Jobs at Amerihealth Caritas
404,327 open positions
Supervisor, Integrated Care Management
Company: AmeriHealth Caritas
Location: USA
Posted Aug 27, 2024
AmeriHealth Caritas is seeking talented individuals to join their team as a Supervisor ICM. The role involves managing the Care Management Oversight Delegation Team, providing clinical direction, and ensuring quality case management services. The company offers a comprehensive benefits package, flexible work solutions, and a commitment to diversity, equity, and inclusion.
Care Manager II Registered Nurse
Company: AmeriHealth Caritas
Location: USA
Posted Aug 12, 2024
AmeriHealth Caritas is seeking a Care Manager II to work remotely in South Carolina. The role involves improving health outcomes, collaborating with healthcare professionals, and engaging with members through face-to-face visits. The ideal candidate has a BSN, RN license, and experience in pediatric home care or acute care.
Director Creative Operations
Company: AmeriHealth Caritas
Location: Other US Location
Posted May 09, 2024
AmeriHealth Caritas is seeking a Director of Creative Operations to manage and develop the creative organizational design, workflow, technology, process, and data. The role involves providing continuous improvements, fine-tuning business processes, and offering operational insights based on data analysis. The candidate should have a Bachelor's degree in marketing or communications, 5-10 years of experience in marketing or communications, and prior experience with Adobe Workfront. Six sigma certification is preferred. The role requires a strong analytical ability, problem-solving skills, and excellent communication skills. AmeriHealth Caritas promotes a diverse, equitable, and inclusive workplace with comprehensive benefits.
RN Care Manager II, BSN, Pediatric Shift Care
Company: AmeriHealth Caritas
Location: USA
Posted Aug 22, 2024
AmeriHealth Caritas is seeking a Care Manager II to assist members in achieving their optimal level of health through self-management. The role involves telephonic assessments, comprehensive person-centered assessments, and coordination of physical, behavioral, and social services.
Supervisor Integrated Care Management
Company: AmeriHealth Caritas
Location: USA
Posted Aug 12, 2024
AmeriHealth Caritas is seeking talented individuals to join their team as a Supervisor ICM. The role involves managing the Care Management Oversight Delegation Team, providing clinical direction, and ensuring quality case management services. The company offers a comprehensive benefits package, flexible work solutions, and a commitment to diversity, equity, and inclusion.
Data Developer Lead
Company: AmeriHealth Caritas
Location: Other US Location
Posted May 09, 2024
AmeriHealth Caritas is seeking talented individuals to join their team as they aim to build healthier communities. The role involves analyzing business requirements, architecting data solutions on Azure Cloud, designing data models, building ETL pipelines, and deploying data science machine learning models. The ideal candidate should have a Bachelor's degree in Information Systems Management or a related field, along with extensive experience in database architecture, data modeling, and cloud-based systems.
Care Manager II Registered Nurse
Company: AmeriHealth Caritas
Location: USA
Posted Oct 03, 2024
AmeriHealth Caritas is seeking a Care Manager II to support members during transitions of care. The role involves monitoring and updating care plans, educating members, and collaborating with healthcare professionals. The ideal candidate has a Bachelor of Science in Nursing, an unrestricted RN license, and experience in pediatric home care or acute care.
Dental Director Utilization Management Appeals
Company: AmeriHealth Caritas
Location: USA
Posted Jun 10, 2024
AmeriHealth Caritas is seeking a Dental Director Utilization Management Appeals for a remote role in PA, OH, and MI. The role involves leading the appeals process, providing organizational leadership in care management, utilization review, quality improvement, and policy initiatives. The candidate must have a DMD/DMS, be licensed in Pennsylvania, and have 3+ years of relevant experience. The company is committed to diversity, equity, and inclusion, offering comprehensive benefits and a flexible work environment.
