Job Brief

Experienced Managed Care Project Manager needed to have an integral role in Plan success. We offer a flexible office based schedule and a great salary and benefits package.

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.

Responsibilities:

Reporting to the Health Plan Director Plan Operations and Administration. The Market Executive Projects Mgr will identify, plan, develop, and execute strategic initiatives and all activities. The Manager is responsible for recommending regulatory, process and cost efficiency solutions and collaborating with appropriate internal and external staff. This position plays a key role in in a variety of projects by performing operational assessments and analyses, researching and identifying best practices, facilitating groups and teams, managing projects, presenting results and recommendations, developing executive summaries and presentations and developing measurement tools, to improve operating processes toward greater efficiency and effectiveness and adherence to regulatory and contractual requirements. This position will work collaboratively with the leadership team to manage the flow of information and articulate the goals of the organization and state agency initiatives. Responsible for gathering from functional areas to document how we are working towards these goals and develop presentations to explain progress towards these goals. Provide detail and summary level presentations of data, including written interpretation of analytic results. Prepare PowerPoint documents for both internal and external presentations. Prepare results for senior leadership, including data driven business recommendations. Lead special projects at the direction of the Director, Plan Operations and Administration and Market President. Create and manage dashboards for the internal and external leadership as well as develop reporting tools.

The position will provide assistance and coordinate closely with the Contract Account Manager and will require excellent organization, informal and formal leadership, and mentoring skills while possessing the ability to lead others by example to achieve overall departmental/organizational goals.

This person will use knowledge of plan benefits, as well as expertise in extracting, analyzing and organizing output of data to be pro-active in developing and implementing strategies that significantly mitigate risk to the organization and client.

Education/ Experience:

Bachelor’s Degree (e.g., Healthcare, Business, etc.) or equivalent education and experience required.
Experience within healthcare operations required.
Experience with healthcare related (not IT/IS) project management required.
3 years experience in a healthcare/MCO preferred.
Experience in performance/process improvement.

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