AmeriHealth Caritas ยท 3 days ago
Manager 3rd Party Liability & Subrogation Recovery
United States
Full-time
Remote
Mid, Senior Level
5+ years expAmeriHealth Caritas is a mission-driven organization with over 30 years of experience in providing comprehensive health care solutions. The Manager of Third-Party Liability and Subrogation Operations is responsible for ensuring compliance with federal, state, and contractual requirements while leading a team to meet key metrics and service level agreements.
Health CareInformation Technology
Responsibilities
Works with Subrogation and TPL identification vendors to ensure requirements regarding subrogation case management and TPL data processing for the Enterprise are compliant with all federal, state, and contractual requirements, as well as fulfilling key metrics and SLAs by line of business
Leads subrogation specialists and department analysts to ensure that they deliver subpoena requests that are compliant with federal, state, and contractual requirements, as well as fulfilling key metrics and SLAs by line of business
Identifies and resolves operational issues using well-defined/documented processes, expertise, and judgment
Keeps abreast of new developments in area(s) of responsibility and ensures timely communication with team
Compiles enterprise-wide dashboard report, reporting key metrics on staff performance and inventory to management and key stakeholders
Works collaboratively with the entire team for the implementation of new business opportunities and our vendor services
Creates or modifies TPL and Subrogation departmental policies, On-Line Help, and desktop procedures as necessary
Contribute to process improvement solutions for further automation of TPL processes to enhance productivity and performance
Trends issues across the enterprise and identify workable solutions that will improve day-to-day business operations
Works with Work Force Management to ensure staffing allocations are managed and assigned based upon production and SLAs
Recruit, develop, and motivate staff. Continuously improve skill knowledge, and staff capabilities
Qualification
Required
Bachelor's Degree or equivalent work experience
5 + years of experience in a Managed Care operations role
Strong people management skills with the ability to measure operating productivity
Vendor Management skills, preferably in TPL or subrogation, are necessary
Proficient in Microsoft Office skills (Excel, Word, and Access)
Strong knowledge of Facets
Benefits
Flexible work solutions including remote options
Hybrid work schedules
Competitive pay
Paid time off including holidays and volunteer events
Health insurance coverage for you and your dependents on Day 1
401(k)
Tuition reimbursement
Company
AmeriHealth Caritas
AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Kathleen Giblin
SVP Clinical Operations
Ash Hanson
Executive Vice President & Chief Human Resources Officer
Recent News
2025-11-06
The Philadelphia Inquirer
2025-10-02
2025-10-01
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