Jobs at AmeriHealth Caritas New Hampshire (Now Hiring) — 113 open — Page 3
Mgr Strategy & Planning
Edgmont Township, Pennsylvania, United States · Remote OK
Mid level
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. Th…
Skills: Strategic Planning, Business Planning, Analytics, Competitive Analysis, Market Research
Care Manager II
North Charleston, South Carolina, United States · Hybrid
Mid level
Role Overview: Care Manager II (Field-Based, Remote) Responsible for managing and coordinating care, services, and social determinants of health for Members with acute, chronic, medically complex, and behavioral health c…
Skills: Care Coordination, Clinical Assessment, Case Management, Patient Education, Crisis Intervention
Proposal Management Director
United States · Remote OK
Senior
Your career starts now. We’re looking for the next generation of health care leaders. Role Overview Reporting to the Director, Proposal Strategy and Management, the Medicaid Proposal Management Director provides strategi…
Skills: Proposal Management, Capture Strategy, Medicaid Managed Care, Shipley Methodology, Risk Management
Mgr Med Econ & Business Proces
United States · Remote Solely
Senior
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, …
Skills: Medical Economics, Healthcare Data Analysis, SQL, Tableau, PowerBI
Market President Ohio
United States · Remote OK
Senior
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. Th…
Skills: Strategic Vision, Operational Expertise, Stakeholder Management, P&L Responsibility, Budgetary Control
Service Coordinator-CHC
Lewistown, Pennsylvania, United States · Remote OK
Mid level
Role Overview AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team.Ideal candidates will have experience assessing those needingpe…
Skills: Case Management, Needs Assessment, Care Coordination, Participant-Centered Planning, MS Office
Care Manager
United States · Hybrid
Mid level
Role Overview: The Care Manager (RN/SW) assists members appropriate for care management and care coordination services in achieving their optimal level of health through self-management. The Care Manager (RN/SW) engages …
Skills: Care Coordination, Case Management, Patient Assessment, Medication Management, Care Planning
Care Manager II
Richland County, South Carolina, United States · Hybrid
Mid level
Role Overview: Care Manager II (Field-Based, Remote) This position requires a BSN RN with experience in maternity. Required to live within the state of South Carolina with face to face field visits. Areas of coverage are…
Skills: Care Coordination, Clinical Assessment, Case Management, Patient Education, Care Planning
Mgr Entrprs Solution Architect
Edgmont Township, Pennsylvania, United States · Remote OK
Senior+
Role Overview We are seeking an Enterprise Integration Technical Manager to lead a team of Technical Leads and Architects and oversee critical enterprise integration and API platforms, including Apigee, ESB (MuleSoft / I…
Skills: Enterprise Integration, API Management, Cloud-Native Architecture, Technical Leadership, Microservices
Application Architect
United States · Remote Solely
Senior+
Role Overview We are looking for a passionate and seasoned Salesforce CRM Application Architect who can lead the design and architecture for next-generation Member Engagement capabilities on our Salesforce platform. Repo…
Skills: Salesforce Architecture, Apex, Lightning Web Components, Health Cloud, OmniStudio
Account Executive
North Charleston, South Carolina, United States · Remote OK
Entry level
Work Arrangement This position is a remote field based position in South Carolina. Will be required to make provider visits within South Carolina regions. Job Summary The primary responsibility of Account Executive is to…
Skills: Relationship Management, Network Development, Provider Education, Conflict Resolution, Data Analysis
Proposal Writer
United States · Remote OK
Mid level
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. Th…
Skills: Proposal Writing, Medicaid Managed Care, RFP/RFI Response, Generative AI, Technical Editing
Application Architect
Edgmont Township, Pennsylvania, United States · Remote OK
Senior
TITLE: Application Architect (Job ID 434835) LOCATION: Newtown Square, PA (remote work option 100% of the time) DUTIES: Manage OPTUM Claims Pricing and Editing software products including CES (Claims Editing Software), E…
Skills: Application Architecture, MS SQL Server, GIT, DevOps, Agile
Care Manager II
Dare County, North Carolina, United States · Hybrid
Mid level
Role Overview: Care Manager II (Field-Based, Remote) Responsible for managing and coordinating care, services, and social determinants of health for Members with acute, chronic, medically complex, and behavioral health c…
Skills: Care Coordination, Clinical Assessment, Case Management, Patient Education, Medication Counseling
Supervisor Service Coordinator
Tinicum Township, Pennsylvania, United States · Hybrid
Mid level
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 natio…
Skills: Service Coordination, Leadership, Supervisory Experience, Person-Centered Service Planning, LTSS Needs Assessments
Dir PNM LTSS
Tinicum Township, Pennsylvania, United States · Hybrid
Senior+
The LTSS Director of Provider Network Management is accountable for leading the development and management of our long-term services and supports (LTSS) and home and community-based services (HCBS) networks for our Penns…
Skills: Network Strategy, Provider Contracting, Rate Negotiations, Regulatory Compliance, People Management
Strat & Planning Analyst
Edgmont Township, Pennsylvania, United States · Hybrid
Mid level
Role Overview: The Strategy and Planning Analyst is responsible for assisting in several key functions of the department: (1) Board of Directors and Committee Engagements, (2) Corporate and Growth Strategy (3) Enterprise…
Skills: Strategic Planning, Business Planning, Analytics, Competitive Analysis, Market Research
Azure Data Engineer
Edgmont Township, Pennsylvania, United States · Hybrid
Senior+
THIS IS A HYBRID, OFFICE BASED POSITION WORKING AT OUR ELLIS PRESERVE OFFICE LOCATED IN NEWTOWN SQUARE, PA. WE WILL NOT CONSIDER REMOTE CANDIDATES! Role Overview The Azure Data Engineer designs, builds, and optimizes lar…
Skills: Azure Data Factory, Azure Databricks, PySpark, SQL, Snowflake
Supv Configuration Testing
United States · Remote OK
Senior
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. Th…
Skills: Facets Configuration, User Acceptance Testing (UAT), Team Leadership, Microsoft Access, Claims Processing
Sr Account Executive
North Charleston, South Carolina, United States · Remote Solely
Senior
Work Arrangements: This position is a remote field based position. Must reside in South Carolina and will make provider visits throughout the state. Job Summary The primary responsibility of Account Executive Sr. is to d…
Skills: Network Development, Network Management, Value-Based Care, Provider Relationship Management, Financial Acumen