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Senior Manager Clinical Eligibility

NY Req ID: R021813 Hybrid
Duties & Responsibilities:  Participates in all aspects of personnel management to ensure appropriate staffing, orientation, support, discipline, and timely performance appraisals.Meets regularly with direct reports to review goals, trends, and performance measures and to facilitate...
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Director, Utilization Management

NY Req ID: R021977 Hybrid
Duties/Responsibilities:Provide strategic direction and leadership to UM leaders and teams executing department functions including prior authorizations, concurrent reviews, and service requestsDevelop strong operational and leadership capabilities within the organization through performance...
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Information Owner

TX Req ID: R022276 Remote
Has decision rights and accountability for data collection, data movement, data quality, data definitions, data retention, and data use by both internal and external data consumersDirects consumers of data on utilization best practices; i.e data stewards, analyst, data architects, and...
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AVP, Community Engagement

NY Req ID: R021917
This is a hybrid position which consists of reporting to our 100 Church Street, NYC office 3 days per week (Tuesdays, Wednesdays & Thursdays).Responsibilities:Develop, align, and implement a community partnerships strategy that promotes Healthfirst in the targeted communities by working with...
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Bilingual Senior Retention Advocate

NY Req ID: R022331
Contacts members and/or primary caregivers by phone or letter to arrange a telephonic or in-person interview to assess Medicaid/Medicare/Medicare Savings Program eligibility. Ensures all calls and conversations are conducted in accordance with approved Healthfirst expectations. Educates and...
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Driver (CDL Class A, B or C )

NY Req ID: R022067 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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Ancillary Network Account Manager

NY Req ID: R021927 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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