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Manage current Right Plan Fit Activities
Strategize with internal stakeholders
Associate Medicare Retention Programs
Comp not disclosed
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Healthfirst
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Summary
The job description is for a role focused on member migration and Medicare retention programs. The position involves managing existing outreach programs, strategizing with internal stakeholders, and monitoring initiative outcomes. The role requires a bachelor's degree, program management experience,...
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performing various tasks
shipping & receiving parcels
Mail Operations Clerk
Comp not disclosed
Summary
The Mail Operations Clerk is responsible for performing various tasks such as routing, distributing, printing and mailing correspondence, shipping & receiving parcels, and working with third party vendors to process incoming and outgoing correspondence. The clerk adheres to all departmental processe...
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manages the pharmacy benefit
drives initiatives to manage drug spend
Clinical Pharmacist, Provider Engagement - Hybrid NY
Comp not disclosed
Summary
The Clinical Pharmacist role at Healthfirst involves collaborating with various teams to manage drug spend, reduce medical costs, and improve quality measures. Key responsibilities include establishing relationships with partner hospitals and providers, providing strategic recommendations to decreas...
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manages the pharmacy benefit
drives initiatives to manage drug spend
Clinical Pharmacist, Pharmacy Engagement - Hybrid NY
Comp not disclosed
Summary
The Clinical Pharmacist role at Healthfirst involves collaborating with various teams to manage drug spend, reduce medical costs, and improve quality measures. Key responsibilities include establishing relationships with partner hospitals and community pharmacies, providing strategic recommendations...
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Care Management Manager
team supervision
Manager, Care Management
Comp not disclosed
Summary
This job description outlines the role of a Care Management Manager, including team supervision, care coordination, and qualifications. It details responsibilities, required licenses, and compensation ranges in New York and other locations.
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supervising a team to coordinate services
ensuring mission of the program
Mgr Clinical
Comp not disclosed
Summary
The Manager of Care Management supervises a team of RN's, Social Workers, and Coordinators to ensure appropriate services and care management for members across Healthfirst product lines like CompleteCare, Medicaid, and Medicare. The role involves developing team goals, conducting performance review...
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assisting in analyzing claims configuration
developing and maintaining reporting tools
Claims Implementation Analyst
Comp not disclosed
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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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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