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assisting in analyzing claims configuration
developing and maintaining reporting tools
Claims Implementation Analyst
Comp not disclosed
6 shown for "Java Full stack developer"
Healthfirst
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Summary
The Claims Implementation Analyst role involves analyzing, implementing, and reporting claims configuration business rules. Key responsibilities include developing and maintaining reporting tools, querying and analyzing data, identifying root causes, and recommending decisions. The role requires pro...
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Senior Manager
Marketing Implementation
Sr Mgr, Marketing Implementation
Comp not disclosed
Summary
The Senior Manager, Marketing Implementation (Technical Project Management) will lead the Marketing Strategy team's operations and project management. Key responsibilities include providing senior-level oversight for project lifecycles, managing team capacity and resources, and collaborating with te...
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act as an ambassador in fostering HF culture
lead and support learning projects
Learning Delivery Specialist
Comp not disclosed
Summary
The Learning Delivery Specialist will serve as a culture ambassador, implementing and delivering content aligned with enterprise initiatives. They will lead learning projects, designing and developing classroom and virtual events, partnering with subject matter experts. Responsibilities include faci...
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excellent quality customer service
proficient in Microsoft Office Suite
Episodic Support Coordinator UM\/CM
Comp not disclosed
Summary
The Support Coordinator role involves assisting care/case managers with non-clinical tasks such as case and event creation, authorization management, telephonic outreach, and handling member mailings. The position requires excellent customer service skills, proficiency in Microsoft Office Suite, and...
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promoting compliance and regulatory requirements
developing
Payment Policy Analyst -100% Remote
Comp not disclosed
Summary
The Payment Policy Analyst at Healthfirst is responsible for promoting compliance and regulatory requirements. This role involves developing, drafting, and finalizing reimbursement policies, facilitating the policy process, and conducting industry research. The analyst collaborates with various depa...
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improving the quality of care
ensuring members receive appropriate services
Clinical Quality Manager
Comp not disclosed
Summary
The Clinical Quality Manager role involves working remotely to ensure members receive appropriate services, focusing on improving quality of care through HEDIS, QARR, and Medicare Advantage Star measures. Key responsibilities include interacting with hospitals, providers, and members to enhance care...
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