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AmeriHealth Caritas Jobs

AmeriHealth Caritas

COLUMBIA, SC | 7200 followers

AmeriHealth Caritas Overview

WEBSITE amerihealthcaritas.com
HEADQUARTERS COLUMBIA, SC
SIZE 3,000 - 7,500
FOUNDED 1983
REVENUE $5B - $10B
Related Companies
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About AmeriHealth Caritas

At AmeriHealth Caritas, were passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we impact the lives of millions of people through our national footprint of products, services, and award-winning programs. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 35 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, ...behavioral health services, and other support services. In the process, we are dedicated to helping find solutions to end poverty so the American Dream is in reach for all. More
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Service Coordinator-CHC at AmeriHealth Caritas

Wellsboro, PA | Full Time
$46k-57k (estimate)
3 Weeks Ago
Role Overview. As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term ...

Customer Service Representative (Bilingual) at AmeriHealth Caritas

Charleston, SC | Full Time
$46k-57k (estimate)
4 Weeks Ago
Job Description. Under the direct supervision of Operation Supervisors, the Customer Service Representative is responsible for supporting a diverse membership community and their providers as well as other customers in a timely manner. This includes inbound and outbound engagement with members and/or providers via phone calls or correspondence regarding benefits, eligibility, or customer issues. Must be. bilingual (English/Spanish). and demonstra...

Customer Service Representative (Bilingual) at AmeriHealth Caritas

Charleston, SC | Full Time
$46k-57k (estimate)
4 Weeks Ago
Job Description. Under the direct supervision of Operation Supervisors, the Customer Service Representative is responsible for supporting a diverse membership community and their providers as well as other customers in a timely manner. This includes inbound and outbound engagement with members and/or providers via phone calls or correspondence regarding benefits, eligibility, or customer issues. Must be. bilingual (English/Spanish). and demonstra...

Resource Coordinator II at AmeriHealth Caritas

Dover, DE | Full Time
$83k-100k (estimate)
1 Month Ago
Job Description. As part of the care coordination team, the Resource Coordinator develops and executes outreach strategies within a designated territory to improve health outcomes and enhance member engagement. This role serves as a single point of contact and advocate for members identified as low-risk who have opted out of care coordination but require additional monitoring. The position fosters relationships with members, community stakeholder...

Senior Provider Network Operations Analyst at AmeriHealth Caritas

Manchester, NH | Full Time
$65k-82k (estimate)
1 Month Ago
Role Overview. The Senior Provider Network Operations Analyst is responsible for maintaining current provider data and setting up provider reimbursement, as well as addressing provider and state inquiries related to claim payment issues. Work Arrangement. Hybrid – The associate must be in the office at least three (3) days per week at our Manchester, New Hampshire (NH) location. Responsibilities. Reviewing and auditing provider billing, claims pr...

Director of Communications & Marketing at AmeriHealth Caritas

Southfield, MI | Full Time
$170k-220k (estimate)
1 Month Ago
Role Overview. The Director of Communications and Marketing is responsible for developing and executing marketing and communications strategies for the Blue Cross Complete (BCC) of Michigan health plan, ensuring alignment with enterprise standards while tailoring initiatives to meet market-specific needs. Working closely with Corporate Communications Shared Services, internal partners, and health plan leadership, the Director will lead efforts to...

Vice President Plan Operations & Administration at AmeriHealth Caritas

Dublin, OH | Full Time
$186k-261k (estimate)
1 Month Ago
Role Overview. The Vice President of Plan Operations & Administration leads operational strategy and execution for the AmeriHealth Caritas Ohio Medicaid plan. Acting as the primary partner to the Market President, this role ensures alignment with enterprise strategic objectives, contractual obligations, and stakeholder priorities. Serving as second-in-command, the VP oversees all aspects of plan infrastructure, driving operational excellence and ...

Market President, Keystone First/AmeriHealth Caritas Pennsylvania at AmeriHealth Caritas

Philadelphia, PA | Full Time
$153k-199k (estimate)
1 Month Ago
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 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 ...

Director Provider Network Operations at AmeriHealth Caritas

Charleston, SC | Full Time
$171k-226k (estimate)
2 Months Ago
Job summary. The primary purpose of the job is to be responsible for the oversight of the local Plan’s Provider data, reimbursement rules, and address provider inquiries and complaints. In addition, this position will work in conjunction with the Enterprise Claims Department to ensure all contractual claim requirements are met with quality and consistency. Work Arrangement. This position is remote based within the state of South Carolina. Hire wi...

Manager Healthcare Value Optimization at AmeriHealth Caritas

Newtown, PA | Full Time
$122k-155k (estimate)
2 Months Ago
Role Overview. Healthcare Value Optimization (HVO) is AmeriHealth Caritas’ enterprise-wide margin improvement program, which delivers value for the organization through improved member experience, health outcomes, and total cost of care. HVO collaborates closely with functional and market leaders, following a rigorous process to identify, validate, implement, and monitor improvement initiatives across unique workstreams. The Manager position ensu...

MCO Director Payment Integrity at AmeriHealth Caritas

Newtown, PA | Full Time
$169k-223k (estimate)
2 Months Ago
Role Overview. The. Director of Payment Integrity Solutions. is responsible for overseeing Payment Integrity edit and program strategy and performance across all ACFC lines of business and products (Medicaid, Medicare, Exchange, PBM, BH). This role ensures that implemented solutions deliver measurable value through rigorous analytics, including the use of artificial intelligence (AI), machine learning (ML), and NLP-based automation, coupled with ...

Bilingual Contract Specialist at AmeriHealth Caritas

Orlando, FL | Full Time
$63k-81k (estimate)
2 Months Ago
Your career starts now. We’re looking for 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 ...
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