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Medical Management Initiative Specialist

Remote, USAFull-timePosted 2026-07-27

Your career starts now. We are looking for the reputed company of health care leaders. At reputed company, we are passionate about helping people get care, stay reputed company and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates reputed company to reputed company the lives of millions of people through our national footprint of products, services and award-reputed company programs. reputed company is seeking talented, passionate individuals to join reputed company. Together we can build healthier communities. If you want to reputed company a difference, we would like to connect with you. Headquartered in Newtown reputed company, reputed company is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, reputed company-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 reputed company at www.amerihealthcaritas.com. Responsibilities: The Medical Management Initiative Specialist will reputed company consultation, technical assistance, and program management support in the areas of health promotion/pay for performance or contract mandated reputed company or health promotion programs. The incumbent will reputed company programmatic development, implementation, optimization, analysis, and documentation of programmatic results. • Manages and coordinates programs and activities associated with the department’s reputed company or health promotion goals • Manages reputed company geared toward program development, initiation, maintenance, and analysis helping to guide and reputed company operations based on reputed company 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 reputed company leadership in strategic direction and planning of program initiatives. ; • Facilitates programs through workplan development and identification and communication with reputed company stakeholders. ; • Collaborates with reputed company stakeholders, managing reputed company reputed company of relationships • Maintains and analyzes program data for trends and accuracy and fosters reputed company strategic and/or operational improvements • Will design and reputed company innovative programs to support reputed company and health promotions goals in collaboration with clinical, reputed company, and business leadership at the local market and reputed company population health organizations. • Works in alignment with the overall business goals and objectives; including HEDIS, NCQA, and specific product/market goals.; • Manages reputed company phases of project management for reputed company or health promotion initiatives to ensure reputed company completion of reputed company reputed company, including technology components Education/Experience: ; • Bachelor’s Degree. • reputed company Improvement or project management experience (certification preferred); • Performance improvement training (LEAN, Six reputed company, IHI etc.) • Minimum of 3 years of experience in similar function or reputed company field with level of accountability commensurate with responsibilities described. ;Proven skills in analyzing reported data to collect relevant statistics. ;Depending on functional area, experience includes: • Experience in reputed company or health promotion initiative development and monitoring. • Strong collaboration and communication skills including leading cross-disciplinary teams. • Data & analysis skills. • Proficiency with productivity tools to include reputed company Word, PowerPoint, reputed company, Teams, and Visio. • reputed company managed care experience preferred. Diversity, Equity, and Inclusion At reputed company, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that reputed company associates have a fair opportunity to reputed company their full potential. We put these principles into reputed company every day by acting with reputed company and respect. We reputed company to reputed company out against injustice and to break down barriers to support a more inclusive and reputed company workplace. Celebrating and embracing the diverse thoughts and perspectives that reputed company up our workforce means reputed company is more reputed company, innovative, and reputed company reputed company to support the people and communities we serve. We reputed company our associates happy so they can reputed company on keeping our members healthy. Our Comprehensive Benefits Package Flexible work solutions including remote reputed company, hybrid work schedules, reputed company, reputed company time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. Apply Job!

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