Job description
Job Brief
Candidates should have a strong background in community engagement and working with the community partners to help serve our members.
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 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 Philadelphia, 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.
Responsibilities:
Responsible for the leadership, direction, and implementation of the strategic vision for all services that impact or interface with ACLA members. Reporting to the Director of Plan Operations and Administration, this position is responsible for requirements and cultural competencies are met, in order for members to have positive experiences. Additional areas of responsibility include the direction of all member communications and collateral materials, including member education, member advocacy, support enrollment and eligibility functions, health education, analysis of action plan disenrollment rates, grievance tracking and reporting, and member satisfaction.
Education/ Experience:
Bachelor’s Degree.
3 to 5 years, with preference for 5 to 10 years experience.
5 to 10 years understanding of Medicare/Medicaid operations - benefit administration.
Other Skills:
- Previous management experience required.
- Proven experience in navigating relationships in a matrixes organization.
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