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 are looking for the next generation of healthcare leaders.
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 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 would like to connect with 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.
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Role Overview
The Care Connector supports the daily operations of integrated care 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 incumbent 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 healthcare adherence and reduce barriers to care.
Education and Experience:
High School Diploma or equivalent required.
Minimum two (2) years of current/recent work experience in a customer service environment.
Member service or customer service telephone experience desired, preferably within a managed care organization.
Medical terminology experience preferred.
Strongly prefer Medical Assistant, Home Health Aide, Nursing Assistant, and/or other similar health care para-professional training or certification
Skills & Abilities
Excellent interpersonal and verbal communication skills.
Ability to write clear and concise reports.
Attention to detail and confidentiality with strong organizational skills.
Proficient PC skills in a Windows-based environment, including MS Office products, spreadsheets, and database programs.
Our Comprehensive Benefits Package
Flexible work solutions include remote options, hybrid work schedules, competitive pay, Paid Time Off (PTO), including holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k), tuition reimbursement, and more.
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.