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Hospital Specialist

NY Req ID: R022430 Hybrid
Responsibilities:Managing day to day operational issues and concerns from hospital partners including but not limited to roster maintenance and claim issue root cause analysisManaging education/training regarding company-wide initiatives including but not limited to new product implementation,...
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Community Office Coordinator

NY Req ID: R022294 On-site
Job Duties & Responsibilities:Improve 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 Outside Sales Rep

NY Req ID: R022291 On-site
Duties & Responsibilities:Drive membership growth by acquiring new members while also meeting aggressive retention targets.Work directly with community-based organizations, providers, sales locations, and other sources to develop self-generated referral channels resulting in increased...
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AVP Payment Configuration

NY Req ID: R021965 Hybrid
This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church Street, NYC​Implement and maintain the configuration of reimbursement rates and pricing methodologies needed to support contract terms with providers including contracted and out of network providersEnsure...
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Director Enterprise Delivery Services

NY Req ID: R022144 Hybrid
This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church Street, NYCThe Director Enterprise Delivery Services, in support of their assigned strategic focus area develops, implements, and executes strategies to deliver on the Healthfirst strategic plan. This person has...
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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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Sr Business Analyst -PDO

NY Req ID: R022418 Hybrid
Duties and Responsibilities:Identify defects and improve departmental performance by supporting quality, operation efficiency, and production goalsCommunicate departmentally and interdepartmentally to recommend and request new concepts and/or modifications to existing workflow, system set up,...
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Software Production Support Lead

NY Req ID: R022377 Remote
Duties & Responsibilities:Reviews and analyses the tickets escalated from the various program teams (including SAM, I&O, development) and ensure timely resolutionPrioritize tickets based on urgency, impact, and relevance, categorizing them as either needing further investigation,...
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Sr AI Security Engineer

NY Req ID: R021811 Hybrid
Duties and Responsibilities:Perform security architecture reviews and threat modeling for AI-enabled applications.Conduct hands-on security testing of LLM, RAG, and agentic AI solutions.Identify vulnerabilities including prompt injection, sensitive-data exposure, insecure retrieval, excessive...
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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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Manager, Clinical Pharmacist UM

NY Req ID: R022342 Hybrid
Job DescriptionDuties and Responsibilities: Responsible for developing clinical criteria, medical policies for provider administered medications, review of monthly reports for quality assurance, and staying current with literature, evidence-based medicine, and trends in medicine.Work with...
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21-40 of 56 results