AmeriHealth Caritas Psychologist Advisor in Baton Rouge, Louisiana
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 Philadelphia, 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 www.amerihealthcaritas.com .
The Psychologist Advisor supports the Clinical Department by providing consultation regarding the clinical aspects of specific cases and offering guidance pertaining to best practice standards and quality of care issues. The PA is responsible for activities and consultation regarding program initiatives, committee representation, and process enhancement. These activities involve research and data analysis, special projects, program development, evaluation of new services, writing best practice guidelines, and quality monitoring. Additional responsibilities include making utilization determinations, as needed, addressing quality concerns through peer to peer consultations, and providing internal and external training. The PA will perform utilization management activities consistent with qualifications as approved by the PerformCare Credentialing Process and verified through an NCQA Credentialing Verification Organization.
The incumbent will adhere to all policies and procedures including but not limited to: Employee Handbook, Corporate Code of Conduct, Confidentiality and the Corporate Compliance Program, which includes Fraud, Waste and Abuse.
- Clinical experience in behavioral health.
- Doctoral level Psychologist with unrestricted license to practice psychology in Louisiana or any other applicable states.
- Behavioral Healthcare management and managed care experience strongly preferred.
- Academic research, teaching and data analysis experience strongly preferred.
- Previous Quality Improvement experience.
EOE Minorities/Females/Protected Veterans/Disabled