**Applicants must live within driving distance of PA.** Your career starts now. We’re looking for the next generation of healthcare 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 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'd like to hear from you if you want to 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:** As part of the Community Health Choices Service Coordination Team, the Critical Incident Specialist Supervisor is responsible for the management of the Critical Incident reporting team and program objectives, including timely identification, reporting, investigation, review, and closure of the critical incident process in the Pennsylvania Enterprise Management System (EIM), as well as, collaborating with the Quality Management Team and assisting with state regulatory reporting.; Implements and supports the Critical Incident process, including reporting metrics and process improvement. Works collaboratively with Service Coordinators, Quality Management team, and leadership.;; Principal Accountabilities: + Executes organizational efforts in ongoing quality improvement processes to ensure compliance with State, Federal, regulatory, and accrediting body’s standard requirements. + Facilitates and monitors the Critical Incident process in collaboration with Service Coordinators, providers, and Quality Management, ensuring timely and accurate completion of the CI process with the goal of ensuring Participant health and safety and mitigating future risk. + Responsible for participating; in reporting needs and process improvement + Will audit the Critical Incident process, documentation, quality and timeliness. + Identifies, resolves, and/or escalates problematic QI areas that may place the plan at risk of not achieving annual goals. + Serves as a resource to other departments in completing Critical Incident requirements and goals.; + Works professionally and efficiently with all functional areas to meet organizational and departmental goals. + Responsible for providing input into the development of Quality projects and accountable for the execution and documentation of those projects, ensuring identification of the root cause; with the assistance of the Manager, Director, and Quality Management leadership, establishes a work plan to implement interventions. + Leads critical incident specialists in implementing interventions to improve quality performance. + Responsible for the creation and submission of state compliance documentation of activities and projects within his/her scope of responsibility and in collaboration with leadership and Quality Management + Uses data and analysis tools to identify opportunities for improved performance and collaborates with peers to develop intervention strategies. + Removes barriers to achieve successful completion of strategic projects. + Conducts analysis and provides summary reports and analysis to senior management. + Other duties as assigned. General: + Works collaboratively with all providers, members, and departments within the AmeriHealth Caritas Family of Companies to conduct ongoing process and data reviews to identify opportunities for improvement. + Performs ad-hoc analysis of any underperforming or “broken” processes by collaborating with Subject Matter Experts and/or Customers to define existing processes and make recommendations for improvement. + Manages, trains, and develops new and existing staff. **;** **Education/ Experience:** + Bachelor’s Degree required. + 1 to 3 years of leadership experience required. + A minimum of 3 years in service quality improvement or service coordination is required. + A minimum of 3 years in human service delivery is required. ; **Other Skills:** + Managed Healthcare experience preferred. + Excellent organizational, analytical, and interpersonal skills. + Excellent written and verbal communication skills. + Ability to work successfully within all levels of the organization. + Proficient PC skills in a Windows-based environment, including Excel. **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.