What are the responsibilities and job description for the Medical Management Initiative Specialist position at AmeriHealth Caritas?
Responsibilities
The Medical Management Initiative Specialist will provide consultation, technical assistance, and program management support in the areas of health promotion / pay for performance or contract mandated quality or health promotion programs. The incumbent will lead programmatic development, implementation, optimization, analysis, and documentation of programmatic results.
- Manages and coordinates programs and activities associated with the department’s quality or health promotion goals
- Manages projects geared toward program development, initiation, maintenance, and analysis helping to guide and enable operations based on strategy and goals determined for the programs.
- Create program status reports, drafting work plans and timelines and coordinating other project management functions.
- Works in consultation with appropriate market, product, and enterprise leadership in strategic direction and planning of program initiatives.
- Facilitates programs through workplan development and identification and communication with internal and external stakeholders.
- Collaborates with internal and external stakeholders, managing all levels of relationships
- Maintains and analyzes program data for trends and accuracy and fosters further strategic and / or operational improvements
- Will design and develop innovative programs to support quality and health promotions goals in collaboration with clinical, quality, and business leadership at the local market and enterprise population health organizations.
- Works in alignment with the overall business goals and objectives; including HEDIS, NCQA, and specific product / market goals.
- Manages all phases of project management for quality or health promotion initiatives to ensure timely completion of all projects, including technology components
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 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
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.
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.
