Role Overview: AmeriHealthCaritas New Hampshire (ACNH) is seeking a passionate and community-driven Community Educator... of our Manchester Wellness Center and traveling statewide, this role promotes AmeriHealthCaritas programs through community events...
Role Overview: The Manager, Medical Economics & Business Process leads a team responsible for delivering healthcare data and medical economics analyses across a variety of data sources, including claims, authorizations, member, and provider...
Role Overview: The Supervisor, Integrated Case Management, oversees the daily operations of the Case Management unit, providing clinical direction, guidance, and oversight of case management services. Work Arrangement: Remote - Associate...
Role Overview: The Senior Provider Network Operations Analyst responsible for maintaining current provider data and provider reimbursement setup, and to address provider and state inquiries as they relate to claim payment issues. Work Arr...
Role Overview: The Quality Performance Specialist – Clinical supports the Quality Management (QM) team by leading and coordinating clinical quality reviews of member concerns and medical records, ensuring adherence to established standards ...
Role Overview: The Director of Finance/Chief Financial Officer is responsible for overseeing all accounting and financial operations for the health plan. This role provides strategic and operational financial leadership, ensuring the accura...
Role Overview: The Care Manager II is responsible for managing and coordinating care, services, and social determinants of health for medically fragile members with acute, chronic, medically complex, and/or behavioral health conditions, as ...
Role Overview: The Community Health Educator, Senior supports the development and execution of outreach strategies within an assigned territory to improve health outcomes, reduce healthcare costs, and increase member engagement. This role d...
in DC, MD, and VA (Wellpoint, AmeriHealthCaritas, MedStar Family Choice, HSCSN, Sentara, Anthem HealthKeepers...
Care Organizations (MCOs) · AmeriHealthCaritas Ohio, Inc. · Anthem Blue Cross and Blue Shield · Buckeye Health Plan...