Duties:    •    The primary purpose of the job is to: Under the general supervision of the Supervisor of Pharmacy Prior Authorization Technicians, the Pharmacy Services Technician I assists in the prior authorization process. •    Responsible fo...
Location: 200 Stevens Dr, Philadelphia, PA 19113, USA, Pennsylvania, USA
Duties:    • The primary purpose of the job is to:• As an individual contributor, the Behavioral Health Care Manager is responsible for the daily functions of the clinical department including triage of calls, care coordination and utilization management. • The Care Man...
Location: 300 Horizon Dr, Trenton, NJ 08691, New Jersey, USA
Project Analyst Oct-11-2018
Duties:    The primary purpose of the job is to: • To support major existing client projects and new business implementations through coordinating and completing detailed documentation ensuring timely, accurate, and efficient requirements and deliverables for on-time execution. S...
Location: 200 Stevens Drive, Philadelphia, PA 19113, Pennsylvania, USA
Duties:    The primary purpose of the job is to: Under the general supervision of the Supervisor of Pharmacy Prior Authorization Technicians, the Pharmacy Services Technician I assists in the prior authorization process. • Responsible for reviewing and approving physician or memb...
Location: 200 Stevens Drive, Philadelphia, PA 19113, Pennsylvania, USA
Duties:    • Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely...
Location: 200 Stevens Drive, PA001, Pennsylvania, USA
Duties:    • The primary purpose of the job is to: • Under the supervision of the Community Outreach Services Team Supervisor, the Community Outreach Services Representative interfaces with members in person, on the phone and through correspondence as appropriate to communic...
Location: 1250 Maryland Ave SW #500, Washington, DC 20024, District of Columbia, USA
Duties:    • Under the direct supervision of the Supervisor, Pharmacy Services Call Center, the Pharmacy Call Center Technician is responsible for providing knowledgeable and courteous customer assistance and response to members, providers and Pharmacy Call Center Technician inqu...
Location: 200 Stevens Dr, Philadelphia, PA 19113, USA, Pennsylvania, USA
Duties: • Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. • Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with membe...
Location: 200 Stevens Dr, Philadelphia, PA 19113, USA, Pennsylvania, USA
Duties: • The primary purpose of the job is to: The Sourcing and Contracts Specialist leads cross-functional teams to develop and implement sourcing strategies for both simple and complex transactions, to achieve best total value within a broad range of technical and professional service catego...
Location: 200 Stevens Dr, Philadelphia, PA 19113, USA, Pennsylvania, USA
Duties: • The Sourcing Process Analyst supports the development and execution of strategies and tactics to achieve cost reduction/containment and operational efficiency objectives within AmeriHealth Caritas Family of Companies procurement environment. • Demonstrates excellent analytical an...
Location: 200 Stevens Dr, Philadelphia, PA 19113, USA, Pennsylvania, USA