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AmeriHealth Caritas

Washington, DC(remote)

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JOB DETAILS
SKILLS
Administrative Skills, Behavioral Health, Biotech and Pharmaceutical, Broadband, Communication Skills, Community Health, Compensation and Benefits, Disease, Diversity, Health Education, Healthcare, Healthcare Effectiveness Data and Information Set (HEDIS), Healthcare Providers, Hospital, Human Health, Managed Care, Medicaid, Medical Terminology, Member Orientation, Needs Assessment, Pharmacy, Preventive Medicine, Product Management, Promotional Programs, Risk, Training/Teaching
LOCATION
Washington, DC
POSTED
1 day ago
Work Arrangement:


This is a hybrid position working in our DC office located at 1201 Maine SW. 4 days in office / 1 day remote


Responsibilities will include moderate or low risk member case load. As well as the following:


Member Outreach:


+ Establishes connection and acts as the primary ACFC contact to a targeted member population, including some high-risk members, through home visits and outreach calls.

+ Identifies SDOH needs and addresses them appropriately.

+ Exercises judgment and discretion in coordinating care by handling basic care follow-up tasks and collaborating with AmeriHealth Caritas care management teams, community-based health care providers, and other organizations.

+ Informs members of the required actions to fulfill HEDIS, EPSDT, and Plan requirements and other referred outreach through phone calls or home visits and encourages them to comply.

+ Assists in addressing members’ barriers to care and encourages/fosters relationships with their medical/dental providers (medical/dental homes).


Community Education:


+ Develops and maintains relationships with new and established community organizations via phone, mail, e-mail, or personal visits.

+ Collaborates with internal departments and external agencies to obtain data that is pertinent to the overall success of health education/promotion programs.

+ Provides education to members and member representatives regarding available benefits.


Education/Experience:


+ Associate’s Degree in Health Care, Human Services, or a related field or equivalent work experience required.

+ Minimum of 1 (one) year of health care in an office/clinic/hospital setting or human services experience.

+ Community-based care experience preferred.

+ Knowledge and understanding of medical terminology and disease processes.

+ Ability to effectively communicate preventive health and health management philosophies to members and agencies.

+ Comprehensive knowledge of Medicaid requirements and plan, policies, and procedures.

+ Knowledge of managed care.


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.


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’re looking for the next generation of healthcare 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 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. If you want to make a difference, we’d like to hear from 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 .
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 the Company

A

AmeriHealth Caritas

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.

COMPANY SIZE
5,000 to 9,999 employees
INDUSTRY
Healthcare Services
FOUNDED
1985
WEBSITE
http://www.amerihealthcaritas.com

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