Plan Design Specialist jobs in Doylestown, PA

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations 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 would like to hear you.

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.

Discover more about us at www.amerihealthcaritas.com.

Responsibilities:

Member Services Specialists are the first point of contact for youth, families/caregivers and providers accessing the System of Care. They are responsible for answering all calls within a specific service level agreement and completing the registration process as well as managing questions from treatment providers. Member Services Specialists determine the appropriate routing of a call and attempts to be the first point of resolution. This position is also responsible for maintaining consistent procedures and providing outstanding customer service.

Education/Experience:

• High Diploma/GED required.
• Associate's Degree (AS) preferred.
• 1-2 years experience with an Associate's Degree, and/or 2-3 years experience with only High School/GED.
• Call Center technologies, Customer Service, Behavioral Health, Managed Care, Human Services, Electronic Health Records skills preferred.
• Ability to communicate well both verbally and in writing.
• Ability to respond sensitively to youth, families/caregivers, and providers needs.
• Skilled wiht Microsoft software applications required.

Other:

• This is 2nd Shift position with rotating holidays, and we provide a competitive pay with differential.
• 100% remote working arrangement. Occasional commute to the Robbinsville, NJ office will be required.
• You must live in New Jersey, Pennsylvania, or Delaware within 1.5 hours from our Robbinsville, NJ office required.
• Qualified candidates with bilingual skills (English/Spanish) are welcomed.

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.