Data Analyst (Remote) - Python & SQL
Company: AmeriHealth Caritas
Location: Remote
Posted Apr 26, 2024
<p>Your career starts now We are looking for the next generation of health care leaders <p> <p>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 awardwinning 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 connect with you <p> <p>Headquartered in Newtown Square AmeriHealth Caritas is a missiondriven organization with more than 30 years of experience We deliver comprehensive outcomesdriven 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 <p> <p>Discover more about us at wwwamerihealthcaritascom <p> <p><strong>The primary purpose of the job is to<strong> <p> <p>The Network Report Analyst is responsible for extracting manipulating and evaluating the accuracy of Pharmacy data from various sources to generate reports for new and existing lines of business This position is responsible for the following deliverables Pharmacy Network Adequacy Reports Pharmacy Directories Pharmacy Related Statutory Reporting Pharmacy Data Cleaning Validations for new and existing lines of business and other variable routine and ad hoc systems data pullsanalysis <p> <p><strong> Other accountabilities<strong> <p> <ul><li>Understands multiple backend Pharmacy data sources eg NCPDP PRIMA NPPES PMNS corporate vendorobtained sources and other External Regulatory data files for the purposes of writing queries developing reports as well as designing developing implementing and maintaining business solutions <li> <li>Interprets Pharmacy data using various techniques from data aggregation to complex data mining <li> <li>Analyzes Pharmacy data files received from joint venture partners to evaluate issues and usefulness <li> <li>Coordinates with technical resources from joint venture partners and other internal resources to address and resolve data questions and anomalies <li> <li>Creates technical specifications for routine recurring and adhoc reports<li> <li>Assures the accuracy and validity of data and reports through a validation process to crossreference output and source data identifies Pharmacy data gapsanomalies and provides recommended solutions to the business owner<li> <ul><p><strong>Education amp Experience<strong> <p> <ul><li>High SchoolGED required<li> <li>Bachelors or Associates Degree preferred<li> <li>Business process and quality improvement understanding<li> <li>Ability to plan organize and handle multiple tasks in minimal timeframes and with limited supervision required<li> <li>3 to 5 years of statistical analysis and complex data mining including simple data aggregation basic report preparation layout and design<li> <li>Proficiency with Microsoft Office Suite Word Excel PowerPoint Access Prior Microsoft Access experience is a requirement<li> <li>Must have experience with Python understanding of Pythons syntax data types integers strings lists dictionaries etc control structures if statements loops functions and modules and proficiency in writing clean and efficient Python code Familiarity with common Python libraries and frameworks such as NumPy pandas SQLAlchemy SciPy xlsxwriter etc<li> <li>Oracle database management systems and Structured Query Language SQL preferred<li> <ul><p><strong>Diversity Equity and Inclusion <strong> <p> <p>At AmeriHealth Caritas everyone can feel valued supported and comfortable to be themselves Our commitment to equity means that all associates have a fair opportunity to achieve their full potential We put these principles into action every day by acting with integrity and respect We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant innovative and better able to support the people and communities we serve <p> <p>We keep our associates happy so they can focus on keeping our members healthy <p> <p><strong>Our Comprehensive Benefits Package <strong> <p> <p>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 401k Tuition reimbursement and more<p>
Actuarial Analyst | Hybrid
Company: AmeriHealth Caritas
Location: Other US Location
Posted May 09, 2024
The role involves calculating and assessing the impact of reimbursement changes on medical costs, developing forecasting models, and preparing internal and external communications. The ideal candidate should have a Bachelor's Degree, 0 to 3 actuarial exams, and strong knowledge of Excel, Access, SAS, and project management skills.
Associate Actuary
Company: AmeriHealth Caritas
Location: USA
Posted May 27, 2024
AmeriHealth Caritas is seeking a talented Associate Actuary to join their Medicaid Markets team. The role involves providing support for rate advocacy, managing databooks and rate mirroring rate models, and developing actuarial models. The ideal candidate should have an ASA, a Bachelor's Degree in Actuarial Science, Mathematics, Statistics, or a related field, and a minimum of 3 years of experience in the actuarial field. Other required skills include problem-solving, experience mining large data sets, advanced capabilities in Excel, SAS/SQL, and database applications, and excellent written and verbal communication skills. AmeriHealth Caratis is committed to diversity, equity, and inclusion, offering a comprehensive benefits package including flexible work solutions, competitive pay, health insurance coverage, and more.
Senior Actuarial Analyst
Company: AmeriHealth Caritas
Location: USA
Posted Sep 11, 2024
AmeriHealth Caritas is seeking talented individuals to join their team to make a difference in the lives of millions of people. The company offers a comprehensive benefits package, flexible work solutions, and a mission-driven organization with over 30 years of experience.