Healthfirst

Field-Based Pediatric Assessment Nurse - Bronx

NY  |  Req ID: R018936  |  On-site

Duties and Responsibilities: Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and...

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Pediatric Assessment Nurse - Bronx/Manhattan $10,000 Sign On Bonus

NY  |  Req ID: R018935  |  On-site

Duties and Responsibilities: Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and...

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Senior Manager, Field Care Coordinator (Hybrid)

NY  |  Req ID: R018992  |  Hybrid

**This is a hybrid role and will have a mix of remote and in-office presence.Oversees the execution and delivery of departmental productivity and quality metrics; and customer-service standardsWorks to meet and exceed business objectives ensuring consistent achievement of all financial and...

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Bilingual Punjabi Field Care Coordinator (travel NYC area)

NY  |  Req ID: R019128  |  Hybrid

The schedule is Mon-Fri 9AM-5:30PM and requires travel to the boroughs, Westchester and Long Island. Please note you will only be scheduled for the in-home appointments in 1-2 zip codes close to each other on the same day.Duties/Responsibilities:Schedules and conducts multiple home visits per day...

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Bilingual Spanish Field Care Coordinator (Brooklyn)

NY  |  Req ID: R019132  |  Hybrid

The schedule is Mon-Fri 9AM-5:30PM and requires travel within Brooklyn. We are looking for candidates who reside in Brooklyn.Duties/Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members, including...

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Bilingual Albanian Field Care Coordinator (travel NYC area)

NY  |  Req ID: R019146  |  Hybrid

The schedule is Mon-Fri 9AM-5:30PM and requires travel to the boroughs, Westchester and Long Island. Please note you will only be scheduled for the in-home appointments in 1-2 zip codes close to each other on the same day.Duties/Responsibilities:Schedules and conducts multiple home visits per day...

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Director, Organizational Design and Strategic Workforce Planning

NY  |  Req ID: R017823  |  Hybrid

Duties and ResponsibilitiesPrimary designer and lead on a variety of enterprise OD and OE initiatives focused on, but not limited to, Organizational Design and Strategic Workforce Planning.Develop the enterprise approach, frameworks, and tools to implement organizational design and strategic...

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Behavioral Health Account Manager

NY  |  Req ID: R019053  |  Hybrid

Assists in the development and recruitment of the Behavioral Health network based on department needs and Healthfirst priorities.Negotiates and executes Single Patient Agreement for Out of Network providers in order to determine the provider’s payment arrangement.  Individual must be familiar...

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Manager, Network Account Manager

NY  |  Req ID: R018997  |  Hybrid

Develop trusting and long-term relationships with all key decision makers/influencers, including senior leaders and physiciansLocal provider market knowledge and expertise with deep understanding of customer and provider needsClaims troubleshootingLeads the strategic planning and contracting...

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Manager, Network Account Management

NY  |  Req ID: R018867  |  Hybrid

Develop trusting and long-term relationships with all key decision makers/influencers, including senior leaders and physiciansLocal provider market knowledge and expertise with deep understanding of customer and provider needsLeads the strategic planning and contracting process at the provider...

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Senior Network Optimization Specialist

NY  |  Req ID: R019215  |  Hybrid

Responsibilities:Develop tools and processes for efficient operational and reimbursement management of hospital and physician partners.Evaluate Medical Trend and other standard reporting identifying Network trend drivers and operational / financial opportunities.Collaborate with internal partners...

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Sr. Manager, Network Optimization

NY  |  Req ID: R019069  |  Hybrid

Job DescriptionResponsibilities:Own tools and processes for efficient operational and reimbursement management of hospital and physician partners.  A DSE leader to all analytic teams with focus on Revenue increase and Med Cost Savings opportunities.Lead the DSE effort, in collaboration with...

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Broker Account Manager

NY  |  Req ID: R018972  |  On-site

Duties & Responsibilities:Maintains a customer-centric approach to service that anticipates broker’s needs.Build strong downline partner relationships that enable growth and improve satisfaction with Healthfirst,Ensures routine partner needs are met and potential problems are averted.Acts as...

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Network Account Manager (Contracting Specialist)

NY  |  Req ID: R017307  |  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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Sales & Community Engagement Strategic Planning Specialist

NY  |  Req ID: R018594  |  Hybrid

Duties/ResponsibilitiesFacilitates cross-functional collaboration through regular retail site visits and daily coordination with multiple stakeholders including Sales, Member Services, EDS, Brand/Marketing, Facilities, Fleet, Technology/IT, Compliance to support existing retail...

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Driver (CDL A, B or C)

NY  |  Req ID: R018632  |  On-site

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...

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Sr Mgr, Marketing Analytics

NY  |  Req ID: R018742  |  Hybrid

Oversee an analytics program, including tagging maintenance, data collection, cross-channel data integration, reporting + Insights, dashboards, data visualization, data mining, predictive analytics, audience measurement, brand and competitive intelligence, site surveys.Work collaboratively...

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Manager, Facilitated Enrollment

NY  |  Req ID: R018791  |  On-site

Manage the sales and retention efforts of the Facilitated Enrollment and Retention Specialist staff for a specific geographic area. The FE Manager will be assigned to a specific region within the borough division.Responsible for maintaining relationships with a network of hospitals, community...

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Community Engagement Specialist (Queens/Nassau) or (Nassau/Suffolk)

NY  |  Req ID: R018920  |  On-site

The candidate must successfully achieve the following:Contribute to the development and implementation of strategies to build and nurture relationships with community partners, organizations, and stakeholdersCreate, maintain and foster the partnerships to drive positive impact and company...

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Medicare Broker Relationship Associate

NY  |  Req ID: R018971  |  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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