MANAGER LONG TERM SERVICES & SUPPORT PA CHC
Company: AmeriHealth Caritas
Location: Philadelphia
Posted on: October 15, 2024
Job Description:
Applicants must live within driving distance of
Pennsylvania.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. We want to connect
with you if you're going to make a difference.Headquartered in
Newtown Square, AmeriHealth Caritas is a mission-driven
organization with over 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.Responsibilities:The Manager will
focus on departmental integrity, learning, and data management.
- Long Term Service and Supports Subject Matter Expert
- Ensure compliance with program and contractual
requirements
- Assists with the development and management of policies and
procedures, ensuring alignment with State and Federal
Requirements
- Development and management of clinical operations focusing on
improving clinical and financial outcomes, member engagement, and
satisfaction
- Conduct audits related to departmental compliance with LTSS
policies.
- Assists in the day-to-day management of the department and
participates as an -internal SME as directed.
- Development of workflow and desk-level tools for departmental
education, training, and ongoing in-services.
- Assist in coordinating provider, staff, and member outreach
education and training.
- Develop and coordinate departmental communication pieces for
both internal and external stakeholders.
- Prepares, coordinates, and verifies data and reports for the
LTSS department.
- Assures that outbound and inbound data is QA'd and prepared for
submission timely
- Maintains and presents key metrics to departmental leadership
routinely as directed.
- Directly oversee the transitional services function within the
department.
- As needed in new business situations, assume the role of
phasing in the State's Home and community-based Service system,
roles, and responsibilities.Education/Experience:
- Bachelor's Degree.
- Minimum 3 to 5 years related experience with LTSS.
- Experience with HCBS Waivers, Habilitation, Institutional
Services, and Health Homes.
- Leadership and Management experience required.
- Knowledgeable in preparing educational materials,
presentations, and overall adult learning methodologies.
- Knowledgeable in basic data analytics related to aggregating,
distinguishing, and displaying data for reporting
purposes.Diversity, Equity, and Inclusion At AmeriHealth Caritas,
everyone can feel valued, supported, and comfortable to be
themselves. Our commitment to equity means that all associates have
a fair opportunity to achieve their full potential. We implement
these principles daily by acting with integrity and respect. We
stand together to speak out against injustice and to break down
barriers to support a more inclusive and equitable workplace.
Celebrating and embracing the diverse thoughts and perspectives
that make up our workforce means our company is more vibrant,
innovative, and better able to support the people and communities
we serve.We keep our associates happy so they can focus on keeping
our members healthy. Our Comprehensive Benefits Package Flexible
work solutions include remote options, hybrid work schedules,
competitive pay, paid time off, holidays and volunteer events,
health insurance coverage for you and your dependents on Day 1,
401(k) tuition reimbursement, and more.#HM Share
Keywords: AmeriHealth Caritas, Freeport , MANAGER LONG TERM SERVICES & SUPPORT PA CHC, Executive , Philadelphia, New York
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