Posted on: July 20, 2021
Managed Care Claims Supervisor Opportunity. Work from home.
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
Headquartered in Philadelphia, 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.
Oversee and manage claims handling process in order to meet
client contracted response times. Track production, error
trending, develop workflow procedures and take corrective action on
claim system issues. Assist in backlog reduction, client
contact on claim issues, client/provider education, and
interdepartmental communication to expedite claim handling. Ability
to give direction and training on extensive claim research, problem
analysis and claim payments. Demonstrated ability to work
independently, and establish and accomplish team goals.
Investigative, decision-making, problem solving, interpersonal, and
organizational skills required.
1 to 3 years supervisory experience.
1 year experience in HMO service setting preferred.
Bachelor’s Degree or equivalent education and experience
Ability to managed a Claims Examiner Team in a telecomutter
Extensive knowledge of medical and/or hospital claims.
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