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 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 from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver 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 administrative services.
Discover more about us at www.amerihealthcaritas.com .
Role Overview
Responsible for back-end support of reporting functions throughout the AmeriHealth Caritas Family of Companies.
• Develops and implements data-driven solutions to meet business requirements by producing analytics, reports, and data sets across a variety of subject matters – primarily related to, but not limited to value-based contracting, medical and quality management, population health, network management, contracting, marketing, and member outreach, and new business initiatives.
• Ensures the maximum level of data accuracy, integrity, consistency, and completeness in the various internal and external data sources used for end-user reporting purposes.
• Identifies new and maintains existing sources of data to ensure the availability of information for reporting purposes. Identifies data-related issues and conducts root cause analyses; facilitates resolution of known issues by working directly with end-users and IT staff.
• Generates and maintains thorough and accurate documentation related to data, databases, value-based contracting models, business rules, and reporting policies and procedures for all LOBs.
• Develops and executes test processes related to end-user data and databases; documents and tracks data-related issues and facilitates their resolution.
• Supports the identification of training opportunities related to data comprehension and reporting; assists with the creation of training materials and case studies.
• Responsible for the development, maintenance, and settlement of provider incentive models throughout the AmeriHealth Caritas Family of Companies.
• Supports the identification of training opportunities related to data comprehension and reporting; assists with the creation of new models and metrics to track provider performance.
Work Arrangement
• Remote = Associate can work remotely anywhere in the United States
Education and Experience
• Bachelor’s degree required in relevant field.
• Minimum of 3 years of Data Analysis, Reporting, Claims, Managed Care, or Healthcare experience required.
Skills & Abilities
• Demonstrated skills with at least one reporting application such as SAS Enterprise Guide, SQL, and/or MS Access.
• Experience with Value-Based Programs is preferred.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
