What are the responsibilities and job description for the Manager Long Term Services & Support PA CHC position at AmeriHealth Caritas?
Responsibilities
The Manager will focus on departmental integrity, learning, and data management.
- Long Term Service and Supports Subject Matter Expert
- Ensure compliance with program and contractual requirements
- Assists with the development and management of policies and procedures, ensuring alignment with State and Federal Requirements
- Development and management of clinical operations focusing on improving clinical and financial outcomes, member engagement, and satisfaction
- Conduct audits related to departmental compliance with LTSS policies.
- Assists in the day-to-day management of the department and participates as an internal SME as directed.
- Development of workflow and desk-level tools for departmental education, training, and ongoing in-services.
- Assist in coordinating provider, staff, and member outreach education and training.
- Develop and coordinate departmental communication pieces for both internal and external stakeholders.
- Prepares, coordinates, and verifies data and reports for the LTSS department.
- Assures that outbound and inbound data is QA’d and prepared for submission timely
- Maintains and presents key metrics to departmental leadership routinely as directed.
- Directly oversee the transitional services function within the department.
- As needed in new business situations, assume the role of phasing in the State’s Home and community-based Service system, roles, and responsibilities.
Education / Experience :
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
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 on Day 1, 401(k) tuition reimbursement, and more.
Generous paid time off and paid volunteer time off.
Employer-matched 401(k) and additional non-elective contributions, starting on day one.
Medical, dental, and vision plans — with coverage starting on day one.
Employee assistance programs, fitness reimbursements, nutrition counseling, and more.
Employer-paid life insurance, with opportunities to purchase additional coverage.
Employer-paid short-term disability coverage and long-term disability coverage.
Tuition assistance, including reduced tuition at certain schools.
Financial assistance with adoption, including paid time off.
Flexible spending and health savings accounts to pay for qualified expenses.
Discount programs on entertainment, travel, and more.