United States · Remote OK
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: Excel, SAS, SQL, Python, R
United States · Remote OK
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: Telephonic Customer Service, Medical Terminology, ICD Coding, CPT Coding, Interpersonal Communication
United States · Remote OK
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: Telephonic Customer Service, Medical Terminology, ICD Coding, CPT Coding, Interpersonal Communication
United States · Remote OK
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: Telephonic Customer Service, Medical Terminology, ICD Coding, CPT Coding, Interpersonal Communication
United States · Remote OK
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: Provider Relations Operations, Managed Care, Medicaid Claims, Supervisory Leadership, Provider Data Maintenance
Greenville, South Carolina, United States · Hybrid
Role Overview: Behavioral Health Case Worker (Field-Based, Remote) Responsible for managing and coordinating care, services, and social determinants of health for Members with behavioral health conditions and acute, chro…
Skills: Case Management, Behavioral Health Assessment, Care Coordination, Clinical Knowledge, Crisis Intervention
Indianapolis, Indiana, United States · Remote OK
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: Provider Network Management, Contract Negotiation, Network Adequacy, Strategic Planning, Regulatory Compliance
District of Columbia, United States · Hybrid
$83k–$114k/yr
Role Overview The In-Office Care Manager (RN/LICSW) assists members appropriate for care management and care coordination services in achieving their optimal level of health through self-management. The Care Manager (RN/…
Skills: Care Management, Care Coordination, Case Management, Medication Management, Person-Centered Assessment
United States · Remote Solely
In this role, you will lead the operational areas of the Utilization Management (UM) program including prospective, concurrent, and retrospective reviews. As a Medical Director, UM you ensure all patient care decisions a…
Skills: Utilization Management, Clinical Case Review, Medical Policy Development, Peer-to-Peer Discussion, Regulatory Compliance
United States · Hybrid
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: Utilization Management, Care Coordination, Clinical Review, Medical Necessity Review, Case Documentation
District of Columbia, United States · Hybrid
$76k–$103k/yr
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: Fraud Investigation, Data Analysis, Interviewing, Settlement Negotiation, Regulatory Compliance
United States · Remote OK
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: Payment Integrity Strategy, Managed Care Operations, AI and Machine Learning, NLP Automation, Provider Engagement
Edgmont Township, Pennsylvania, United States · Remote OK
Role Overview As Director Strategy & Planning you will be part of a team that is advising our CEO and Executive Council on key enterprise-level strategic initiatives including: Corporate Strategy, Enterprise Business Pla…
Skills: Corporate Strategy, Enterprise Business Planning, Market Insights, Competitive Intelligence, Board Reporting
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The Senior Actuarial Analyst provides actuarial services across Medicaid markets, valuation, or analytics teams. Key duties include calculating fee schedule impacts, updating reserve models, and performing medical cost projections for budgeting.
Requires a Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. Candidates must have passed 2-5 actuarial exams and possess strong proficiency in Excel, SAS/SQL, and database applications.
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 health care 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 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 would like to connect with you.
Headquartered in Newtown Square, Pennsylvania, 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.
The Senior Actuarial Analyst will collaborate with team members and other stakeholders toward delivering needed actuarial services to the organization. Will work within one of three types of teams with the following responsibilities:
Experience/Education:
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.
Our mission at AmeriHealth Caritas New Hampshire is to help people: Get care. Stay well. Build healthy communities.
At AmeriHealth Caritas New Hampshire, we're passionate about helping people get care, stay well, and build healthy communities. We are located in Manchester, NH and serve Medicaid recipients throughout the entire state of New Hampshire. AmeriHealth Caritas New Hampshire is part of the AmeriHealth Caritas Family of Companies. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 35 years of experience delivering 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 support services. In the process, we are dedicated to helping find solutions to end poverty so the American Dream is in reach for all.
Offices: 25 Sundial Ave, 1st Floor, Manchester, New Hampshire 03103, US
Our mission at AmeriHealth Caritas New Hampshire is to help people: Get care. Stay well. Build healthy communities.
At AmeriHealth Caritas New Hampshire, we're passionate about helping people get care, stay well, and build healthy communities. We are located in Manchester, NH and serve Medicaid recipients throughout the entire state of New Hampshire. AmeriHealth Caritas New Hampshire is part of the AmeriHealth Caritas Family of Companies. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 35 years of experience delivering 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 support services. In the process, we are dedicated to helping find solutions to end poverty so the American Dream is in reach for all.
Offices: 25 Sundial Ave, 1st Floor, Manchester, New Hampshire 03103, US