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 ...

64 Amerihealth Caritas Network Operations Analyst Jobs Hiring Near You
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 ...
Market President Indiana
Indianapolis, IN · On-site
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 · On-site
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 ...
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 ...
Supv Medicare LTSS Operations
Detroit, MI · On-site
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 · On-site
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 ...
Account Executive
Charleston, SC · 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 ...
Account Executive
Charleston, SC · 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 ...
Print Production Specialist
Philadelphia, PA · On-site
$17.25 - $22/hr
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ... analyze production processes, review daily letter projects, timelines and operations * Identify ...
Print Production Specialist
Philadelphia, PA · On-site
$17.25 - $22/hr
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ... analyze production processes, review daily letter projects, timelines and operations * Identify ...
Supervisor Service Coordinator
Philadelphia, PA · On-site
$18.75 - $24/hr
The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices ...
Supervisor Service Coordinator
Philadelphia, PA · On-site
$18.75 - $24/hr
The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices ...
Dir Strategy & Product Develop
Philadelphia, PA · On-site +1
The director partners cross-functionally with Actuarial, Compliance, Legal, Network, Marketing ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Dir Strategy & Product Develop
Philadelphia, PA · On-site +1
The director partners cross-functionally with Actuarial, Compliance, Legal, Network, Marketing ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Role Overview The Business Systems Analyst Senior serves as a SME providing ongoing business ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Role Overview The Business Systems Analyst Senior serves as a SME providing ongoing business ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Account Executive
Charleston, SC · On-site
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 ...
Account Executive
Charleston, SC · On-site
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 ...
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 ...
Mgr Strategy & Planning
Newtown Square, PA · On-site
$96K - $132K/yr
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ... The Manager mentors Analysts and Senior Analysts, and leads teams on the execution of assigned ...
Mgr Strategy & Planning
Newtown Square, PA · On-site
$96K - $132K/yr
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build ... The Manager mentors Analysts and Senior Analysts, and leads teams on the execution of assigned ...
Customer Service Rep (B)
Charleston, SC · On-site
$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 ...
Customer Service Rep (B)
Charleston, SC · On-site
$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 ...
Mgr IT
Robbinsville, NJ · On-site
$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 · On-site
$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 ...
Utilization Management Reviewer
Washington, DC · On-site +1
At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build ... Analyze medical records and clinical data to ensure compliance with regulatory and payer guidelines
New
Utilization Management Reviewer
Washington, DC · On-site +1
At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build ... Analyze medical records and clinical data to ensure compliance with regulatory and payer guidelines
New
Special Investigator
Manchester, NH · On-site
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 aberrant ...
Special Investigator
Manchester, NH · On-site
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 aberrant ...
Role Overview The Business Systems Analyst Senior serves as a SME providing ongoing business ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Role Overview The Business Systems Analyst Senior serves as a SME providing ongoing business ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Provides organization-wide monitoring of outcomes, data analysis, and improvement of quality ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Provides organization-wide monitoring of outcomes, data analysis, and improvement of quality ... At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy ...
Special Investigator
Washington, DC · On-site
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 aberrant ...
Special Investigator
Washington, DC · On-site
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 aberrant ...
Senior Account Executive
Washington, DC · 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 ...
Senior Account Executive
Washington, DC · 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 Jobs Information
Do workers at AmeriHealth Caritas 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 July 2025 and June 2026.
Does AmeriHealth Caritas pay people when they’re sick?
91% of people say they would get paid if they were sick but scheduled to work.
Based on data from 35 people who took the Breakroom Quiz between July 2025 and July 2026.
At AmeriHealth Caritas, are sick days and vacation days separate paid time off?
94% of people say they have to use vacation days when they’re out sick.
Based on data from 35 people who took the Breakroom Quiz between July 2025 and July 2026.
Is the health insurance from AmeriHealth Caritas affordable enough for their workers?
88% of people say the health insurance costs are okay
Based on data from 43 people who took the Breakroom Quiz between March 2025 and July 2026.
Do people get paid time off at AmeriHealth Caritas?
100% of people say they get paid time off.
Based on data from 36 people who took the Breakroom Quiz between July 2025 and July 2026.
How far ahead of time do people find out their work schedule?
- 50% of people with changing schedules find out their shifts one week or less ahead of time.
- 17% of people with changing schedules find out their shifts two weeks ahead of time.
- 0% of people with changing schedules find out their shifts three weeks ahead of time.
- 33% of people with changing schedules find out their shifts four weeks or more ahead of time.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and August 2025.
Do workers at AmeriHealth Caritas worry about 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?
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?
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?
84% of people report it’s easy to get time off.
Based on data from 32 people who took the Breakroom Quiz between July 2025 and June 2026.
Do AmeriHealth Caritas managers change 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?
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?
88% 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 July 2025 and July 2026.
Is working at AmeriHealth Caritas good if you’re a parent or caregiver?
