenance activities. Work Arrangement: Remote...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director, Contract Performance

AmeriHealth Caritas
Dublin, OH
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**Role Overview:** The Director of Contract Performance is responsible for ...
Details
Summary
About the job:
developing systems and tools to sustainably improve key performance metrics, ensure compliance and operational excellence, ensure successful execution of contractual obligations, streamline workflows, improve efficiency and profitability, define reporting requirements, and lead initiatives to address performance gaps, including servicing as the designated lead for the Ohio Department of Medicaid (ODM) contract administration activities.**Work Arrangements:**+ Remote - Associate must be in the state of Ohio...
Location:
Dublin, OH
Job Type:
Full-Time
Contract
Occupation:
General and Operations Managers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Quality Perform Specialist Maternity

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Responsibilities:** The Senior Quality ...
Details
Summary
About the job:
Performance Specialist – Clinical is responsible for taking on responsibilities that support the day-to-day operations and implementation of Quality projects ensuring identification of root cause, and with the assistance of the Quality Director establishes a work plan to implement interventions This position will work in a collaborative manner with all providers, members, departments within AmeriHealth Caritas to conduct ongoing process and data review to identify opportunities for improvement. The position will...
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:
De jobs
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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