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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 Coding Analyst

FL Req ID: R019325 Hybrid
Duties & Responsibilities: Conducts routine assessments of current claims edits and ensures comprehensive and defensible editing across all Healthfirst product lines.Proactively identifies areas of opportunity with respect to new edits and modifications to existing edits.Leads implementation...
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Claims Implementation Analyst

NY Req ID: R018998 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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Director Medicare Telesales

NY Req ID: R019339 Hybrid
Duties & Responsibilities:Develops, refines, and executes Medicare telesales strategy, including partnership with Dial America and across the various sales channelsLeads efforts with supporting areas (e.g., Analytics, Development, etc.) and stakeholders within the Medicare Sales team to...
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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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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 & Billing

NY Req ID: R018961 Hybrid
•Implements and communicates departmental standards•Manages employee performance and the quality of the team's work•Monitors productivity reports and department report card•Manages and develops Team Leads to be effective leaders•Works with Team Leads to establish and implement departmental goals,...
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Nursing Home Liaison

NY Req ID: R019480 Hybrid
Duties and Responsibilities:Conduct and coordinate monthly enrollments for permanently placed consumers enrolling in the Managed Long Term Care program.Provides administrative support to the Intake & Enrollment department by acting as liaison between Nursing Homes and our Care Management and...
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Sr. Manager Provider Operations

NY Req ID: R019379 Hybrid
Leads annual review of Provider Manual and updates/revisions by collaborating across teams including Delivery System Engagement, Marketing, Legal, and Regulatory to ensure compliance with Healthfirst, state, and federal government requirementsLeads project management support for projects as...
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