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?
90% of people say they’re treated with respect by their managers.
Based on data from 31 people who took the Breakroom Quiz between July 2025 and June 2026.
Do people at AmeriHealth Caritas get to take their breaks without interruption?
90% of people report that they get to take their breaks without interruption.
Based on data from 31 people who took the Breakroom Quiz between July 2025 and July 2026.
Is it stressful to work at AmeriHealth Caritas?
57% of people say they often feel stressed out at work.
Based on data from 35 people who took the Breakroom Quiz between July 2025 and July 2026.
Do people at AmeriHealth Caritas enjoy their jobs?
36% of people report they don’t enjoy their job.
Based on data from 61 people who took the Breakroom Quiz between November 2024 and July 2026.
Do people at AmeriHealth Caritas recommend working with their team?
67% 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 July 2025 and July 2026.
Do people get enough training when they start at AmeriHealth Caritas?
42% of people report they didn’t get enough training when they started working here.
Based on data from 36 people who took the Breakroom Quiz between July 2025 and July 2026.
Do people get support to advance at AmeriHealth Caritas?
In the last year, 47% of people report not being given support to advance their career here.
Based on data from 36 people who took the Breakroom Quiz between July 2025 and July 2026.
Do people think AmeriHealth Caritas’s headquarters understands 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 July 2025 and July 2026.
Do workers feel well informed about how AmeriHealth Caritas is doing?
81% 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 July 2025 and June 2026.

Full-time
Posted 11 days ago
AmeriHealth Caritas rating
8.3
Based on 72 frontline employees who took The Breakroom Quiz
108th of 281 rated insurance
Job description
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 from you.
Headquartered in Newtown Square, 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.
Job Summary
The Vice President, Provider Network Management serves as the enterprise leader for provider contracting and network management activities across markets and lines of business and is a key leader in shaping provider network strategy. This role is responsible for ensuring the development, optimization, and maintenance of compliant, high-performing provider networks that meet access, adequacy, quality, and service requirements for members. The Vice President partners closely with market and corporate leadership to establish network strategy, contracting approaches, operational controls, and provider engagement models that support organizational growth and performance objectives. This role also leads cross-functional collaboration with business development, pricing, actuarial, operations, provider relations, claims, sales, marketing, and technology teams to ensure provider network strategy is aligned with business needs and regulatory requirements. This leader will also be responsible for leading the Indiana provider network strategy.
The Vice President is expected to lead multiple functions, manage network management resources, and act as a senior decision-maker for contracting and network-related activities. The role requires close coordination across business domains and strong oversight of staff productivity, provider relationships, and contracting outcomes.
Essential Functions:
- Support market leaders with network tooling, adequacy standards, and contracting strategies.
- Lead the Indiana provider network strategy, including network expansion, optimization, and market-specific contracting priorities.
- Develop long-term strategies for network growth and optimization, addressing gaps in service coverage and ensuring the network adapts to changing healthcare trends and member needs.
- Utilize market trends and data to inform network strategy and identify opportunities for growth and improvement.
- Ensure the development and maintenance of a comprehensive provider network, including hospitals, physicians, and ancillary providers.
- Demonstrate shared leadership in the overall insurance business by balancing the need to provide a broad network of services with controlling costs for both the company and members through strong unit cost guidelines and contracting parameters.
- Monitor network adequacy and compliance with all applicable regulatory and accreditation requirements.
- Monitor and evaluate network performance, addressing gaps and opportunities for improvement.
- Provide central management of contract inventory, renewals, and amendments, ensuring all agreements are current and compliant with organizational policies and regulations.
- Provide guidance and support in contract negotiations and network management activities across markets.
- Lead provider operations functions such as credentialing, contract configuration, and provider data management.
- Ensure a cohesive provider experience through leadership of provider success, provider communications, and provider marketing, including partnership with Provider Relations, Claims, and other operational areas.
- Collaborate with business development, sales, marketing, operations, pricing, actuarial, value-based performance, legal, and market leadership to align network strategy with organizational goals and market needs.
- Partner with technology teams to develop and enhance tools, workflows, and processes required to support provider network management and operations.
- Lead all aspects of the contracting process from strategy through execution across lines of business.
- Establish and maintain contract templates, operational controls, and governance practices consistent with organizational and legal requirements.
- Ensure compliance with all applicable federal and state laws, regulations, and internal policies.
Education/Experience:
- ☒Bachelor's Degree.
- Master's Degree preferred.
- 15 or more years of network management experience15 or more years of network management experience.
Other Skills:
- Experience partnering with technology teams to optimize and evolve operational programs.
- Demonstrated success in growing and optimizing provider networks.
- Experience leading enterprise or multi-market provider contracting strategies.
- Strong understanding of federal and state-specific contracting requirements and network adequacy expectations.
What AmeriHealth Caritas employees say
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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