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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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Marketing Strategy Specialist

NY Req ID: R021478 Hybrid
Job DescriptionMonitors policies/processes and achieves marketing strategy deliverablesLeads or assists with the creation of sales collateral and member engagement materials, such as sales tools, welcome kits, newsletters, member portal, fitness rewards program, birthday emails, member mailings,...
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Community Office Coordinator

NY Req ID: R021752 On-site
Job Responsibilities/DutiesImprove overall member experience and reduce waiting time in order to expedite traffic flowRegister and educate members in the HF Member portal (access online services)Audit and Review applications to ensure quality and reduce rejectionsConduct training to...
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Medicare Sales Support Associate

NY Req ID: R021713 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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Account Specialist

NY Req ID: R021703 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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Grievance Specialist

FL Req ID: R021865 Remote
Key Responsibilities:Independently manage a caseload of grievances through the full case lifecycle, from written acknowledgement to investigation, resolution, and written member resolution letters.Conduct detailed research by collaborating cross-functionally with internal departments (e.g.,...
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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,...
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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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Clinical Quality Manager

NY Req ID: R021902 Hybrid
Interacts with hospitals, providers, and members to improve quality of care, monitor progress, and recommend changesReviews billing codes, medical records, and claims submission process to ensure accuracyAttends and facilitates any initiative meetings (studies, partnerships) that involve targeted...
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21-40 of 53 results