"Alerted.org

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, PA, 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

**Role Overview:** The Contract Specialist connects our team, the health plan, and key stakeholders. In this role, you’ll help build and maintain strong, collaborative relationships while ensuring that all contract data and documents are accurately reflected across our systems. You’ll also take a hands-on approach to contract administration—proactively identifying and resolving any issues that arise during the contract loading process. Your attention to detail and commitment to clear communication will help keep everything running smoothly and efficiently.

*Must be Bilingual in Spanish

Work Arrangement:

+ Remote - Must reside in Florida

Responsibilities:

+ Build and maintain positive relationships with the team, Plan, and stakeholders.

+ Ensure contract data and documents are accurately represented in operating systems.

+ Act as a proactive contract administrator, resolving contract administration issues.

+ Audit contract documents and provider records for accuracy.

+ Manage and monitor Excel reports for projects and assignments.

+ Align and create contract records in the contract management system with 95% accuracy.

+ Monitor electronic contract files and ensure compliance with policies.

+ Escalate requests that contradict business processes or contract language.

+ Support various departments in investigating provider data and credentialing.

+ Research and resolve conflicting data and documents.

+ Identify and report compliance issues.

+ Maintain knowledge of Facets or other claims systems and relay contract corrections.

+ Communicate effectively and professionally with all parties.

+ Collaborate with departments to execute AmeriHealth and Plan strategies.

+ Perform administrative duties and attend required training sessions.

+ Stay updated on AmeriHealth, Plan regulations, policies, and procedures.

Education & Experience:

+ High School/GED required; bachelor’s degree preferred.

+ 1 to 2 years of experience in provider network management, finance operations, contract management, or contract administration in a healthcare or Managed Care organization.

+ Experience with contracting software (e.g., Portico, McKesson, Conga, Salesforce).

+ 1 to 2 years of Medicaid experience is required.

Our Comprehensive Benefits Package

Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays, volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.

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.