Skip to content

Redefine your search:

Filter jobs by

  • Job Title
  • State
  • Work Type
  • Department

Learning Delivery Specialist RN

NY Req ID: R022529 Hybrid
Duties & Responsibilities: Facilitate and deliver learning events to support the enterprise encompassing all business units.Serve as subject matter expert (SME) in the design and development of learning content partnering with business leaders and the instructional design group.Assist with...
Apply Learn more >

Senior Manager Clinical Eligibility

NY Req ID: R021813 Hybrid
Duties & Responsibilities:  Participates in all aspects of personnel management to ensure appropriate staffing, orientation, support, discipline, and timely performance appraisals.Meets regularly with direct reports to review goals, trends, and performance measures and to facilitate...
Apply Learn more >

LTC Care Coordinator (Spanish Fluency)

NY Req ID: R022463 Remote
Duties and Responsibilities: Receive incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors requiring medical interventionContemporaneously and accurately documents...
Apply Learn more >

Clinical Quality Specialist

NY Req ID: R022439 Hybrid
Duties & Responsibilities:Performs HEDIS medical record review, abstraction, data entry and validation activities in accordance with NCQA guidelines and organizational policies.Reviews and validates clinical documentation and coding from electronic medical records (EMRs), provider records,...
Apply Learn more >

Staff Accountant - Hybrid NY

NY Req ID: R022627 Hybrid
Hybrid Work Schedule:This role is considered hybrid which consists of working at our office located at 100 Church Street, NYC 3 days per week (Tuesday/Wednesday/Thursday). Duties/Responsibilities:Ensure all accounts are reconciled monthly and work with other stakeholders within Finance such as...
Apply Learn more >

Field Service Agent - Brooklyn - Spanish

NY Req ID: R022428 On-site
**M-F schedule from 9-5:30pm at Community Office located at Sunset Park 5th Ave. Duties/Responsibilities:Provide high-quality customer service to providers and members across all LOBs with a variety of questions and issues on topics such as eligibility, benefits, claims process, escalations, and...
Apply Learn more >

Fleet Driver

NY Req ID: R022606
Checks the interior and exterior of the vehicle for cosmetic and operational concerns.Performs minor maintenance tasks on the vehicle when necessary, included but not limited to daily vehicle inspections and the inspection of all engine fluids.Maintains confidentiality by keeping all potential...
Apply Learn more >

Field Entitlement Advocate

NY Req ID: R022445 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 department.Assist...
Apply Learn more >

Sr Risk Adjustment Analyst

NY Req ID: R022597 On-site
Job DescriptionAnalyze the financial performance of all Healthfirst products, identify favorable and unfavorable trends, develop recommendations to improve trends, communicate recommendations to management.Create financial models to evaluate the impact of provider reimbursement changes.Gather...
Apply Learn more >
1-20 of 45 results