Description and Requirements
Duties & Responsibilities:
- Assist MPIO team to
- Lead or participate in product-driven workgroups or provide input to product designs/enhancements and implementation plans
- Work with key stakeholders (including, but not limited to Regulatory, Claims Configuration, Provider Ops, Appeals & Grievance, Medical Management, Enrollment & Billing, Sales) to identify, scope and accurately implement new benefits, services, or other product changes, update processes and/or edit systems to accommodate regulatory requirements
- Lead or coordinate ad hoc projects such as process improvement initiatives and program implementations, when applicable
- Coordinate activities of product or project-specific cross-functional work teams / serve as liaison between product management and all levels of staff to assure ongoing effective administration of products
- Collaborate with various departments to ensure we are pro-actively troubleshooting issues and resolving them in a timely manner
- Monitor internal policies/procedures and job aids on a regular basis to ensure compliance with regulatory requirements and consistence with actual activities
- Support Medicare Product leadership in preparing and conducting product and lines of business (LOB) presentations and training to internal and external audiences
- Plan, schedule, monitor, and report on activities related to a project or assignment; ensure communication to all impacted areas
- Serve as a subject matter expert on product benefits and requirements to other business units
Minimum Qualifications:
- Undergraduate students must be a junior or senior at an accredited institution or have graduated within 12 months of the program. Graduate students must be enrolled at an accredited institution or have graduated within 12 months of the program.
- Will not require sponsorship for employment
- Eligible to work in the U.S.
- Must have a minimum of a 3.0 GPA from an accredited school
- Knowledge of project management concepts
Preferred Qualifications:
- Experience with Microsoft Word, Excel, and PowerPoint
- Organizational and project management skills
- Strong work ethic, attention to detail, ability to effectively manage time, and commitment to developing quality work quickly
- Ability to work independently
- Presentation abilities and process-mapping experience
- Strong written and verbal communication
- Ability to adapt to constant change and competing priorities, and to manage multiple projects simultaneously
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $39,208 - $52,000
All Other Locations (within approved locations): $34,091 - $49,920
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.