<p>Your career starts now. We're looking for the next generation of health care leaders.</p> <p>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.</p> <p>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.</p> <p>Discover more about us at www.amerihealthcaritas.com.</p> <p>The Manager oversees centralized Corporate functions of the Wellness-RROT (Rapid Response Outreach Team) vertical. The Manager directs a group of Supervisors and clinical and non-clinical associates and is responsible for providing direction, organization and monitoring of all RROT-Wellness Contact Center services including, but not limited to collaboration with the following units: Population Health, Utilization Management, Quality Management, Member Engagement, Provider Network Management, Operations, PerformCare, and PerformRx.</p> <ul> <li>Works collaboratively with Wellness Managers/ and Directors to develop Departmental Goals and Objectives per AmeriHealth Caritas Enterprise initiatives (CAHPS /HEDIS / NCQA) </li><li>Utilizes Work Force Management system to effectively monitor the processing of inbound / outbound calls/ contacts re: Members, Providers and other areas internal /external meeting established Health Care Metrics Responsible for preparing reports and conducting analysis of operational productivity and attainment of goals </li><li>Provides leadership and recognizes growth and expanded opportunities for the entire team and department </li><li>Guides Supervisors and front-line member interacting associates to perform within their scope of responsibilities while assisting members in improved health care adherence and reduction of barriers to care </li><li>Maintains current knowledge of all Population Health initiatives, attends assigned meetings and actively communicates with departmental representatives re: RROT /EPSDT / Wellness initiatives and coordination of Care work duties </li><li>Participates in the development of Policies & Procedures, Standard Operating Processes, Training development and presentations to direct reports and other departments </li><li>Participates in corporate and market workgroups and may assume lead role on some workgroups </li><li>Provides input and oversight of department generated documents such as program description, program evaluation, QSC, QCCC, PBO, all additional reporting tools highlighting department productivity and presents documents at respective meetings </li><li>Monitors direct report work assignments and makes adjustments as required per associate experience and interventions required </li><li>Travel as needed to market health plans in support of business need </li><li>Complies with AmeriHealth Caritas Family of Companies policies and HIPAA standards </li></ul> <p>Education/ Experience:</p> <ul> <li>Bachelor's degree in Health related field preferred </li><li>Master's Degree </li><li>Registered Nurse, LSW, LCSW, LPC, MPH </li><li>5 to 10 years strong people-management skills/experience </li><li>Demonstrates ability to facilitate change management and adapt to evolving state, regulatory and operational changes. </li><li>Solid knowledge of contact center processes to provide accountability in high volume call environment, managing audits/reports; </li><li>Strong knowledge base of health care resources, ideally with managed care experience; </li><li>Proven ability to promote excellent customer service skills, skilled in conflict resolution and problem solving; </li><li>Skilled in building and working with inclusive and diverse teams and able to collaborate with various disciplines within the Market and Enterprise </li><li>Solid verbal and written communication skills </li><li>Possess coaching and mentorship skills </li><li>Demonstrated experience in applying strategic and critical thinking to broad scope of problems and business opportunities. Experience in independently determining implications and repercussions of problems and potential solutions. </li></ul> <p>Diversity, Equity, and Inclusion</p> <p>At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.</p> <p>We keep our associates happy so they can focus on keeping our members healthy.</p> <p>Our Comprehensive Benefits Package</p> <p>Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.</p>