Top 118 Amerihealth caritas Jobs

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Clinical Quality Performance Specialist Senior
Amerihealth Caritas —Washington, DC
- $92,200 - $125,600 a year
- Full-time
- Nursing
- RN License
- 5 years
- Disability insurance
- Health insurance
Care Manager
Amerihealth Caritas —Washington, DC
- $83,400 - $113,600 a year
- Full-time
- Microsoft Word
- Nursing
- Microsoft Outlook
- Commuter assistance
- Paid holidays
Supervisor Service Coordinator
Amerihealth Caritas —Philadelphia, PA
- Full-time
- Hybrid work
- RN License
- Experience working with individuals with disabilities
- LPC
- Paid holidays
- Health insurance
Vice President Provider Network Management
Amerihealth Caritas —Indianapolis, IN
- Full-time
- Remote
- 11+ years
- Master's degree
- Bachelor's degree
Quality Perform Specialist Clinical
Amerihealth Caritas —Raleigh, NC
- Full-time
- Hybrid work
- Microsoft Excel
- RN License
- Mid-level
- Paid holidays
- Health insurance
10d
Special Investigator
Amerihealth Caritas —Washington, DC
- $75,500 - $102,800 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- Analysis skills
- Paid holidays
- Disability insurance
Senior Clinical Quality Performance Specialist
Amerihealth Caritas —Manchester, NH
- Full-time
- Remote
- Nursing
- RN License
- 5 years
Director Strategy & Planning
Amerihealth Caritas —Newtown Square, PA
- Full-time
- Hybrid work
- 5 years
- Master's degree
- Bachelor's degree
- Paid holidays
- Health insurance
Manager, Behavioral Health Clinical Liaison/Operations
Amerihealth Caritas —Dublin, OH
- Full-time
- LMFT
- RN License
- Mid-level
- Health insurance
Strategy & Planning Analyst
Amerihealth Caritas —Newtown Square, PA
- Full-time
- Hybrid work
- Microsoft Excel
- Marketing
- Mid-level
- Paid holidays
- Health insurance
Coordinator Mail Services II
Amerihealth Caritas —Philadelphia, PA
- Full-time
- Computer literacy
- Research
- Mid-level
- Paid holidays
- Health insurance
Manager Integrated Care Management
Amerihealth Caritas —Southfield, MI
- Full-time
- Nursing
- Microsoft Excel
- RN License
Manager Applications Development
Amerihealth Caritas —Robbinsville, NJ
- $145,300 - $198,000 a year
- Full-time
- Azure
- 5 years
- HIPAA
- Paid holidays
- Disability insurance
Corporate Director of Strategy & Product Develop
Amerihealth Caritas —Philadelphia, PA
- Full-time
- Hybrid work
- Master's degree
- Analysis skills
- Bachelor's degree
- Paid holidays
- Health insurance
Service Coordinator
Amerihealth Caritas —Philadelphia, PA
- Full-time
- Hybrid work
- Computer literacy
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Behavioral Health Coordinator / Clinical Liaison
Amerihealth Caritas —Concord, NH
- Full-time
- Hybrid work
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
14d
Director Quality Management
Amerihealth Caritas —Harrisburg, PA
- Full-time
- Hybrid work
- Nursing
- Doctoral degree
- RN License
- Paid holidays
- Health insurance
10d
Practice Performance Advisor
Amerihealth Caritas —Charleston, SC
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Analysis skills
- Paid holidays
- Health insurance
Director, Integrated Care Team (ICT) Care Coordination
Amerihealth Caritas —Southfield, MI
- Full-time
- Nursing
- Microsoft Excel
- RN License
Market President Indiana
Amerihealth Caritas —Indianapolis, IN
- Full-time
- Hybrid work
- Organizational skills
- Senior level
- Leadership
- Paid holidays
- Health insurance

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Clinical Quality Performance Specialist Senior

Amerihealth Caritas -
Washington, DC

Apply Now

Job Details

Full-time
$92,200 - $125,600 a year

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Managed care
RN License
Managed care organization experience
Quality assurance experience within healthcare

Full Job Description

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 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.

Role Overview:

The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions. The position is grounded in data analytics skills in order to work collaboratively with providers, members, and internal departments across the organization to conduct ongoing processes that identify opportunities for quality, service, and clinical improvement. Manages activities related to plan accreditation, preventive health improvement, business analysis, and clinical and service quality improvement, including state withholds, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS). Also supports the organization’s quality improvement philosophy and promotes the use of quality improvement (QI) tools in decision-making.

Work Arrangement

Monday through Friday, 8:30 AM to 5:00 PM
Must work 4 out of 5 days a week at our AmeriHealth Caritas DC office located at 1201 Maine Avenue, S.W., Suite 1000, 10th Floor, Washington DC 20024.
Must reside in the DC metro area. Office is in close proximity to two metro stations.

Responsibilities:

Provide key data analysis and critical thinking for the development and assessment of quality improvement project interventions.
Develop reports and analyses, and present findings to the Quality Committee for input and direction.
Support HEDIS and Clinical Practice Guidelines.
Support accreditation activities and clinical quality performance improvement initiatives.
Perform ad-hoc analyses of underperforming processes by collaborating with Subject Matter Experts (SME) and internal stakeholders to define current processes and recommend improvements.
Remove barriers to ensure the successful completion of strategic quality projects.
Conduct analyses and provide summary reports to senior management.
Act as a primary liaison to internal departments requiring collaboration and coordination.
Support the development of new and existing staff by identifying learning and training opportunities.
Serve as a mentor to new hires, ensuring consistency in information and training.

Education & Experience:

Associate’s Degree or equivalent work experience required
Registered Nurse (RN) required
5 years of experience in clinical or service quality improvement required
5 years of experience in managed care required.
Experience working within a managed care plan organization
Experience managing National Committee of Quality Assurance (NCQA) accreditation surveys preferred
Prior experience with project facilitation and/or project management preferred
Knowledge base of HEDIS and how it relates to managed care

Licensure

Active and unencumbered Registered Nurse license in the District of Columbia

Skills & Abilities:

Intermediate or Expert proficiency in Microsoft Excel or other data tool
Knowledge and understanding of quality improvement functions within a Managed Care Organization (MCO) preferred
Excellent written and verbal communication skills
Strong organizational, analytical, and interpersonal skills
Ability to work effectively across all levels of the organization
Ability to design, develop, and implement projects addressing financial, quality, and service improvements

Our Comprehensive Benefits Package

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.

Discover more about us at www.amerihealthcaritas.com.

The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the Washington D.C. area. Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training.

AmeriHealth Caritas associates are eligible to participate in our annual incentive program and will also receive our benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more.

The targeted hiring range for this role is expected to be between $92,200.00 and $125,600.00

Apply Now

Refine Your Search

amerihealth caritas jobs

Clinical Quality Performance Specialist Senior

Care Manager

Supervisor Service Coordinator

Vice President Provider Network Management

Quality Perform Specialist Clinical

Special Investigator

Senior Clinical Quality Performance Specialist

Director Strategy & Planning

Manager, Behavioral Health Clinical Liaison/Operations

Strategy & Planning Analyst

Coordinator Mail Services II

Manager Integrated Care Management

Manager Applications Development

Corporate Director of Strategy & Product Develop

Service Coordinator

Behavioral Health Coordinator / Clinical Liaison

Director Quality Management

Practice Performance Advisor

Director, Integrated Care Team (ICT) Care Coordination

Market President Indiana

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