AmeriHealth Caritas is growing!
We are the nation’s leading provider of health care solutions for the underserved—a mission-driven organization that has helped people in need for 30 years. Our companies positively impact the lives of nearly 5 million individuals in 13 states. As we expand, AmeriHealth Caritas is seeking talented, passionate associates to join our team. Together we can build stronger, healthier communities. So if you want to make a difference, we’d like to hear from you.
Headquartered in Philadelphia, AmeriHealth Caritas is one of the largest Medicaid managed care organizations in the United States. Our goal is to deliver comprehensive, outcomes-driven care to those who need it most. We offer a comprehensive range of core products including full-risk Medicaid and Medicare programs, management and administrative services, plus pharmacy benefit management and behavioral health care services. Our corporate parents are Independence Blue Cross (IBC) and Blue Cross Blue Shield of Michigan (BCBSM), two of the nation's largest Blue health insurers. Please visit www.amerihealthcaritas.com to learn more.

Responsibilities: 
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.  The CC identifies members with Care Gaps/HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources.  Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care.

Qualifications:  

• High School/GED
• Proficient PC skills in a Windows based environment including word processing, spread sheets and working in database programs.
• Proven ability to keep accurate and timely records and documentation according to established processes
• Effective oral and written communication skills
• Excellent customer service and interpersonal skills on phone and in-person
•  Ability to handle multiple tasks simultaneously
•  Working knowledge of Healthcare Plan Benefits and Services is preferred
•  Candidates should be fluent in Spanish both spoken and written.