Director Provider Network Management Long Term Services & Support
A
AmeriHealth Caritas
📍 Philadelphia, PA, United States
Job Description
The LTSS Director of Provider Network Management is accountable for leading the development and management of our long-term services and supports (LTSS) and home and community-based services (HCBS) networks for our Pennsylvania Community HealthChoices (CHC) managed long-term services and supports (MLTSS) Medicaid plan provider network. The CHC program serves adults aged 21 and older who are eligible for Medicaid and need LTSS services at a nursing facility level of care (either in the home with HCBS services or in a facility), including both Medicaid‑only and dual‑eligible (Medicare and Medicaid) individuals.
Reporting to the CHC VP of Plan Operations, this role ensures that the CHC KF/ACPA LTSS network development and governance infrastructure functions effectively and efficiently. This role supports the CHC market in developing and executing its LTSS network strategy at the local level and collaborates with shared service/functional partners to lead market-specific strategic...
Reporting to the CHC VP of Plan Operations, this role ensures that the CHC KF/ACPA LTSS network development and governance infrastructure functions effectively and efficiently. This role supports the CHC market in developing and executing its LTSS network strategy at the local level and collaborates with shared service/functional partners to lead market-specific strategic...