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Appeals Specialist

FL Req ID: R021274 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...
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Product Strategy Analyst

NY Req ID: R021146 Hybrid
Duties & Responsibilities:· Work collaboratively with finance analysis, sales, population health, operations, marketing, and other departments as necessary to support strategic plans to achieve market growth, quality and financial objectives· Compile information from multiple sources to...
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Field Sales Support Associate

NY Req ID: R021039 Remote
Responsible for coordinating events, presentations and enrollment opportunities, as directed by the Sales Managers, in order to execute, plan, and coordinate resources so that they can ensure a successful event.Live Healthfirst’s mission, our members are our North Star and our mission is guided...
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Entitlement Advocate

NY Req ID: R020994 Hybrid
Duties 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, or...
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Sr. Retention Advocate

NY Req ID: R021246 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 with  approved Healthfirst scriptsHas full and complete...
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Scrum Master

NY Req ID: R021229 Hybrid
This position requires three days per week in office (Tues//Wed//Thurs) at either: 100 Church Street, NYC or 1101 Greenwood, Lake Mary, FL.Description & Responsibilities:Fostering Communication - creating channels and translating Scrum nuanced languageProtecting the team - acting as a buffer...
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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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Data Platform Architect

NY Req ID: R020718 Remote
Key Responsibilities:Architect and Design the Data Lakehouse: Lead the design and implementation of a scalable and secure Data Lakehouse on AWS, including data storage and compute layers.Storage Solutions: Design and implement storage solutions using AWS services like S3, Iceberg,Integrate...
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21-40 of 45 results