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amerihealthcaritas.phenompeople.com
The Medical Director, UM leads the operational areas of the Utilization Management program, overseeing prospective, concurrent, and retrospective reviews to ensure patient care decisions are medically appropriate. This remote role collaborates with quality improvement teams, physicians, and case management staff to develop policies, analyze utilization trends, and improve clinical effectiveness while meeting contractual and regulatory requirements.
Headquarters
Philadelphia, Pennsylvania, United States
Company Size
10001+ employees
Founded
1983
AmeriHealth Caritas is a health benefits company that offers Medicaid, Medicare, and Marketplace plans through a broad provider network. The organization concentrates on managed care and care coordination, delivering comprehensive services—from primary and specialty care to behavioral health and social supports—to improve member outcomes. It emphasizes affordable, accessible coverage and value-based care, with programs designed to address social determinants of health and support diverse populations. Operating as part of the AmeriHealth Caritas family of plans, the company focuses on whole-person care across multiple states.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for amerihealthcaritas.phenompeople.com.
amerihealthcaritas.phenompeople.com didn’t post a salary, so this is our estimate from similar listings.
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