Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare 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. We want to hear from you if you will make a difference. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 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. **Responsibilities:** The primary purpose of the Critical Incident Specialist (CIS) is to provide expertise and analysis to the CHC Service Coordination Department to mitigate the risk of noncompliance related to Critical Incidents. The CIS is responsible for coordinating and monitoring Critical Incident Reporting program objectives, including timely initiation, reporting, review, transcription, and completion of the critical incident process in CHC’s internal documentation system (TSS) and the Pennsylvania Enterprise Management System (EIM). This role works collaboratively across Service Coordination and Quality Management for all CHC Critical Incident processes, conducting ongoing element reviews specific to Critical Incident activities and state requirements. The CIS maintains current working knowledge of contractual guidelines, plan policy, and operational procedures to effectively provide subject matter expertise as part of developing recommendations related to Critical Incident specific job aids, tip sheets, system improvements, and additional targeted interventions to achieve and maintain compliant scores related to Critical Incident Operational Reporting. **Education/ Experience:** + Bachelor’s Degree preferred. + Minimum three years of Service Coordination and/or Quality Review Auditing experience required. **Other Skills:** + Proficient in MS Office; intermediate skills in Excel and Word required. + Demonstrated critical thinking skills with the ability to apply logical reasoning. **Diversity, Equity, and Inclusion** At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We implement these principles daily by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve. We keep our associates happy so they can focus on keeping our members healthy. **Our Comprehensive Benefits Package** Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.