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Senior Network Account Manager, FQHC

NY Req ID: R022143 Hybrid
Advance Healthfirst through superior customer service focused leadership in an assigned territory and team, which will help to optimize provider satisfactionEducate and train network representatives in key business principles around profitability, network adequacy, quality, etc.Promote successful...
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Actuarial Analyst

NY Req ID: R022147 Hybrid
Duties and Responsibilities:Build, maintain, and enhance actuarial forecasting models supporting the monthly Forecast and annual Budget processes.Analyze large healthcare claims, membership, and financial datasets to identify trends, risks, and opportunities.Monitor financial and operational...
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Medicare Inside Sales Representative

NY Req ID: R022024 Hybrid
Duties & Responsibilities: Stakeholder Engagement & Brand Representation Promotes hyper-local value propositions, acting as the Healthfirst ambassador in every phone call and enhancing Healthfirst brand and value propositionsDelivers effective sales presentations over the phone to...
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Appeals Specialist

NY Req ID: R022177 Remote
Key ResponsibilitiesResponsible for case development and resolution of non-clinical cases, such as: certain types of claim denials, member complaints, and member and provider appeals.  The end-to-end process requires the Specialist to independently:Research issuesReference and understand HF’s...
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Director Enterprise Delivery Services

NY Req ID: R022144 Hybrid
This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church Street, NYCThe Director Enterprise Delivery Services, in support of their assigned strategic focus area develops, implements, and executes strategies to deliver on the Healthfirst strategic plan. This person has...
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Lead Enterprise Process Architect

NY Req ID: R021629 Hybrid
This role establishes the methodologies, standards, and governance required to decompose business capabilities into reusable process components that can be executed by human workers, AI agents, digital workers, or hybrid human-agent teams. The role advances process architecture practices for the...
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Cyber Security Engineer

NY Req ID: R022084 Hybrid
This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church Street, NYCDuties and Responsibilities:Supports work related to security engineering and implementation of Healthfirst infrastructureAssist in ensuring IT security solutions and/or initiatives meet financial...
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Team Lead Enrollment and Billing

FL Req ID: R022026 Hybrid
Duties and Responsibilities:Oversee front line staff to ensure production deadlines are met, while meeting accuracy and quality standards for member enrollment and billing.Approve timecards, overtime and staffing needs for front line staff.Assist in developing metrics to report trending, root...
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Enterprise Data Architect

NY Req ID: R022066 Remote
Plays a leadership role in the definition and execution of the Information Management roadmap.Supports Enterprise Data Architecture roadmap by managing architectural runway for enterprise data model, enterprise data store/warehouse, information management, and advanced data analytics...
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Product Owner, PDO

NY Req ID: R021844 Hybrid
Define & communicate the overall vision, objectives and goals of the business. Articulate the minimum viable product needs. Create, refine, socialize and prioritize the Product backlogEnable delivery of Product Backlog by presenting backlog to team; creating, owning and refining well-formed...
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Change Manager

NY Req ID: R019440 Hybrid
Duties & Responsibilities:Manages assigned initiatives, including workplan development, stakeholder management, change management, implementation, success measurement, and communication of project status to business stakeholders.Partners with IT and Delivery teams in the delivery of technical...
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Team Lead Support Coordinator

NY Req ID: R022105 Hybrid
Duties and Responsibilities: Supervises the Coordinators activities such as creating cases; assessment screening; admission events; creating referral events within the MIS system; receiving and processing incoming correspondence; preparing and processing outgoing correspondence to members,...
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