Highlights
They will also be the Community HealthChoices Long-Term Service and Support subject matter expert, ensure compliance with program and contractual requirements, assist with developing and managing policies and procedures, and ensure alignment with State and Federal Requirements. 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.
Numbers & Facts
| Location | Philadelphia, PA (Remote) |
| Industry | Healthcare Services |
| Company Size | 5,000 to 9,999 employees |
| Year Founded | 1985 |
| Website | http://www.amerihealthcaritas.com |
Description
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
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.
Role Overview
The Manager will focus on departmental integrity, learning, and data management. They will also be the Community HealthChoices Long-Term Service and Support subject matter expert, ensure compliance with program and contractual requirements, assist with developing and managing policies and procedures, and ensure alignment with State and Federal Requirements.
Work Arrangement
+ Remote
Responsibilities
+ Conduct audits related to departmental compliance with LTSS policies
+ Assists in the day-to-day management of the department and participates as an internal 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 are QA’d and prepared for submission promptly
+ 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 required.
+ 3 to 5 years of experience with HCBS Waivers, Habilitation, Institutional Services, and Health Homes.
+ 3 to 5 years of Leadership and Management experience required.
Skills & Abilities
+ 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.
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.
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
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.
Role Overview
The Manager will focus on departmental integrity, learning, and data management. They will also be the Community HealthChoices Long-Term Service and Support subject matter expert, ensure compliance with program and contractual requirements, assist with developing and managing policies and procedures, and ensure alignment with State and Federal Requirements.
Work Arrangement
+ Remote
Responsibilities
+ Conduct audits related to departmental compliance with LTSS policies
+ Assists in the day-to-day management of the department and participates as an internal 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 are QA’d and prepared for submission promptly
+ 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 required.
+ 3 to 5 years of experience with HCBS Waivers, Habilitation, Institutional Services, and Health Homes.
+ 3 to 5 years of Leadership and Management experience required.
Skills & Abilities
+ 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.
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.
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
About Company
Leaders in health care solutions for those most in need
AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than 5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing innovative solutions that help improve health outcomes while reducing costs.
Our mission, our goal
Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.