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Our Members’ First Line of Support

Healthfirst provides members with quality care. Our Call Center Operations team is the first line of support directly assisting our members. Dafne helps call center representatives stay informed and inspired to provide the best possible member experience. Interested in joining our Operations team? Check out our available positions listed below.

Open Positions in Operations

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A&G QA Auditor

FL Req ID: R018442 Remote
100% RemoteConduct quality audits of A&G items including grievances, pre-service appeals, and post service appeals utilizing appropriate sources of information; including eligibility, claims, authorizations, service forms, faxes, and any additional information required to complete the...
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Director, Medicare Sales - Asian Market

NY Req ID: R018365 Hybrid
Direct all prospect and sales activities for Medicare products for a specified geographic area.Develop and Implementing strategies and policies relating to Medicare sales and service.Ensure interpersonal effectiveness among individuals both within Healthfirst and outside the organization.Develop...
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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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Project Manager - Operations

NY Req ID: R018130 Hybrid
** This position Hybrid NY or Hybrid FL Duties and Responsibilities:Organizes and leads the project team through the entire project life cycle.Works with internal and external teams as applicable to ensure business needs are clearly understood and the technology implemented meets the needs...
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Senior Scheduling Analyst

FL Req ID: R018540 Remote
This position is RemoteJob DescriptionPartner with Scheduling Analysts and WE Leaders to recommend and request modifications to schedules to increase schedule and operational efficienciesEffectively manage scheduling projects by setting clear project milestones and deliverables, and communicating...
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Sr. Analyst -Provider Reimbursement Analytics

NY Req ID: R018175 Hybrid
Duties and Responsibilities: Understand claim payments and impact of fee-schedule updates from State/CMS.Assist and monitor direct payment initiatives from the state for Provider OrganizationsResponsible for contract analysis and fee schedule modeling.Maintain current project logs and work plans...
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