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Customer Service Representative

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **MUST LIVE IN OR NEAR PHILADELPHIA, ...
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About the job:
PENNSYLVANIA, TO QUALIFY FOR CONSIDERATION** **Responsibilities:** Under the direct supervision of the operations supervisor, the customer service representative is responsible for responding to a diverse membership and their providers, as well as other customers, in a timely, professional, and courteous manner. This includes inbound and outbound member and/or provider phone calls or correspondence regarding benefits, eligibility, or customer issues. Makes outreach welcome calls to new members and conducts Health Risk...
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

Research Analyst

AmeriHealth Caritas
Located in Ohio
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Your career starts now. We’re looking for the next generation of health care ...
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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:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
AmeriHealth Caritas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Facets Workflow Management Analyst

AmeriHealth Caritas
Located in Ohio
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Your career starts now. We are looking for the next generation of health ...
Details
Summary
About the job:
care leaders. At AmeriHealth Caritas, we are 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 would like to...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Network and Computer Systems Administrators
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

Vice President Strategy & Planning

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 healthcare 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...
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

Healthcare Enterprise Analytics Outcomes Specialist

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Role Overview** Under the leadership of ...
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About the job:
the Manager Outcomes Evaluation, the **Enterprise Analytics Outcomes Specialis** t operates as a Data Scientist responsible for evaluating internal clinical programs and developing statistical models to guide evidence-based population health management practices. The team develops analytics to support a range of departments, including matched retrospective program evaluations, models for optimizing mix of outreach, and estimating potential operational changes. The Outcomes Specialist prepares and assists the Senior...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Statisticians
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 Performance Analyst

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Role Overview:** The Provider ...
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About the job:
Performance Analyst is responsible for providing back-end analytical and reporting support across the company to develop and deliver data-driven insights to support strategic, operational, and regulatory initiatives, with a strong focus on data accuracy, integrity, and usability. **Work Arrangement:** + Remote - The associate may work remotely from anywhere within the United States. **Responsibilities:** + Develop and implement data-driven reporting and analytical solutions to meet business requirements across a wide range of...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
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

Clinical Appeals Reviewer

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Role Overview:** The Clinical Appeals ...
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About the job:
Reviewer is responsible for processing appeals and ensuring all milestones are met in compliance with regulatory requirements. This role involves outreach to appellants or their representatives, obtaining and reviewing medical records, packaging pertinent information into a case for determination, interacting directly with providers to obtain additional clinical information, and with members or their advocates to understand the full intent of the appeal. **Work Arrangement:** + Remote - Associate can work remotely...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Administrative Law Judges, Adjudicators, and Hearing Officers
Career Level / Education:
Doctoral or professional 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

Population Health Business Insights Analyst

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : **Role Overview** Reporting to the ...
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About the job:
Director of Business Insights, this Business Insights Analyst Senior position will collaborate with operational business owners: 1) to estimate cost and utilization impacts of new business initiatives; 2) to establish the evaluation and monitoring plans; and 3) to execute the developed analytic plan, including creation of business insights and associated visualizations. This position is responsible for providing consultative and collaborative Analytics support throughout the lifecycle of a Value Optimization initiative....
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
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

Medical Director Utilization Management

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : The Medical Director, Utilization ...
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About the job:
Management, provides organizational leadership in the operational areas of appeals, utilization review, quality improvement, and related policy and practice initiatives in collaboration with the Corporate Medical Director(s), Utilization Management, and the Vice President, Medical Affairs. The following responsibilities are regarding enrollees with medical conditions and their providers: + Identifying and implementing evidence-based practice guidelines throughout the provider network. + Overseeing the quality of clinical care...
Location:
Located in Ohio
Job Type:
Part-Time
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

State Government & External Affairs Director - Philadelphia, PA

AmeriHealth Caritas
Philadelphia, PA
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3355822 No 6090 5519 1 21-Feb-2026 Auto req ID 466218BR Company AmeriHealth ...
Details
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About the job:
Caritas Job Code Health-Services health-services Job Description On behalf of VetJobs/MilitarySpouseJobs, thank you for your interest. We are assisting our partnering company, listed below, with this position. It is open to Veterans, Transitioning Military, National Guard Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow for next steps. Under the general direction of the Senior Vice...
Location:
Philadelphia, PA
Job Type:
Full-Time
Permanent
Occupation:
Public Relations Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Military Spouse Corporate Career Network (MSCCN)
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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