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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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Change Manager - Modernization (PayDoc)

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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Field Service Agent

NY Req ID: R020648 On-site
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 productsManage face-to-face encounters by interacting with customers to provide...
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Knowledge Management Specialist

NY Req ID: R020622 Remote
Writing, formatting, editing, and validating various technical documents.Ensuring all documentation uses standard templates.Interpret Technical Data - Analyzes and interprets technical data to determine relevant material for publication by collaborating with subject matter experts.Identifying and...
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Manager Enrollment and Billing

NY 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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QA Auditor, Appeals and Grievances

NY Req ID: R020619 Remote
Duties and Responsibilities:Conduct 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...
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