Healthfirst

Manager, Hospital Strategic Account Management

NY  |  Req ID: R022023  |  Hybrid

Develop trusting and long-term relationships (with sponsor and non-sponsor hospitals/systems) with all key decision makers/influencers (including executive suite and managed care department personnel).Hospital/system Account expertise and deep understanding of customer and provider needsLeads the...

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Manager, Medicaid Strategic Initiatives

NY  |  Req ID: R022003  |  Hybrid

Identify key member cohorts and opportunities for achieving short- and long-term membership retention improvement strategiesAssist in the development of a member retention strategy through the use of segmentation modeling, member profiling, propensity scoring and targeted channel...

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Community Office Coordinator- Bronx

NY  |  Req ID: R022108  |  On-site

Job 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 Representatives during team...

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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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Internal Audit Analyst (Hybrid-NY)

NY  |  Req ID: R021921  |  On-site

Duties & Responsibilities:· Participate in the identification, rationalization, and evaluation of internal controls. Such activities may include (but not be limited to):· Maintain and update internal control / Model Audit Rule documentation, including Flow Charts, Process Narratives, Job...

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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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Bilingual Call Center Rep (Relationship Coordinator)

NY  |  Req ID: R021716  |  Remote

Duties and ResponsibilitiesHandling inbound and outbound calls to and from customers to address their needs while adhering to internal Service Levels standards. Creates and/or follow ups for up to 90 days on Long-Term Care (LTC) Leads and Opportunities entered in Salesforce.Create and/or follow...

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Product Owner - Enrollment and Billing Correspondence

NY  |  Req ID: R022121  |  Hybrid

This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church Street, NYC or 1101 Greenwood BLVD Lake Mary FLDefine & communicate the overall vision, objectives and goals of the business. Articulate the minimum viable product needs. Create, refine, socialize and...

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Director, Enterprise Delivery Services - Clinical

NY  |  Req ID: R021860  |  Hybrid

The Director is a leader on the Enterprise Delivery Services team and oversees multiple enterprise-wide teams, projects and programs that are broad in scope and independently manages large or mega projects that have enterprise-level strategic importance, high to very high risk and risk...

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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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Director Configuration, Benefit Administration

NY  |  Req ID: R021941  |  Hybrid

This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church Street, NYC Duties & Responsibilities:Develop and implement comprehensive operational strategies aimed at improving efficiency, productivity, and qualityLead initiatives to identify inefficiencies in...

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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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Forecast Planning Analyst

NY  |  Req ID: R022087  |  Remote

Key Responsibilities:Develop, maintain, and manage multichannel forecasts (e.g., calls, chat, digital, outreach) using established models and tools (e.g., Verint)Translate forecasts into capacity plans, including staffing requirements and shrinkage assumptionsPrepare and validate data inputs used...

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Principal Engineer, Cloud Systems

FL  |  Req ID: R022044  |  Remote

Duties & Responsibilities:Works vertically and horizontally across the Infrastructure and Operations portfolio supporting private/public cloud systems, operating systems, middleware, storage, database platforms, and other key infrastructure products.Assists department leadership by providing...

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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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Senior Reconciliation & Recovery Analyst

FL  |  Req ID: R021986  |  Hybrid

Duties & Responsibilities: Operate with intellectual curiosity and critically assess existing processes and procedures to identify opportunities for improvementDevelop complex analyses requiring the integration of multiple data sources, evaluation of data quality, and standardization of data...

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Process Manager Enrollment and Billing

FL  |  Req ID: R021896  |  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.Duties & Responsibilities:Ensuring successful execution of assigned business processesForecasting, tracking, trending and reporting out operational...

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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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