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Special Investigator-Health Insurance Fraud (Ohio residency required)

AmeriHealth Caritas
Located in Ohio
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data-type="string"> Description : Your career starts now. We are looking for ...
Details
Summary
About the job:
the next generation of health care leaders. **This position is remote however, you must live and be able to travel within Ohio as business needs.** 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 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,...
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:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Utilization Management Technician

Amerihealth Caritas Services LLC
Philadelphia, PA
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* *If interested in this position email Jenissa Rodriguez at ...
Details
Summary
About the job:
jrodriguez@pacareerlinkphl.org and click "apply". Job postings at this company open and close quickly so send Jenissa an email ASAP. For qualified candidates, Jenissa will provide the company's career website to apply, and will follow up with her company contact on your behalf. 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 care solutions, we...
Location:
Philadelphia, PA
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Institute of Data
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Personal Care Connector

Amerihealth Caritas Services LLC
Philadelphia, PA
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If interested in this position email Jenissa Rodriguez at ...
Details
Summary
About the job:
jrodriguez@pacareerlinkphl.org and click "apply". Job postings at this company open and close quickly so send Jenissa an email ASAP. For qualified candidates, Jenissa will provide the company's career website to apply, and will follow up with her company contact on your behalf. 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, we...
Location:
Philadelphia, PA
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:
Institute of Data
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Personal Care Connector CHC

Amerihealth Caritas Services LLC
Philadelphia, PA
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If interested in this position email Jenissa Rodriguez at ...
Details
Summary
About the job:
jrodriguez@pacareerlinkphl.org and click "apply". Job postings at this company open and close quickly so send Jenissa an email ASAP. For qualified candidates, Jenissa will provide the company's career website to apply, and will follow up with her company contact on your behalf. 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 nation's leaders in health care solutions, we...
Location:
Philadelphia, PA
Job Type:
Full-Time
Permanent
Occupation:
Social and Human Service Assistants
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
Institute of Data
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

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 ...
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:
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

Digital Strategy & Design Manager

AmeriHealth Caritas
Southfield, MI
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Role Overview: The Digital Strategy & Design Manager leads digital ...
Details
Summary
About the job:
communications and engagement strategies to support Blue Cross Complete of Michigan's goals, brand, and outreach. This role manages digital platforms and content to deliver a cohesive, member-focused experience, requiring knowledge of member behavior, digital best practices, trends, and design innovation. Work Arrangement: - Remote - Associate must reside in Metro Detroit, Michigan (MI) area, and be available to attend several monthly meetings at our Southfield, MI location. Responsibilities: - Manage and support digital...
Location:
Southfield, MI
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
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 ...
Details
Summary
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
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