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Added 14 mins ago
Dental Director
Amerihealth Caritas
Washington, DC
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities · Must possess an active and unencumbered license to practice dentistry in the District of Columbia
Added 14 mins ago
Coordinator, Disability Advocacy Program (CSHCS)
Amerihealth Caritas
United States
3 to 5 years of managed care experience required
Added 1 hour ago
Market CMO
Amerihealth Caritas
Newtown Square, PA
Monday through Friday, 8:30 AM EST to 5:00 PM EST with 2 to 3 days per week in our office in Harrisburg, PA or Newtown Square, PA · Must hold an active and unencumbered license to practice medicine in Pennsylvania
Added 20 hours ago
Regulatory Reporting Specialist Bus
Amerihealth Caritas
United States
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities
Added 20 hours ago
Service Coordination Entities Coordinator
Amerihealth Caritas
United States
Qualified candidates must live in the state of Pennsylvania · Valid driver's license required
Added 20 hours ago
Vice President Provider Network Management
Amerihealth Caritas
Philadelphia, PA
Added 22 hours ago
Manager Provider Network Management
Amerihealth Caritas
Charleston, SC
Minimum of 5 years of provider network management, contracting, reimbursement, or other related experience required · Work Arrangement: Remote: The candidate must reside in South Carolina and possess a valid driver's license
Added 1 day ago
Communications Specialist
Amerihealth Caritas
Southfield, MI
The Associate must reside in Michigan (MI) and be able to attend monthly meeting as needed in Southfield, MI office
Added 1 day ago
Provider Practice Performance Advisor
Amerihealth Caritas
Newark, DE
Added 1 day ago
Account Executive
Amerihealth Caritas
Newark, DE
Added 1 day ago
Coordinator Provider Network
Amerihealth Caritas
Newark, DE
Added 1 day ago
Senior Account Executive
Amerihealth Caritas
Newark, DE
Added 1 day ago
Project Manager III, Infrastructure
Amerihealth Caritas
Newtown Square, PA
Added 1 day ago
Network Contractor Provider Network Management
Amerihealth Caritas
Newark, DE
Added 3 days ago
Utilization Management Technician Sr
Amerihealth Caritas
United States
Added 3 days ago
Clinical Training Consultant
Amerihealth Caritas
United States
Qualified candidates must live in PA, DE, NJ · For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities
Added 3 days ago
Member Services Specialist
Amerihealth Caritas
Robbinsville, NJ
Work Arrangement: Remote - DE, NJ, NY, PA must live within 3 hours of Robbinsville NJ
Added 3 days ago
Community Health Navigator
Amerihealth Caritas
Reading, PA
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities
Added 3 days ago
Pharmacy Director
Amerihealth Caritas
Newtown Square, PA
This is a remote position; however, candidates must reside in Pennsylvania to meet contractual requirements
Added 3 days ago
Manager Claims
Amerihealth Caritas
United States
Minimum of 5 years of management experience required
Added 4 days ago
Director Quality Management
Amerihealth Caritas
Philadelphia, PA
Added 4 days ago
Senior Clinical Training Specialist
Amerihealth Caritas
United States
Added 4 days ago
Utilization Management Correspondence RN
Amerihealth Caritas
United States
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities
Added 4 days ago
Director Service Coordination & Oversight
Amerihealth Caritas
United States
Qualified candidates must live in Pennsylvania and be able to attend onsite meetings in Philadelphia and Harrisburg as needed · For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities
Added 4 days ago
Business Development Analyst Senior
Amerihealth Caritas
United States
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities

Amerihealth Caritas

Coordinator, Disability Advocacy Program (CSHCS)

United States

Apply on careers.amerihealthcaritas.com About employer

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Job details

Experience: 3 to 5 years of managed care experience required.
Posting language: English
Posted: Nov 10, 2026

Original job description

Position Summary:

The Coordinator, Disability Advocacy Program is responsible for the preparation of case management files for assigned Plan members who are eligible to receive Children Special Healthcare Services (CSHCS) benefits and the documentation of progress toward achieving additional benefits in the CSHCS database.

Key Responsibilities:

Prepare case management files for assigned Plan members who are eligible to receive Children Special Healthcare Services (CSHCS) benefits.
Document progress toward achieving additional benefits in the CSHCS database.
Coordinate with the Supervisor/Manager of the Disability Advocacy Program, CM/UM associates, and Enterprise Analytics to receive monthly data loads.
Distribute member data to other departments, as needed, to improve member engagement and coordination for a single-member experience.
Coordinate and facilitate the CSHCS conversion application process by working closely with members, providers, Population Health associates, and local and federal agencies, as needed, including Medicaid agencies.
Coordinate with providers to facilitate the exchange of medical documentation regarding specialty treatment received for designated chronic medical conditions.
Review claims as part of the CSHCS eligibility and coordination process.
Maintain frequent contact with members, medical services, government services, providers, and others to provide updates throughout the ongoing process.
Obtain and verify medical information needed to determine CSHCS eligibility.

Education and Experience:

Associate’s degree required.
3 to 5 years of managed care experience required.

Preferred Skills:

Experience working with individuals with disabilities and diverse member populations in a case management, social services, or healthcare setting.
Knowledge of medical terminology, medical record documentation, and healthcare information management practices.
Knowledge of and experience in Children’s Special Health Care Services program and medical claims processing.
Proficiency with healthcare systems and applications, including EXP, RightFax, and Microsoft Office Suite.
Understanding of case management referral processes and applicable state regulations and requirements.
Ability to identify, engage, and leverage cultural, social, and community-based resources to support member needs and promote positive outcomes.
Strong communication, organization, and relationship-building skills, with the ability to collaborate effectively with members, providers, community partners, and internal teams

Our Comprehensive Benefits Package Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more. Why Join Us: Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare 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 are driven to make a difference, we want to hear from you. About AmeriHealth Caritas Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at http://www.amerihealthcaritas.com

Apply on careers.amerihealthcaritas.com About employer

More about this job

Skills

Case management
Documentation
Google Analytics
Medical terminology
Claims processing
Microsoft Office
Communication skills
Relationship building

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