• Manager Healthcare Value Optimization

    AmeriHealth Caritas (Newtown Square, PA)


    Role Overview

     

    Healthcare Value Optimization (HVO) is AmeriHealth Caritas’ enterprise-wide margin improvement program, which delivers value for the organization through improved member experience, health outcomes, and total cost of care. HVO collaborates closely with functional and market leaders, following a rigorous process to identify, validate, implement, and monitor improvement initiatives across unique workstreams. The Manager position ensures successful execution of margin improvement activities through thought leadership, cross-functional coordination, and proactive problem-solving. The Manager also develops, defines, and communicates best practices for driving continuous improvement of the HVO program.

    Work Arrangement

    + This is a hybrid, office based position located at our Ellis Preserve in Newtown Square office. Core office days are Tuesday, Wednesday, and Thursday. Remote days are Monday and Friday

    Responsibilities

    + Drive process, performance management, and execution of margin improvement initiatives through the HVO stage gate framework

    + Monitor overall program and workstream status, proactively identifying risks/issues and other areas requiring escalation, problem solving, or expert input

    + Motivate and support workstream leaders and initiative owners to deliver, driving accountability to annual targets

    + Provide an objective sounding board to initiative owners and offer data-backed recommendations and guidance

    + Identify opportunities for new initiatives by recognizing organizational pain points, reviewing emerging trends, or researching industry developments

    + Apply working knowledge of key financial and operational performance indicators for target markets / functions

    + Prioritize effectively across initiatives and workstreams to best allocate resources

    + Lead departmental efforts to drive continuous improvement across the HVO program

    + Support governance activities including policies, procedures, and operational guidance for the program

    + Manage daily/weekly meeting cadence and regular deliverables (e.g., pipeline reporting)

    Education and Experience

    + Five to ten (5 – 10) years of experience in designing, implementing, and monitoring broad-scale, cross-enterprise initiatives

    + Strong analytical capabilities, including ability to craft ROI estimates

    + Ability to manage multiple tasks simultaneously, proactively assessing initiative status and highlighting issues

    + Strong verbal and written communication skills

    + Proficiency in Microsoft PowerPoint and Excel

    + Familiarity with Managed Care Organization operations preferred

    + Bachelor’s Degree or equivalent experience

     

    Our Comprehensive Benefits Package

     

    Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

     

    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, 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 .

    As a company, we support internal diversity through:

    Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.