Amerihealth Caritas remote roles

• Medical Director Utilization Management

  Company: Amerihealth Caritas

  Location: United States

  Job type: full-time. Experience level: senior.

  Skills: Utilization Management, Medical Policy Development, Quality Improvement, Behavioral Health Management, Regulatory Compliance, Clinical case reviews.

  In this role, you will lead the operational areas of the Utilization Management (UM) program including prospective, concurrent, and retrospective reviews. As a Medical Director, UM you ensure all patient care decisions and referrals are medically appropriate by using national and local criteria.

• Corporate Director of Accreditation and Compliance

  Company: Amerihealth Caritas

  Location: United States

  Job type: full-time. Experience level: senior.

  Skills: Accreditation Readiness, Regulatory Compliance, Quality Governance, NCQA Accreditation, Risk Identification, Corrective Action Planning.

  For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required.