Applicants must live within driving distance of Pennsylvania.
Your career starts now. We are looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we are 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. We want to connect with you if you're going to make a difference.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 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:
The Manager will focus on departmental integrity, learning, and data management.
- Long Term Service and Supports Subject Matter Expert
- Ensure compliance with program and contractual requirements
- Assists with the development and management of policies and procedures, ensuring alignment with State and Federal Requirements
- Development and management of clinical operations focusing on improving clinical and financial outcomes, member engagement, and satisfaction
- Conduct audits related to departmental compliance with LTSS policies.
- Assists in the day-to-day management of the department and participates as aninternal SME as directed.
- Development of workflow and desk-level tools for departmental education, training, and ongoing in-services.
- Assist in coordinating provider, staff, and member outreach education and training.
- Develop and coordinate departmental communication pieces for both internal and external stakeholders.
- Prepares, coordinates, and verifies data and reports for the LTSS department.
- Assures that outbound and inbound data is QA’d and prepared for submission timely
- Maintains and presents key metrics to departmental leadership routinely as directed.
- Directly oversee the transitional services function within the department.
- As needed in new business situations, assume the role of phasing in the State’s Home and community-based Service system, roles, and responsibilities.
Education/Experience:
- Bachelor’s Degree.
- Minimum 3 to 5 years related experience with LTSS.
- Experience with HCBS Waivers, Habilitation, Institutional Services, and Health Homes.
- Leadership and Management experience required.
- Knowledgeable in preparing educational materials, presentations, and overall adult learning methodologies.
- Knowledgeable in basic data analytics related to aggregating, distinguishing, and displaying data for reporting purposes.
Diversity, Equity, and Inclusion
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 implement these principles daily 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.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.
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