• Resource Coordinator

    AmeriHealth Caritas (Dover, DE)
    …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... of Medicaid requirements and plan, policies, and procedures + Knowledge of managed care . **Our Comprehensive Benefits Package** Flexible work solutions including… more
    AmeriHealth Caritas (08/29/25)
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  • HEDIS Analyst Sr

    AmeriHealth Caritas (Newtown Square, PA)
    …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... preferred. + Minimum 5 years of work experience in healthcare and/or managed care . + SQL and SAS experience required. Experience utilizing a certified HEDIS… more
    AmeriHealth Caritas (09/11/25)
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  • Customer Service Representative

    AmeriHealth Caritas (Philadelphia, PA)
    …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... out-bound calls preferred. + Prior experience in the healthcare or managed care industry preferred. + Excellent judgment and decision-making skills in dealing… more
    AmeriHealth Caritas (08/23/25)
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  • Quality Perform Specialist Clinical

    AmeriHealth Caritas (Manchester, NH)
    …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... summits, etc.; **Education/Experience:** + Registered Nurse strongly preferred.; + 3-5 years Managed Care experience required; + 3-5 years quality improvement… more
    AmeriHealth Caritas (07/31/25)
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  • Senior Analyst, Business Analytics (Fully Remote…

    CVS Health (Sacramento, CA)
    …Qualifications** + 2+ years' experience with PBM + Knowledge of health insurance, managed care , or pharmaceutical industry preferred + Analytical expertise ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
    CVS Health (09/12/25)
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  • Dental Account Executive

    AmeriHealth Caritas (Washington, DC)
    …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... of education and work experience. + Minimum of 3 years in the managed care /health insurance industry. + Minimum of 1 year Medicaid experience preferred. +… more
    AmeriHealth Caritas (09/12/25)
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  • Provider Network Account Executive II

    AmeriHealth Caritas (Baton Rouge, LA)
    …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... network recruitment. + 5 to 10 years of experience in the managed care /health insurance industry with demonstrated strengths in the knowledge of Plan policies… more
    AmeriHealth Caritas (08/16/25)
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  • Provider Network Contract Representative

    AmeriHealth Caritas (Harrisburg, PA)
    …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... + Minimum of 2 years of experience in a Behavioral Health or Managed Care environment, with direct provider interaction. **Skills & Abilities:** + Experience in… more
    AmeriHealth Caritas (08/08/25)
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  • Provider Network Account Executive II

    AmeriHealth Caritas (Fayetteville, NC)
    …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... position. + 5 to 10 years of experience in the managed care /health insurance industry, with strengths in provider complaint resolution, credentialing, billing… more
    AmeriHealth Caritas (08/15/25)
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  • Quality Performance Specialist

    AmeriHealth Caritas (Manchester, NH)
    …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... At AmeriHealth Caritas, we're passionate about helping people get care , stay well, and build healthy communities. As one...Minimum of 3 years in healthcare delivery required + Managed Healthcare experience preferred + Successful management of the… more
    AmeriHealth Caritas (09/12/25)
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