Monitor and analyze data to identify service gaps, trends, and opportunities for improvement ... operations * Knowledge of integrated care models, whole person care, and trauma-informed care ...

64 Amerihealth Caritas Network Operations Analyst Jobs Hiring Near You
Monitor and analyze data to identify service gaps, trends, and opportunities for improvement ... operations * Knowledge of integrated care models, whole person care, and trauma-informed care ...
Mgr BH Clin Liaison/Ops
Dublin, OH ยท Remote
Serve as a key resource for behavioral health integration and operational issues across departments ... Monitor and analyze data to identify service gaps, trends, and opportunities for improvement
Mgr BH Clin Liaison/Ops
Dublin, OH ยท Remote
Serve as a key resource for behavioral health integration and operational issues across departments ... Monitor and analyze data to identify service gaps, trends, and opportunities for improvement
Mgr BH Clin Liaison/Ops
Dublin, OH ยท On-site
Serve as a key resource for behavioral health integration and operational issues across departments ... Monitor and analyze data to identify service gaps, trends, and opportunities for improvement
Mgr BH Clin Liaison/Ops
Dublin, OH ยท On-site
Serve as a key resource for behavioral health integration and operational issues across departments ... Monitor and analyze data to identify service gaps, trends, and opportunities for improvement
Monitor and analyze data to identify service gaps, trends, and opportunities for improvement ... operations * Knowledge of integrated care models, whole person care, and trauma-informed care ...
Monitor and analyze data to identify service gaps, trends, and opportunities for improvement ... operations * Knowledge of integrated care models, whole person care, and trauma-informed care ...
General Operational Knowledge related to provider satisfaction, education and communication with a ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
General Operational Knowledge related to provider satisfaction, education and communication with a ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Provides monthly reports and analysis of operations and services as required by departmental ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build ...
Provides monthly reports and analysis of operations and services as required by departmental ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build ...
Quality Perform Spl Sr Clinica
Washington, DC ยท On-site +1
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... The position is grounded in data analytics skills in order to work collaboratively with providers ...
Quality Perform Spl Sr Clinica
Washington, DC ยท On-site +1
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... The position is grounded in data analytics skills in order to work collaboratively with providers ...
Provides monthly reports and analysis of operations and services as required by departmental ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build ...
Provides monthly reports and analysis of operations and services as required by departmental ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build ...
The Strategy and Planning Analyst is responsible for assisting in several key functions of the ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ...
The Strategy and Planning Analyst is responsible for assisting in several key functions of the ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ...
Strat & Planning Analyst
Newtown Square, PA ยท Hybrid
$89K - $111K/yr
The Strategy and Planning Analyst is responsible for assisting in several key functions of the ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ...
Strat & Planning Analyst
Newtown Square, PA ยท Hybrid
$89K - $111K/yr
The Strategy and Planning Analyst is responsible for assisting in several key functions of the ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ...
Clinical Quality Performance Specialist Senior
Washington, DC ยท On-site +1
$93K - $129K/yr
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... The position is grounded in data analytics skills in order to work collaboratively with providers ...
Clinical Quality Performance Specialist Senior
Washington, DC ยท On-site +1
$93K - $129K/yr
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... The position is grounded in data analytics skills in order to work collaboratively with providers ...
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... Responsibilities: The Supervisor, Medicare LTSS Operations is responsible for ensuring and ...
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... Responsibilities: The Supervisor, Medicare LTSS Operations is responsible for ensuring and ...
Market President Indiana
Indianapolis, IN ยท On-site +1
Job Summary The Market President will lead AmeriHealth Caritas' launch, growth, and operations in the Indiana market, providing the strategic and operational leadership required for successful market ...
Market President Indiana
Indianapolis, IN ยท On-site +1
Job Summary The Market President will lead AmeriHealth Caritas' launch, growth, and operations in the Indiana market, providing the strategic and operational leadership required for successful market ...
Mgr IT
Robbinsville, NJ ยท On-site +1
$92K - $113K/yr
Experience with Agile (Scrum/Kanban) and DevOps Other Skills * Previous Behavioral Health or ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ...
Mgr IT
Robbinsville, NJ ยท On-site +1
$92K - $113K/yr
Experience with Agile (Scrum/Kanban) and DevOps Other Skills * Previous Behavioral Health or ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ...
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... Lead provider operations functions such as credentialing, contract configuration, and provider data ...
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... Lead provider operations functions such as credentialing, contract configuration, and provider data ...
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... Lead provider operations functions such as credentialing, contract configuration, and provider data ...
