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Director, Organizational Design

NY Req ID: R017823 Hybrid
Duties and ResponsibilitiesPrimary designer and lead on a variety of enterprise OD and OE initiatives with focused on organizational design.Develop the enterprise approach, frameworks, and tools informed by proven, science-based methods, with a bias for efficient, simple, user-friendly output and...
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Manager, Employee Relations | Hybrid NYC

NY Req ID: R017981 Hybrid
Duties and Responsibilities Partner with the Director, Employee Relations and HR Compliance to build a strategic Employee Relations Center of Excellence.Collaborate with and be a go-to resource for HR Business Partners for all Employee Relations issues, offering guidance on performance...
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Hospital Specialist

NY Req ID: R018315 Hybrid
Responsibilities:Managing day to day operational issues and concerns from hospital partners including but not limited to roster maintenance and claim issue root cause analysisManaging education/training regarding company-wide initiatives including but not limited to new product implementation,...
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Customer Experience Senior Specialist

NY Req ID: R017889 Hybrid
Job Duties & ResponsibilitiesDaily monitoring of journey tactics and campaigns to ensure launches were successfulAddress problems and troubleshoot journeys/campaigns Oversee or manage asset development/ projects from entry to completionAssist with the management of Journey Documentation and...
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Senior Retention Advocate

NY Req ID: R018086 Hybrid
Duties & Responsibilities:Contact member or primary caregiver by phone or letter to arrange a telephonic or in person interview to assess Medicaid/Medicare/Medicare Savings Program eligibility. Ensures all calls are in accordance to approved Healthfirst scriptsHas full and complete access to...
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Ancillary Srvs Contractor

NY Req ID: R018044 Hybrid
Manage a network of Ancillary Providers for all lines of Healthfirst's business (such as Medicaid, CHP, Medicare, and Commercial).   Monitor and audit contracted ancillary providers to ensure that accurate demographic, payment and fee schedules are loaded into the HF Provider System...
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State Program Member Engagement Specialist (FE)

NY Req ID: R017031 On-site
Identify and educate potential members on all aspects of the plan including answering questions regarding plan’s features and benefits. Responsible for identifying and assisting current members who are due to recertify their healthcare coverage for Medicaid, EP, QHP and CHP by completing member’s...
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Medicare Outside Sales Rep

NY Req ID: R017069 On-site
Duties & Responsibilities:Drive membership growth by acquiring new members while also meeting aggressive retention targets.Work directly with community-based organizations, providers, sales locations, and other sources to develop self-generated referral channels resulting in increased...
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Bilingual Entitlement Advocate

NY Req ID: R017361 Hybrid
SHP Renewal Line: (Inbound/Outbound):Handle inbound and outbound calls to and from customers to address their needs while adhering to our service level goals.Screen all incoming calls and handles accordingly.Transfer calls to appropriate staff, unit, or department.Assist callers requesting...
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Senior Network Optimization Specialist

NY Req ID: R018196 Hybrid
Responsibilities:Develop tools and processes for efficient operational and reimbursement management of hospital and physician partners.Evaluate Medical Trend and other standard reporting identifying Network trend drivers and operational / financial opportunities.Collaborate with internal partners...
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DSI Specialist

NY Req ID: R018012 Hybrid
Responsibilities:Ensure Providers' issues and needs are responded to in a timely and accurate fashion.Educate and communicate Healthfirst benefits, policies, changes, and impacts to the practice.Ability to review a Provider issue and work across internal departments to identify root cause,...
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Network Account Manager (Contracting Specialist)

NY Req ID: R018262 Hybrid
Serve as plan liaison for vendors/physicians/physician groups in a specified geographical area. Will be the main point of contact for all plan related issues including marketing, enrollment, contracting, billing and reimbursement.Responsible for the resolution of all issues, including those...
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Director, Medicare Sales - Asian Market

NY Req ID: R018365 Hybrid
Direct all prospect and sales activities for Medicare products for a specified geographic area.Develop and Implementing strategies and policies relating to Medicare sales and service.Ensure interpersonal effectiveness among individuals both within Healthfirst and outside the organization.Develop...
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Driver (CDL A, B or C)

NY Req ID: R018632 On-site
Checks the interior and exterior of the vehicle for cosmetic and operational concerns.Performs minor maintenance tasks on the vehicle when necessary, included but not limited to daily vehicle inspections and the inspection of all engine fluids.Maintains confidentiality by keeping all potential...
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ServiceNow Architect / Sr Developer

FL Req ID: R018193 Remote
Chief technical designer for ServiceNow code and architecture, responsible for overall ServiceNow code qualityProvide day-to-day administrative ServiceNow support, including advanced support via troubleshooting, implementing bug fixes and root cause analysisMonitor health, usage, and overall...
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Web Developer

CT Req ID: R018254 Remote
About HyphenHyphen is a healthcare technology company that makes it easy for health plans, providers and community organizations to share data and work together to deliver connected-care. As a subsidiary of HF Management Services, LLC, and an affiliate of Healthfirst, Hyphen was built with deep...
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Senior Manager - Engineering & Information Management

NY Req ID: R017962 Remote
This role is an integral member of the project delivery team responsible for maximizing the ROI. He/she will work with the business to understand future state needs to inform and direct the project work.  He/she is empowered by the organization to represent and make decisions for the end-users of...
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