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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 ...
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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

Operations Quality Auditor-Provider Enrollment Services Audit

AmeriHealth Caritas
Located in Ohio
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Your career starts now. We're looking for the next generation of health care ...
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 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 a difference, we'd like to hear...
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:
Levels.fyi
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Manager Compliance

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Overview:** The Manager, Compliance ...
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Summary
About the job:
provides support in the oversight of all operating division and subsidiary compliance functions and the implementation of compliance policy, process, and control activities. This position will monitor the execution of operational changes required by regulations and guidelines. The primary focus is on managing the audit team. Will work with internal audits, Medicare, and Medicaid, as well as regulatory audits. **Work Arrangement:** + This is a remote position within the United States working East Coast hours...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Compliance 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

UAT Test Validation Analyst II

AmeriHealth Caritas
Located in Ohio
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Role Overview Under the direction of the UAT Team Lead, the UAT Test ...
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Summary
About the job:
Validation Analyst II executes comprehensive functional and regression test plans in support of system changes. This includes supporting or leading testing for all projects and required changes impacting systems from beginning to end. Work Arrangement This is a 100% Remote Position Responsibilities Participation in the development of business requirements and analyzing requirements to determine testing scope Creation of test approach documentation including scripts Successfully execute test cases and analyze results to...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Software Quality Assurance Analysts and Testers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
AmeriHealth Caritas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Manager, Member Engagement

AmeriHealth Caritas
Baton Rouge, LA
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data-type="string"> Description : **Role Overview:** The Manager of Member ...
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Summary
About the job:
Engagement is responsible for the leadership, management, and implementation of the strategic vision for all services that impact or interface with AmeriHealth Caritas Louisiana (ACLA) members. **Work Arrangement:** + Hybrid – Associate must be in the office at least (3) days per week at our Baton Rouge, Louisiana (LA) location. + Approximately 75% travel statewide to support member engagement activities, events, and community outreach + Ability to support weekend activities and events as needed **Responsibilities:** +...
Location:
Baton Rouge, LA
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
De jobs
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Sourcing Manager

AmeriHealth Caritas
Located in Ohio
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Role OverviewThe Senior IT Sourcing Manager is responsible for developing ...
Details
Summary
About the job:
and executing enterprise-wide sourcing strategies for acquiring complex goods and services, reducing costs, and achieving organizational objectives across Information Technology categories, including software, hardware, cloud services, IT services, and emerging technologies. This role partners closely with IT, Finance, Legal, Compliance and business stakeholders to drive value, manage risk, and enable innovation through best-in-class supplier relationships. The sourcing manager will advise the business on critical...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Purchasing Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Levels.fyi
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

ECRP Analyst/Liaison

AmeriHealth Caritas
Located in Ohio
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Your career starts now. We’re looking for the next generation of health care ...
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 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 a difference, we’d like to hear...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Levels.fyi
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Business Analyst – Enterprise Operations Reporting & Controls

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:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
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 of Health and Social Care Integration

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Role Overview:** The Director of Health ...
Details
Summary
About the job:
and Social Care Integration shall serve as the single point of contact responsible and accountable for all matters related to Social Determinants of Health (SDOH) and Health Related Social Needs (HRSN) for multiple lines of business, supporting Quality and Population Health objectives, meeting all contractual and accreditation compliance requirements. This role provides strategic leadership and oversight nationally, ensuring alignment with enterprise goals, compliance standards, and performance outcomes. This leader...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
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
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