Care Connector - Remote (Must Live in Ohio)

Location: Dublin, OH

Primary Job Function: Medical Management

ID**: 37971

Your career starts now. We're looking for the next generation of healthcare 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 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'd like to hear from 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.

Discover more about us at www.amerihealthcaritas.com.

Responsibilities:

• Support the daily operations of integrated care management and utilization management program interventions

• Perform in a contact center environment, effectively processing calls from Members, Providers, and other areas, internal and external to the company

• Identify members with Care Gaps/HEDIS-related health conditions and assist them in accessing care through Plan benefits and community resources

• Under the direction of Clinical staff, the Care Connector provides members with educational materials and carries out strategies to increase healthcare adherence and reduce barriers to care

Education/Experience:

• High School Diploma or equivalent

• Minimum one (1) year of current/recent healthcare experience required; current/recent call center experience preferred

• Proficient PC skills in a Windows-based environment including word processing, spreadsheets, 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

• Effective verbal and written communication skills

• Excellent customer service and interpersonal skills on the phone and in person

• Ability to handle multiple tasks simultaneously

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 put these principles into action every day 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 (PTO) including holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k), tuition reimbursement, and more.

EOE Minorities/Females/Protected Veterans/Disabled