Manager Healthcare Value Optimization

Amerihealth Caritas Health Plan•Newtown Square, PA

32d•Hybrid

About The Position

Healthcare Value Optimization (HVO) is AmeriHealth Caritas' enterprise-wide margin improvement program, which delivers value for the organization through improved member experience, health outcomes, and total cost of care. HVO collaborates closely with functional and market leaders, following a rigorous process to identify, validate, implement, and monitor improvement initiatives across unique workstreams. The Manager position ensures successful execution of margin improvement activities through thought leadership, cross-functional coordination, and proactive problem-solving. The Manager also develops, defines, and communicates best practices for driving continuous improvement of the HVO program.

Requirements

Five to ten (5 - 10) years of experience in designing, implementing, and monitoring broad-scale, cross-enterprise initiatives
Strong analytical capabilities, including ability to craft ROI estimates
Ability to manage multiple tasks simultaneously, proactively assessing initiative status and highlighting issues
Strong verbal and written communication skills
Proficiency in Microsoft PowerPoint and Excel
Bachelor's Degree or equivalent experience

Nice To Haves

Familiarity with Managed Care Organization operations preferred

Responsibilities

Drive process, performance management, and execution of margin improvement initiatives through the HVO stage gate framework
Monitor overall program and workstream status, proactively identifying risks/issues and other areas requiring escalation, problem solving, or expert input
Motivate and support workstream leaders and initiative owners to deliver, driving accountability to annual targets
Provide an objective sounding board to initiative owners and offer data-backed recommendations and guidance
Identify opportunities for new initiatives by recognizing organizational pain points, reviewing emerging trends, or researching industry developments
Apply working knowledge of key financial and operational performance indicators for target markets / functions
Prioritize effectively across initiatives and workstreams to best allocate resources
Lead departmental efforts to drive continuous improvement across the HVO program
Support governance activities including policies, procedures, and operational guidance for the program
Manage daily/weekly meeting cadence and regular deliverables (e.g., pipeline reporting)