AmeriHealth Caritas · 2 hours ago
Medicaid Managed Care Innovation Manager
United States
Full-time
Remote
Senior Level, Lead/Staff
8+ years expAmeriHealth Caritas is a mission-driven organization focused on delivering comprehensive, outcomes-driven care. The Innovation Manager will support the development and execution of high-impact innovation initiatives aimed at improving care for complex populations by managing projects, coordinating with stakeholders, and ensuring effective execution of key pilots.
Health CareInformation Technology
Responsibilities
Support the development, implementation, and monitoring of innovation initiatives and pilots across priority areas including: Economic mobility and employment support, Multi-system youth programs integrating behavioral health, education, and child welfare, Integrated care models for duals and high-need populations
Develop and manage project plans, timelines, and documentation to ensure timely execution and visibility across leadership and partners
Coordinate across departments (e.g., clinical, product, analytics, IT, operations) to ensure alignment and resolve barriers
Help manage relationships with external innovation partners, including vendors, community organizations, and demonstration collaborators
Support due diligence, onboarding, and contract oversight for partners contributing to pilots or integrated solutions
Assist in facilitating co-design sessions, steering committees, and stakeholder workshops to gather input and drive shared ownership
Develop strong communications strategy for clients, stakeholders, and state leadership
Conduct research and environmental scans to inform the development of innovative solutions aligned with member needs, state priorities, and industry best practices
Assist in translating state policy requirements (e.g., waiver language, RFP scopes) into solution features and operational models
Support development of solution documentation such as use cases, program models, value propositions, and implementation plans
Coordinate with analytics and evaluation teams to monitor KPIs, capture learnings, and support continuous improvement of innovation efforts
Maintain awareness of industry-leading models, competitor activity, and emerging practices relevant to managed care innovation
Help develop briefing materials, case studies, and internal reports to inform leadership and support scaling decisions
Qualification
Required
Master's Degree: MPH, MBA, MPP, MHA strongly preferred
At least eight to ten (8 to 10) years of experience in healthcare innovation, public program design, strategy, project management, or a related field
Working knowledge of Medicaid, Medicare, or duals programs, and familiarity with public sector healthcare delivery systems, as well as other safety net functions like juvenile justice or child welfare and behavioral health
Experience supporting or managing complex, cross-functional initiatives involving diverse internal and external stakeholders
Strong organizational and communication skills, with attention to detail and an ability to manage multiple priorities
Proficient in tools such as Excel, PowerPoint, project management software
Skilled collaborator, communicator, problem solver, detail oriented, and highly organized
Preferred
Fulsome understanding of health and human service issues such as, including eligibility, food insecurity, physical and nutritional health, behavioral health, and evidence-based practices to best meet the needs of high acuity populations
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
And more.
Company
AmeriHealth Caritas
AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.
10001+ employees
H1B Sponsorship
AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (18)
2024 (17)
2023 (12)
2022 (14)
2021 (4)
2020 (11)
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
Company data provided by crunchbase