Job description
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 www.amerihealthcaritas.com.
Spanish, Haitian/Creole French, Arabic, Vietnamese, Mandarin, and Amharic applicants encouraged to apply.
Responsibilities:
The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from 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.
Hours: 10am-6:30 pm or 10:30am-7
Education/ Experience:
- High School/GED.
- Must be bilingual, demonstrating the ability to speak both English and the target language. Must be able to perform the responsibilities of the position either in English or in another language. Languages required are determined by business need.
- One to three years experience.
Other Skills:
- Proficient PC skills in a Windows based environment including word processing, spread sheets and working in database programs.
- Working knowledge of Plan Benefits and Services is preferred.
- Proven ability to keep accurate and timely records and documentation according to established processes.
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