Supervisor Medicare LTSS Operations

Supervisor, Medicare Ltss Operations

Your career starts now. We're looking for the next generation of health care 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 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, PA, 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.

Responsibilities:

The Supervisor, Medicare LTSS Operations is responsible for ensuring and improving the performance, productivity and efficiency of Medicare LTSS Care Coordination Operations. Under the supervision of the Manager LTSS, the Supervisor, Medicare LTSS Operations is responsible to provide operational oversite and process improvement supporting Medicare LTSS Operations including clinical direction and monitoring of Medicare LTSS case management services.

Work Arrangement:

• Qualified candidates must live in or around Wayne and Macomb Counties in Michigan.
• Some field work required.

Education/Experience:

• Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), or Registered Nurse (RN).
• 1-3 years supervision of remote team experience.
• 3-5 years LTSS Case Management experience.
• Proficient PC skills with Microsoft Office Suite (Word, Excel, etc.).
• Strong knowledge of Medicare/MMP LTSS.
• Excellent problem solving and organization skills.
• Ability to work independently or as a team.
• Ability to receive multi-state clinical certification.
• Strong interpersonal communication skills.
• Ability to maintain positive relationship with both internal and external customers.
• Process Oriented.
• Attention to detail.
• Effective time management.
• Pro-active with ability to multi-task.
• The ability to consistently identify mistakes.
• The ability to closely follow quality standards.
• Decision making skills.

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.