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Comp not disclosed
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Pediatric Care Manager role
planning and managing pediatric medical and behavioral care
Pediatric Care Manager
Comp not disclosed
Summary
The Pediatric Care Manager role involves planning and managing pediatric medical and behavioral care, adhering to standards for various populations. This remote position requires a licensed professional with pediatric experience, responsible for developing a member-centric care plan, coordinating wi...
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Director of Reimbursement Configuration
developing
Director, Reimbursement Configuration
Comp not disclosed
Summary
The Director of Reimbursement Configuration at Healthfirst is a pivotal role responsible for developing and coordinating claim reimbursement patterns across various technology platforms. This role involves leading cross-functional teams, analyzing complex configuration defects, and ensuring accurate...
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Tech Early Career Program liaison
key liaison between Head Mentor
Program Liaison IT Early Career Development
Comp not disclosed
Summary
The job posting is for a Tech Early Career Program liaison role. The successful candidate will serve as a key liaison between the Head Mentor, stakeholders, and early career associates. Key responsibilities include creating templates for feedback, Visio diagrams, intake forms, and tracking associate...
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business process review
data analysis
Sr. PDM Business Analyst
Comp not disclosed
Summary
The Senior PDM Business Analyst role involves business process review, data analysis, and reporting to ensure operational effectiveness. Responsibilities include coordinating workflow, guiding junior analysts, maintaining reporting, and recommending decision-making. The role requires a high school d...
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Comp not disclosed
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assisting primary care/case managers
conducting outreaches for newly enrolled members
Support Specialist
Comp not disclosed
Summary
The Support Specialist role involves assisting primary care/case managers with non-clinical tasks such as telephonic outreaches, handling member mailings, and managing a caseload. Key responsibilities include conducting outreaches for newly enrolled members, reviewing intake documents, and initiatin...
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in-person liaison
high-quality customer service
Field Service Agent - Queens\/Bilingual Spanish
Comp not disclosed
Summary
The Field Service Agent role at Healthfirst involves acting as a liaison between the company and its customers, addressing inquiries and complaints, and promoting member retention. Duties include providing high-quality customer service, managing face-to-face encounters, de-escalating dissatisfied si...
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Generate and review State billing files
Ensure operational effectiveness
Billing Operations Analyst - Hybrid NY
Comp not disclosed
Summary
The Billing Operations Analyst is responsible for generating State premium revenue and ensuring operational effectiveness. The role involves coordinating with the IT department, reviewing billing files, and analyzing General Ledger reports. The ideal candidate has experience in billing and accounts ...
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providing administrative support
managing VPs' phone lines and calendars
Sales Support Administrator
Comp not disclosed
Summary
The Sales Support Administrator role at PHSP involves providing administrative support to the Facilitated Enrollment Sales department, managing VPs' phone lines and calendars, assisting with conference room bookings, preparing reports and presentations, onboarding new hires, coordinating equipment r...
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Manages a team of specialists
Delivers training to employees
Team Lead, A&G Non Clinical Specialist
Comp not disclosed
Summary
The Appeals & Grievances (A&G) team at Healthfirst manages member complaints, grievances, and appeals, collaborating with various divisions to resolve issues efficiently. Non-clinical team leaders oversee specialists, guiding them in gathering facts, applying sound decision-making, and drafting clea...
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improve member experience
reduce voluntary disenrollment
Associate Medicare Retention Programs
Comp not disclosed
Summary
Healthfirst is hiring a Medicare Retention Strategy Manager to oversee and measure customer retention initiatives, analyze outcomes of new member welcome events, and strategize with internal stakeholders to improve member experience and reduce voluntary disenrollment.
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