Care Connector

 Posted 4 hours ago
     
2-5 years experience
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AI Summary

The Care Connector supports daily operations of integrated care and utilization management programs within a contact center environment. They provide members with educational materials and implement strategies to increase healthcare adherence and reduce barriers to care.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

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 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.

The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers, and other areas, internal and external to the company. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase healthcare adherence and reduce barriers to care.

Education/Experience:

  • High School Diploma or equivalent required
  • Minimum of two (2) years of work experience in a healthcare environment required
  • Minimum of one (1) year of telephonic customer service experience required, preferably within a healthcare setting
  • Managed care experience preferred
  • Medical terminology, ICD, CPT, and/or coding experience preferred
  • Strongly prefer Medical Assistant, Home Health Aide, Nursing Assistant, or other similar health care para-professional training or certification
  • Prior member service or customer service telephone experience desired
  • Prior behavioral health experience is a plus
  • Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports
  • Attention to detail and confidentiality with strong organizational skills

Skills & Abilities:

  • Proficient PC skills in a Windows-based environment, MS Office products, including word processing, spreadsheets, and database programs

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.

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