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HRBP Manager, IT – Hybrid NY

NY Req ID: R021558 Hybrid
Scope of ResponsibilitiesProactively supports the delivery of all HR initiatives and processes.Builds a strong business relationship with the internal clients and serves as a key advisor and confidante, enabling strong management and leadership for the Department.Facilitates the design and...

Manager, Appeals and Grievances

NY Req ID: R021619 Hybrid
Work ScheduleThis position requires three days per week in office (Tues/Wed/Thurs) at either: 100 Church St. New York, NY. or 1101 Greenwood Blvd. Lake Mary, FL.Duties and Responsibilities:Ensure management team is accurately monitoring performance through daily meetings, coaching, feedback,...

Claims Coding Analyst

FL Req ID: R021325 Hybrid
Work ScheduleThis position requires three days per week in office (Tues/Wed/Thurs) at either: 1101 Greenwood Blvd. Lake Mary, FL. or 100 Church St. New York, NY. Duties & Responsibilities: Conducts independent assessments of current claims edits to ensure comprehensive and defensible claims...

Director Utilization Management

NY Req ID: R021231 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...

Broker Account Manager

NY Req ID: R021600 On-site
Duties & Responsibilities:Maintains a customer-centric approach to service that anticipates broker’s needs.Build strong downline partner relationships that enable growth and improve satisfaction with Healthfirst,Ensures routine partner needs are met and potential problems are averted.Acts as...

FQHC Network Account Manager

NY Req ID: R021643 Hybrid
Serve as plan liaison for 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 identified by...
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