Field- Based Remote Community Health Navigator (Michigan - Macomb & Wayne County Residents Only)

Your career starts now. We’re looking for the next generation of healthcare 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 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. We'd like to hear from you if you want to make a difference.

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. 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.

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FIELD-BASED REMOTE TO MICHIGAN - MACOMB & WAYNE COUNTY RESIDENTS ONLY

Responsibilities:;

• Serve as the primary liaison for targeted member populations, delivering direct support and coordinating follow-up care.
• Conduct proactive outreach through phone calls, emails, and in-person visits to educate and guide members on healthcare compliance, including HEDIS (Healthcare Effectiveness Data and Information Set) and EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) requirements.
• Build and sustain strategic partnerships with community organizations, healthcare providers, and internal teams to enhance member access to care.
• Deliver impactful health education to members and representatives, ensuring adherence to Medicaid policies and managed care protocols.
• Maintain precise documentation and reporting to uphold regulatory compliance and program effectiveness.
• Engage with members in home and community-based settings, ensuring accessibility and personalized support.
  
  

Education & Experience

• Associate’s degree in Healthcare, Human Services, or a related field required; Bachelor’s degree preferred.
• Minimum of two years of professional progressive experience in healthcare, human services, or a clinical setting, with a proven track record in community engagement.
• Strong knowledge of medical terminology, disease management, behavioral health, and Medicaid regulations.
• Exceptional communication, organizational, and problem-solving skills with the ability to build trust across diverse populations.
• Proficiency in;Teams, Database Management Systems, and Microsoft Office Suite, including PowerPoint, Outlook, and Excel;(highly desired).;
• Willing and able to travel up to 50%, conducting home visits and community-based meetings with members.
• Must have a valid driver’s license, current auto insurance, and reliable access to a personal vehicle for work-related travel.
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Diversity, Equity, and Inclusion

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 implement these principles daily 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.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

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.