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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...
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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...
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Specialist, Social Media

NY Req ID: R021484 On-site
The Specialist, Social Media is a key member of the Corporate Communications team, responsible for developing content, supporting social campaigns, analyzing performance, and identifying opportunities to engage with communities and build awareness of the value Healthfirst provides to members and...
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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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Senior Network Account Manager

NY Req ID: R021405 Hybrid
· Advance Healthfirst through superior customer service focused leadership in an assigned territory and team, which will help to optimize provider satisfaction· Educate and train network representatives in key business principles around profitability, network adequacy, quality, etc.· Promote...
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Field Sales Support Associate

NY Req ID: R021039 Remote
Duties & Responsibilities: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...
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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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Enterprise API Architect

NY Req ID: R020450 Remote
Duties & Responsibilities:Demonstrated knowledge in designing RESTful APIs aligned with industry best practices, modern integration architectures, and AI-supported design accelerators.Experience with Swagger/OpenAPI specifications and the use of AI-assisted documentation and schema generation...
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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 48 results