Care Connector

RPMGlobal; Northern (KY); Hybrid; USD 38,000 - 48,000; Full time

Benefits offered by this job

Remote options

Hybrid schedules

Competitive pay

Paid time off

Job summary

AmeriHealth Caritas is seeking a Care Connector to support daily operations in integrated care management. This 100% remote role in Pennsylvania involves handling calls from Members and Providers, delivering educational materials, and implementing strategies to improve healthcare adherence.

Required are a High School Diploma, at least two years in healthcare, and one year of telephonic customer service experience, with a preference for healthcare settings and prior managed care exposure.

Qualifications

• High School Diploma or equivalent required.
• Minimum of two years of work experience in a healthcare environment required.
• Minimum of one year of telephonic customer service experience preferred, ideally within healthcare.

Responsibilities

• Process calls from Members, Providers, and others both internal and external.
• Provide educational materials to members and carry out strategies to increase healthcare adherence.
• Support daily operations of integrated care management interventions.
• This role is 100% remote in Pennsylvania.

Skills

MS Office

Windows

Education

HS Diploma

Job description

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.

The Care Connector is responsible for supporting the daily operations of integrated care management interventions. The Care Connector 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. This role is 100% remote in the state of Pennsylvania.

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 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

• 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