• Coord Appeals & Grievances

    AmeriHealth Caritas (Philadelphia, PA)
    …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... the Supervisor, Appeals and Grievances, this position is responsible for the administrative tasks for coordination of member and/or provider appeals, the analysis of… more
    AmeriHealth Caritas (08/23/25)
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  • Care Manager

    AmeriHealth Caritas (Philadelphia, PA)
    …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... coordination and case management services in achieving their optimal level of health through self-management. The Care Manager (RN) is responsible for engaging the… more
    AmeriHealth Caritas (08/27/25)
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  • Medical Director Utilization Management

    AmeriHealth Caritas (Philadelphia, PA)
    …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... development and implementation of medical policy as it relates to health management. + Maintains compliance with applicable regulatory guidelines, AmeriHealth… more
    AmeriHealth Caritas (08/12/25)
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  • Community Liaison - Hospice

    BrightSpring Health Services (Johnstown, PA)
    …Company Grane Home Health & Hospice Overview Under the general administrative direction of the reporting manager, the Community Liaison will market hospice and ... or home health services to industry professionals, the community, and individuals...territory, to create a continuum of care. + Completes administrative tasks, include CRM updates, expense reporting, and business… more
    BrightSpring Health Services (06/17/25)
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  • Care Manager

    AmeriHealth Caritas (Philadelphia, PA)
    …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... members appropriate for case management services in achieving their optimal level of health . The Care Manager II is responsible for engaging the member and providers… more
    AmeriHealth Caritas (07/30/25)
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  • Medicare Broker Relations Manager

    AmeriHealth Caritas (Philadelphia, PA)
    …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about...healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity… more
    AmeriHealth Caritas (08/15/25)
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  • Provider Network Contract Representative

    AmeriHealth Caritas (Harrisburg, PA)
    …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... + Act as a liaison between providers and the Office of Mental Health & Substance Abuse Services (OMHSAS), supporting Medicaid enrollment and documentation processes.… more
    AmeriHealth Caritas (08/08/25)
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  • Customer Service Representative

    AmeriHealth Caritas (Philadelphia, PA)
    …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... Makes outreach welcome calls to new members and conducts Health Risk Assessment Surveys as needed. Provides member education...now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate… more
    AmeriHealth Caritas (08/23/25)
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  • Manager, Talent Acquisition

    AmeriHealth Caritas (Newtown Square, PA)
    …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity...the team attracts talent and builds pipelines. Continually monitor health of pipeline through use of the Candidate Relationship… more
    AmeriHealth Caritas (08/22/25)
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  • Salesforce Application Technical Lead

    AmeriHealth Caritas (Philadelphia, PA)
    …care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... Lead the design, development and implementation of Salesforce (Service Cloud, Health Cloud, Community Cloud, etc.) applications integrating with on-prem and external… more
    AmeriHealth Caritas (08/12/25)
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