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... Lead provider operations functions such as credentialing, contract configuration, and provider data ...
Supv Medicare LTSS Operations
Detroit, MI ยท Remote
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... Responsibilities: The Supervisor, Medicare LTSS Operations is responsible for ensuring and ...
Supv Medicare LTSS Operations
Detroit, MI ยท Remote
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... Responsibilities: The Supervisor, Medicare LTSS Operations is responsible for ensuring and ...
General Operational Knowledge related to provider satisfaction, education and communication with a ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
General Operational Knowledge related to provider satisfaction, education and communication with a ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Special Investigator
Washington, DC ยท On-site +1
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ... Proactively performs research using the Internet, data analysis tools, etc., to analyze ...
Special Investigator
Washington, DC ยท On-site +1
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ... Proactively performs research using the Internet, data analysis tools, etc., to analyze ...
Supports Account Executives and local market provider network team in directing interactions that ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Supports Account Executives and local market provider network team in directing interactions that ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
AmeriHealth Caritas Jobs Information

Full-time
Posted 25 days ago
Job description
Role Overview: The Manager, Behavioral Health Clinical Liaison, is responsible for supporting the development, implementation, and monitoring of programs that promote whole-person integrated physical and behavioral healthcare. This role focuses on improving behavioral health service delivery, supporting cross-functional collaboration, advancing behavioral health equity, and reducing health disparities across the health plan.
Work Arrangement:
- This role is remote, and the associate must be located in Ohio (OH)
- Associates must have access to a reliable high-speed internet connection with a minimum download speed of 50 Mbps and an upload speed of 5 Mbps. Fully remote associates residing in states where internet service is required by contract, law, or regulation may be eligible for reimbursement.
Responsibilities:
- Lead the development, implementation, and monitoring of behavioral health and whole person care initiatives
- Partner with executive leadership to support integration of behavioral and physical health strategies across the plan
- Serve as a key resource for behavioral health integration and operational issues across departments.
- Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management (IHCM), Long-Term Services and Supports (LTSS) to support care coordination and service delivery.
- Consult with leadership and stakeholders on behavioral health systems, provider networks, and care management strategies
- Represent the plan to external stakeholders, including state agencies, providers, advocacy organizations, and community partners.
- Serve as a liaison with judicial systems, including courts and Department of Health and Hospitals (DHH) representatives, when applicable.
- Support interdisciplinary case rounds in partnership with clinical leadership to address complex member needs
- Promote the use of evidence-based practices and nationally recognized clinical guidelines
- Contribute to the development and review of policies to ensure integration of behavioral health and whole person care principles
- Support workforce training, professional development, and performance improvement initiatives
- Partner with Wellness Centers and Mobile Wellness teams to support outreach, screenings, and engagement activities
- Identify barriers to care and support strategies to improve access to behavioral health services
- Monitor and analyze data to identify service gaps, trends, and opportunities for improvement
- Support process improvement initiatives aligned with organizational goals and quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) outcomes
- Maintain work plans to track progress of initiatives and programs
- Ensure equitable access to services and programs for members with behavioral health and substance use needs
- Participate in enterprise workgroups and committees to support alignment with organizational strategies
Education & Experience:
- Masterโs degree required in a behavioral health-related field
- 3 years of experience providing mental health and/or substance use screening and treatment services
- Minimum of 5 years of experience in the provision and supervision of treatment services for mental illness and substance use disorders
- Experience working in behavioral health systems, including care coordination, program development, or clinical operations
- Knowledge of integrated care models, whole person care, and trauma-informed care principles
- Experience collaborating with interdisciplinary teams and external stakeholders
- Experience supporting quality improvement initiatives and program implementation
Licensure:
- Independent, current, and unrestricted Ohio license required, including one of the following:
- Registered Nurse with advance practice registered nurse (APRN)
- Licensure, Psychologist,
- Licensed Independent Social Worker (LISW)
- Licensed Professional Clinical Counselor (LPCC)
- Independent Marriage & Family Therapist (IMFT)
Skills & Abilities:
- Strong knowledge of behavioral health service delivery models and integrated care approaches
- Understanding of evidence-based behavioral health screening and treatment practices
- Ability to collaborate and build relationships with internal teams, providers, and external stakeholders
- Strong communication and presentation skills, including interaction with executive leadership and community partners
- Ability to analyze data, identify trends, and support performance improvement initiatives
- Problem-solving and critical thinking skills to address barriers to care and improve access
- Ability to manage multiple priorities and initiatives in a fast-paced environment
- Organizational and project management skills to support program implementation and tracking
About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983