• Job Description

  Req#: 29506

  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 Newtown Square, 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.

  This is a remote role, but applicants must reside in North Carolina, South Carolina, Delaware, Ohio, or Pennsylvania.

  Hours: Monday thru Friday 10 AM - 7 PM.

  Responsibilities:

  The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs Outbound calls to Members, Providers and other areas, internal and external to the company. The CC identifies members with Care Gaps/HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care.

  Education/Experience

  Required:

  • High School Diploma or GED
  • Minimum of 2 years of prior work experience
  • Ability to Multitask
  • Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports.
  • Detail oriented
  • Maintain Member confidentiality
  • Organized
  • Proficient PC skills in a Windows based environment including word processing, spreadsheets and database programs

  Preferred:

  • Experience in Healthcare or Managed care
  • Call Center experience
  • Familiar with Medical terminology, ICD, CPT, and/or Coding experience.
  • Member service or customer service telephone experience.
  • Behavioral health experience.
  • Willingness to work any shift.
  • Availability for in-service training.

  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 put these principles into action every day 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 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.

• About the company

  AmeriHealth Caritas is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP — plus pharmacy benefit management, behavioral health, and administrative services.

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