Clinical Program Management Analyst

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, 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.

Discover more about us at

PerformRx;is a Pharmacy Benefits Manager (PBM) dedicated to clinical culture, boutique service and holistic solutions. Our mission is to help customers, doctors and patients use effective medication therapy to improve health and wellness. For more than 15 years, our focus has been on providing optimal service through a clinical culture which seeks to provide members with high quality care while ensuring our partners receive favorable costs. That culture is reflected in our employees - more than 80 percent of our staff members are Pharmacists and Pharmacy Technicians - and in the services we provide.

PerformRx;is headquartered in Philadelphia. Our dedication to innovation and to providing the most efficacious outcomes is the core of our clinical culture and is the heart of PerformRx. PerformRx is a subsidiary of the AmeriHealth Caritas Family of Companies.

Responsibilities:

• Complete administrative and technical tasks to support the department
• Maintain an understanding of individual client contracts, benefit set up and responsibilities associated with assigned clients;
• Effectuate data analysis and generates reports including but not limited to all clinical and utilization impact, member disruption and trend reports
• Export and disseminate reports to departmental staff members
• Interpret reports and analyzes trends; make recommendations based on analyses;
• Respond to questions, provides clarifications, and addresses technical issues on behalf of the department
• Interpret, document and partner with Operational teams to ensure accepted recommendations are implemented in a timely and accurate manner
• Provide technical support for implementations and re-implementations
• Compile data and documentation and actively participates in audits and potential client proposals
• Complete tasks and assignments for assigned plans with minimal day-to-day oversight and direction;
• Perform other job-related duties and projects as assigned

Education/Experience:;

• Required:
• High School Diploma or equivalent
• Minimum one (1) year of current/recent experience in managed care
• Strong technical knowledge of Microsoft Excel;
• Preferred:
• Current, unrestricted National Pharmacy Technician Certification (NHA or PTCB)
• Associate's degree

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.