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AmeriHealth Caritas
AmeriHealth Caritas

67 Amerihealth Caritas Network Operations Analyst Jobs Hiring Near You

AmeriHealth Caritas

Customer Service Rep

North Charleston, SC · Hybrid

$15.25 - $20.75/hr

Under the direct supervision of Operation Supervisors, the Customer Service Representative is ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build ...

Amerihealth Caritas

Customer Service Rep

Charleston, SC · Hybrid

$15.25 - $20.75/hr

Under the direct supervision of Operation Supervisors, the Customer Service Representative is ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build ...

Amerihealth Caritas

Sr Account Executive

Raleigh, NC · On-site +1

Essential Functions: * Supports network development and network management strategies ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...

AmeriHealth Caritas

Cust Svs Rep - All LOBs

Philadelphia, PA · On-site +1

$16.25 - $22/hr

... operations supervisor, the customer service representative is responsible for responding to a ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build ...

Amerihealth Caritas

Customer Service Rep

Philadelphia, PA · On-site +1

$15.25 - $20.75/hr

Under the direct supervision of Operation Supervisors, the Customer Service Representative is ... At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build ...

AmeriHealth Caritas

Care Connector

Newtown Square, PA · On-site +1

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ... The Care Connector is responsible for supporting the daily operations of integrated care management ...

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AmeriHealth Caritas Jobs Information

Do workers at AmeriHealth Caritas get paid breaks?

Sometimes. Only some people get paid breaks.
39% of people say they don’t get paid breaks.
Based on data from 31 people who took the Breakroom Quiz between June 2025 and May 2026.

Does AmeriHealth Caritas pay people when they’re sick?

Yes. Most people get paid when they’re sick.
88% of people say they would get paid if they were sick but scheduled to work.
Based on data from 34 people who took the Breakroom Quiz between June 2025 and May 2026.

At AmeriHealth Caritas, are sick days and vacation days separate paid time off?

Sick days and vacation days are used from the same paid time off.
94% of people say they have to use vacation days when they’re out sick.
Based on data from 34 people who took the Breakroom Quiz between June 2025 and May 2026.

Is the health insurance from AmeriHealth Caritas affordable enough for their workers?

Most people say the health insurance costs are okay.
90% of people say the health insurance costs are okay
Based on data from 30 people who took the Breakroom Quiz between June 2025 and May 2026.

Do people get paid time off at AmeriHealth Caritas?

Most people get paid time off work.
100% of people say they get paid time off.
Based on data from 36 people who took the Breakroom Quiz between June 2025 and May 2026.

Do workers at AmeriHealth Caritas worry about hours?

Most people don’t worry about getting enough hours.
100% of people report they don’t worry about getting enough hours.
Based on data from 30 people who took the Breakroom Quiz between February 2025 and February 2026.

Do AmeriHealth Caritas workers get to choose the shifts they work?

Some people don’t get to choose which shifts they work.
47% report that they don’t have enough control over which shifts they work.
Based on data from 36 people who took the Breakroom Quiz between November 2024 and February 2026.

How easy is it for AmeriHealth Caritas workers to change shifts?

Most people find it easy to change shifts.
68% of people report that it’s easy to change shifts if they need to.
Based on data from 25 people who took the Breakroom Quiz between December 2024 and February 2026.

How easy is it to get time off at AmeriHealth Caritas?

Most people find it easy to get time off.
82% of people report it’s easy to get time off.
Based on data from 33 people who took the Breakroom Quiz between June 2025 and May 2026.

Do AmeriHealth Caritas managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 30 people who took the Breakroom Quiz between February 2025 and February 2026.

Do jobs at AmeriHealth Caritas spill into time workers aren’t paid for?

Rarely. The job doesn't usually spill into unpaid time.
3% of people report that their job takes up time that they don’t get paid for.
Based on data from 30 people who took the Breakroom Quiz between February 2025 and February 2026.

How easy is it to take sick days at AmeriHealth Caritas?

Most people find it easy to take sick days.
91% of people report that it’s easy to take time off if they are sick.
Based on data from 32 people who took the Breakroom Quiz between June 2025 and May 2026.

Is working at AmeriHealth Caritas good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
85% of people who care for a child or other relative report this is a good place to work.
Based on data from 34 people who took the Breakroom Quiz between December 2024 and May 2026.

Do people at AmeriHealth Caritas feel treated with respect by their managers?

Most people feel treated with respect by their managers.
91% of people say they’re treated with respect by their managers.
Based on data from 32 people who took the Breakroom Quiz between June 2025 and May 2026.

Do people at AmeriHealth Caritas get to take their breaks without interruption?

Most people get breaks without interruption.
97% of people report that they get to take their breaks without interruption.
Based on data from 31 people who took the Breakroom Quiz between June 2025 and May 2026.

Is it stressful to work at AmeriHealth Caritas?

