Manager Disbursements - Provider Payments | Hybrid

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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, Pennsylvania, 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.

Under the oversight of the Vice President and Controller, the Manager, Provider Disbursements maintains the relationships with our claim payment and fulfillment vendors and oversees the payment processes for our healthcare providers, ensuring timely and accurate disbursements.;;;

Responsibilities:

• Leads a team of associates engaged in provider payment activities.; Provides direction and guidance where needed.; Maintains high standards for quality of work.; Maintains strong relationships with internal and external teams, providers, vendors, business partners and stakeholders by communicating effectively and proactively.;; Manages escalations, effectively resolving disputes related to payments.;
• Participates in financial reconciliations related to vendor payments utilizing principles of cash flow management.;; Monitors and tracks vendor payments and other disbursements.;
• Leads a team of associates engaged in provider payment activities.; Provides direction and guidance where needed.; Maintains high standards for quality of work.; Maintains strong relationships with internal and external teams, providers, vendors, business partners and stakeholders by communicating effectively and proactively.;; Manages escalations, effectively resolving disputes related to payments.;
• Develops and implements processes for efficiency and accuracy in provider payments; Effectively conducts data analysis, identifying trends or issues to optimize disbursement processes.;
• Actively troubleshoots disbursement issues; makes effective decisions for resolving payment discrepancies.; Manages large volume transactions.;
• Collaborate with outside vendors/states to implement opportunities/health plans where possible.
  
  

Education/Experience:

• Bachelor’s Degree required
• 7 years experience in healthcare finance including 2 years of people management experience
  
  

Other Skills:

• Technical industry knowledge: Knowledge of provider payment systems and regulations in healthcare industry; Experience with claims processing, payment cycle, and reimbursement methodologies
• Expertise in financial reconciliation; strong understanding of cash flow management, vendor payment processes, and disbursement tracking.
• Proficiency in financial software and ERP systems.
• Strong leadership capabilities with the ability to develop associate skill sets, manage performance advocate for staff
• Proven ability to communicate effectively and establish rapport and relationships at all levels
• Strong analytical skills and troubleshooting capabilities/experience.
• Sound process orientation with the ability to identify opportunity for efficiencies and automation
• Demonstrate good business judgment and able to make decisions
• Ability to lead cross functional teams to achieve desired goals
  
  

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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 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.

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.

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