Job Description

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 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 would like to connect with you.

Headquartered in Newtown Square, Pennsylvania, 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.

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Responsibilities:

• Partner with corporate sourcing, provider network management, legal and business leaders in the organization to draft and participate in the negotiation of a wide variety of agreements, including but not limited to provider agreements, vendor agreements, and network pharmacy agreements
• Identify and participate in the resolution of legal issues arising from contractual relationships with vendors and providers
• Serve as primary liaison between providers and vendors for all contract/agreement related matters, as needed
• Assist in developing processes and procedures to ensure successful implementation and development of contractual requirements
• Actively lead contract related implementation workgroups to include new clients, benefit changes, contractual language amendments, policy updates and process improvement activities to further confirm successful contract execution and maintain positive relationships
• Effectively work with corporate entities to ensure contractual requirements are reflected in business practices and remain current based upon most recent information
• Foster open communication between providers, vendors, and business leaders
• Represent Legal Department in meetings with internal departments and external clients, providers, and vendors and remain well versed in operational and state and federal-related activities and regulatory requirements
• Gain proficiency in contract management software platforms and manage the creation, storage, and revision of contract templates and finalized contracts
• Negotiate with counter-parties (including their counsel) regarding company agreements

Education/Experience:

• Bachelor’s degree in a related field required
• Paralegal or other professional certification is preferred
• Healthcare experience is preferred
• Minimum five (5) years of experience in operational, contract negotiation, and regulatory review required
• Working knowledge of state and federal contractual requirements and deliverables
• Proficient in MS Word, Excel and PowerPoint
• Strong analytical and communication (listening, verbal and written) skills
• Ability to manage multiple priorities at the same time
• Ability to work both independently and with teams with minimal supervision

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

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.

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