Some people feel stressed out here.
59% of people say they often feel stressed out at work.
Based on data from 34 people who took the Breakroom Quiz between June 2025 and May 2026.

Do people at AmeriHealth Caritas enjoy their jobs?

Only some people enjoy their job.
34% of people report they don’t enjoy their job.
Based on data from 58 people who took the Breakroom Quiz between November 2024 and May 2026.

Do people at AmeriHealth Caritas recommend working with their team?

Most people recommend working with their team.
69% of people report that they would recommend working with their immediate team to a friend.
Based on data from 36 people who took the Breakroom Quiz between June 2025 and May 2026.

Do people get enough training when they start at AmeriHealth Caritas?

Some people didn’t get enough training when they started.
40% of people report they didn’t get enough training when they started working here.
Based on data from 35 people who took the Breakroom Quiz between June 2025 and May 2026.

Do people get support to advance at AmeriHealth Caritas?

Only some people are given support to advance their career here.
In the last year, 44% of people report not being given support to advance their career here.
Based on data from 36 people who took the Breakroom Quiz between June 2025 and May 2026.

Do people think AmeriHealth Caritas’s headquarters understands what’s happening where they work?

Some people think headquarters doesn’t understand what’s happening where they work.
57% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 30 people who took the Breakroom Quiz between June 2025 and May 2026.

Do workers feel well informed about how AmeriHealth Caritas is doing?

Most people feel well informed about how the company is doing.
83% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 36 people who took the Breakroom Quiz between June 2025 and May 2026.
What other companies are hiring for Network Operations Analyst jobs?
What are the most popular jobs at Amerihealth Caritas?
What are the most popular categories at Amerihealth Caritas?
Infographic showing various Network Operations Analyst job openings at Amerihealth Caritas in the United States as of May 2026, with employment types broken down into 1% Internship, 97% Full Time, and 2% Part Time. Highlights an 42% Physical, 23% Hybrid, and 35% Remote job distribution.
Provider Claims Service Rep

Provider Claims Service Rep

Amerihealth Caritas

Philadelphia, PA • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 21 days ago

AmeriHealth Caritas rating

8.5

Company rating: 8.5 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

87th of 260 rated insurance

Job description

Responsibilities:
Under the general direction of the Operations Call Center Supervisor, responsible for responding in a timely, professional and courteous manner to all customer needs. This includes provider phone calls or correspondence regarding benefit, eligibility, and other provider issues. Reviews and adjudicates claims based on provider and healthplan contractual agreements and claims processing guidelines. Serves as a Subject Matter Expert. Conducts cross training to staff as required. Demonstrates solid knowledge of Provider Service/Claim systems, functions and team process. Demonstrates superior skill in dealing with provider issues/inquiries, team members, and co-workers.
  • Suspends claims requiring additional information and/or special handling; initiates action to obtain required information.
  • Forwards claims requiring external department intervention to the appropriate department or person.
  • Monitors outstanding inquiries and works with management staff to identify and resolve areas of non-compliance.
  • Reviews and verifies quality audit reports.
  • Reconciles audit discrepancies, corrects in system and make appropriate changes to avoid recurrence.
  • Maintains thorough knowledge of claims process systems, its databases and subsystems.
  • Responds to and resolves provider and health plan claim inquiries. Monitors and tracks aged, pended, and open reports to maintain timeliness in claims processing.Inputs claims into the system for appropriate tracking and processing.
  • Documents file, as appropriate, to support payment decision.
  • Serves as a Subject Matter Expert and conducts training as required.
  • Conducts cross training to staff as required.
  • Actively participates in user acceptance testing functions, such as test script development, testing and documentation of test results.

Education/Experience:
  • Minimum 4 years' experience in claims and/or call center required.
  • High School/GED required.
  • Associate degree preferred; minimum 45 wpm typing preferred.
  • Healthcare or Managed Care experience preferred.
  • Working knowledge of PC apps in a windows based environment.

Training Information:

  • Training is conducted onsite Monday through Friday from 8:30 AM - 5:00 PM and lasts approximately 6-8 weeks. During this period, you are required to be fully available and onsite for the entire duration of training.

  • Upon successful completion of training, the role will transition to a remote work environment. However, you may be required to report to a business office for mandatory meetings and/or technical support related to remote work.

Work Schedule:

  • Our Contact Center operates 24 hours a day, and this position requires flexibility to work shifts between 7:00 AM - 7:00 PM. Start times will vary on a weekly basis, typically ranging from 7:00 AM to 10:30 AM, and are assigned based on business needs (example shift: 10:30 AM - 7:00 PM).

  • Your permanent schedule will be assigned toward the end of training and will remain consistent based on operational needs.

Our Comprehensive Benefits Package
Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more.

Why Join Us: Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare 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 are driven to make a difference, we want to hear from you.

About AmeriHealth Caritas
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at http://www.amerihealthcaritas.com

Employment Type: FULL_TIME

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