• CareerBliss
  • Croydon , PA
  • Non-Executive Management
  • Full-Time
  • 2101 Summit Ave

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 Philadelphia, 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 .



Responsibilities:
The Manager will focus attention 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 day-to-day management of the department and participates as internal SME as directed.
Development of workflow and desk level tools for use in departmental education, training, on-going in-services.
Assist in coordination of 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, assumes lead role in phasing in State's Home and Community Based Service system, roles.


Education/Experience:
Bachelor's Degree.
3-5 years expreince with HCBS Waivers, Habilitation, Institutional Services, and Health Homes.
Leadership and Management Skills.
Knowledgeable in preparation of educational materials, presentations, and overall adult learning methodologies.
Knowledgeable in basic data analytics as related to aggregating, distinguishing, and displaying data for reporting purposes.

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* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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