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AmeriHealth Caritas jobs

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REMOTE | COORDINATOR APPEALS & GRIEVANCES

Research and Investigate member and/or provider appeals and grievance requests, including review of UM/claim denial reasons, contract/regulatory rules, benefits, and documentation received on appeal/grievance. Outreach call(s) mad...

CompanyAmerihealth Caritas
AddressDublin, OH
CategoryInformation Technology
Salary$35.9K - $45.5K a year
Date Posted a week ago See detail

REMOTE | Coordinator Appeals & Grievances

Amerihealth Caritas

Dublin, OH

$35.9K - $45.5K a year

Research and Investigate member and/or provider appeals and grievance requests, including review of UM/claim denial reasons, contract/regulatory rules, benefits, and documentation received on appeal/grievance. Outreach call(s) mad...

a week ago seen See more...

Manager Actuarial Services - Valuation & Shared Services | Remote

Amerihealth Caritas

Remote

$104K - $132K a year

Manages preparation of actuarial financial reporting for assigned Medicaid lines of business including internal GAAP, DOI statutory, State Medicaid requirements, and Audit Support requirements. Prepares actuarial certifications,...

a week ago seen See more...

Manager, Long-Term Care

Amerihealth Caritas

Orlando, FL

$79.7K - $101K a year

Plans, organizes, and directs the development and implementation of Case Management. Ensures staff is properly trained, oriented, and provided with regular professional development. Identifies opportunities for improvement, both...

a week ago seen See more...

Long-Term Care Manager II, RN (Miami/Palm Beach/Orlando)

Amerihealth Caritas

Palm Beach Gardens, FL

$77.2K - $97.7K a year

Completes in-person comprehensive assessment of environmental, Psycho-social and support needs. Identifies problems/barriers for care coordination and appropriate care management interventions. Works with member to develop a perso...

a week ago seen See more...

Clinical Case Manager DE LTSS (New Castle County Delaware)

Amerihealth Caritas

Dover, DE

$71.1K - $90K a year

Conducts reevaluation of level of care annually or more frequently as needed in accordance with DSHP Plan Plus LTSS requirements. Provides clinical support to non-licensed Case Managers as needed. Conduct condition specific assess...

2 weeks ago seen See more...

Community Care Manager - RN/LCSW - Lehigh/Lycoming County

Amerihealth Caritas

Williamsport, PA

Bachelors Degree preferred. Current and unrestricted RN license OR LCSW. Minimum of three years of similar level or related experience including demonstrated expertise conducting health assessments and delivering care in a clinic...

2 weeks ago seen See more...

Care Connector, Pediatric Shift Care, REMOTE

Amerihealth Caritas

Philadelphia, PA

$46.1K - $58.4K a year

. High School Diploma or GED required. Minimum of 2 years previous work experience in a health care setting required. Managed care experience preferred. Medical terminology, ICD, CPT and/or coding experience preferred. Strongly pr...

4 weeks ago seen See more...

Member Services Specialist

Amerihealth Caritas

Harrisburg, PA

$44.8K - $56.7K a year

Bachelors Degree required. 1-3 years Behavioral Health experience preferred. Excellent written and verbal communication skills with the ability to respond sensitively to members requests preferred. Previous customer service and...

4 weeks ago seen See more...

Data & Reporting Analyst I

Amerihealth Caritas

Harrisburg, PA

$54.3K - $68.7K a year

Developing and maintaining various types of operational reports, both ad hoc and recurring. Providing data analysis and assist in developing reporting methodologies for tracking program trends and outcomes in a wide-variety of are...

a month ago seen See more...

UAT Test Validation Analyst II

Amerihealth Caritas

Philadelphia, PA

$65.8K - $83.3K a year

Participation in the development of business requirements. Analyzing requirements to determine testing scope. Creation of test approach documentation including scripts. Successfully execute test cases and analyze results to valida...

a month ago seen See more...

REMOTE | Supervisor Appeals & Grievances [MUST LIVE IN/NEAR PHILADEPHIA AREA]

Amerihealth Caritas

Philadelphia, PA

$59.6K - $75.5K a year

Manage daily operations and the processing of all grievances and the intake for appeals, ensuring their completion in a manner that meets all mandated requirements. Supervision of Coordinator Appeals & Grievances and Clinical Appe...

2 months ago seen See more...

Financial Analyst | Remote

Amerihealth Caritas

Manchester, NH

$61.3K - $77.7K a year

Analyzes and summarizes the divisions financial statements, expenses, and records. Develops recommendations for management decision-making. Prepares and analyzes the monthly financial statements and reports to produce forecasts o...

2 months ago seen See more...

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