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Manager of Assessment Nurses

NY Req ID: R020546 Hybrid
Duties and Responsibilities: Leads and manages daily Reassessment Nurse operations such as overseeing scheduling and staffing, providing clinical consultations, and ensuring departmental productivity goals are met in regards to quality, timeliness, accuracy, and consistency.Coordinates and...
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Peer Support Specialist NYC (Hybrid)

NY Req ID: R019831 Hybrid
Duties/Responsibilities:Manages designated caseload of members who could benefit from Peer Support services, care coordination, and health navigationSchedules and conducts multiple field-based visits per day (clustered by geographic areas)Completes assessments and questionnaires to identify...
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Manager Assessment Nurse

NY Req ID: R020629 Hybrid
Duties and Responsibilities: Leads and manages daily Reassessment Nurse operations such as overseeing scheduling and staffing, providing clinical consultations, and ensuring departmental productivity goals are met in regards to quality, timeliness, accuracy, and consistency.Coordinates and...
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Manager Field Care Coordinator

NY Req ID: R020573 Hybrid
Duties and ResponsibilitiesManages FCC Team Leads by providing coaching, development, and support to build effective and engaged field teamsMonitors team performance, addresses resource needs, and ensures consistent execution of care coordination workflows and protocolsAnalyzes and presents team...
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Claims Configuration, Product Owner

NY Req ID: R020681 Hybrid
Define and communicate the overall vision, objectives, and goals of the business. Articulate the minimum viable product needs. Create, refine, socialize, and prioritize the work inventory backlog.Enable delivery of reimbursement configuration work by creating, owning, and refining well-formed...
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Support Coordinator

NY Req ID: R020725 Remote
Job DescriptionDuties and Responsibilities: Provides excellent quality customer service to our members and/or providers relating to authorization updates, questions/issues such as coordinating care, DME outreach, scheduling appointments, and screen assessments to identify risk factors which need...
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Support Coordinator

NY Req ID: R020720 Remote
**This position is 100% Remote Duties and Responsibilities: Provides excellent quality customer service to our members and/or providers relating to authorization updates, questions/issues such as coordinating care, DME outreach, scheduling appointments, and screen assessments to identify risk...
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Bilingual Sr Retention Advocate

NY Req ID: R020377 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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Director of Social Media

NY Req ID: R020458 Hybrid
Role & ResponsibilitiesDevelop a vision and strategy that differentiates Healthfirst on our social media channels (LinkedIn, Facebook, Instagram, WeChat, YouTube), aligned with the company’s brand, reputation and business goalsDefine annual objectives for social media channels and measurement...
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External Communications Manager

NY Req ID: R020502 Hybrid
Duties/Responsibilities:Under the guidance of the Director of Communications at Healthfirst, identify media opportunities, develop pitches, and proactively secure earned media coverage that supports Healthfirst’s brand and business priorities.Collaborate with Social Media team to execute...
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Entitlement Advocate

NY Req ID: R020496 Hybrid
Job DescriptionDuties and ResponsibilitiesSHP 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,...
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Account Specialist- Mid Hudson

NY Req ID: R020628 On-site
Duties and Responsibilities: Identifies potential members and designs a plan to educate potential members regarding the health benefits and care that is tailored for the member as well as provide information regarding the particular plan’s features and benefits. For existing members, will review...
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