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Our Members’ First Line of Support

Healthfirst provides members with quality care. Our Operations team members are the first line of support directly assisting our members. These teams collaborate to streamline processes that drive positive change. Interested in joining our Operations team? Check out our available positions listed below.

Open Positions in Operations

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Claims Implementation Analyst

NY Req ID: R020026 Remote
Duties & ResponsibilitiesAnalyze contract terms, prepare fee schedules and accurately document file changes into the claims processing system Research and identify published updates to payment methodologies, fee schedules and claims editing policies from Medicare, Medicaid, and third-party...
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Claims Modernization - Process Engineer

NY Req ID: R020178 Hybrid
Duties & Responsibilities:Unified Process Improvement: Support the modernization of claims and provider payment processes to achieve alignment between operations and technology.Process Mapping and Value Stream Mapping (VSM): Develop detailed process maps and value stream analyses to identify...
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Driver (CDL A,B,OR C)

NY Req ID: R019343 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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Manager Enrollment and Billing

FL Req ID: R020160 Hybrid
Duties and Responsibilities:Oversee the enrollment process, ensuring timely and accurate processing of new and modified enrollments, renewals, and terminations.Collaborate with internal teams (e.g., sales, customer service, compliance) to ensure seamless management of members.Monitor ,report, and...
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Sr Relationship Coordinator

NY Req ID: R020203 Hybrid
The Senior Relationship Coordinator will handle escalated customer complaints upon customer or executive request and utilize escalations as a method to train and develop staff working closely with management and the Quality Assurance Team.Job DutiesContribute to the development and implementation...
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