Healthfirst

The Senior Specialist leads special initiatives, small to mid-scale initiatives, and ad-hoc activities. This includes collaboration and coordination with internal business partners, contributors, and subject matter experts to ensure content is complete, accurate, and maximizes business opportunities. The Senior Specialist is responsible for supporting the Manager, Senior Manager, and Director with various product initiative planning and execution for initiatives included within the Healthfirst product portfolio, including collecting/organizing documentation to successful execution.

Duties & Responsibilities:

• Participates in product driven workgroups to provide input to product designs/enhancements and implementation plans.
• Works closely with cross functional teams such as Enrollment & Billing, Claims, Member Services, Compliance, Sales, Finance, Clinical/Network Management, and senior management in implementing new products, product enhancements, business implementations and, end to end process improvements.
• Plans, schedules, monitors, and reports on activities related to a project or assignment.
• Keeps all areas of the corporation informed through written and oral reports. Ensures communication to all areas impacted.
• Serves as the subject matter expert on product requirements to other business units.
• Must be able to perform additional duties as required
• Participate in the CMS Bid Planning and Submission processes
• Research and Analyze Market Trends

Minimum Qualifications:

• High School Diploma or GED Equivalent
• Excellent communication skills and strong analytical ability required.
• Ability to work cross-functionally across departments.
• Ability to adapt to constant change and competing priorities and ability to manage multiple projects simultaneously.
• Must be able to think strategically while managing tactical execution.
• Excellent organizational/project management skills
• Sense of urgency necessary to meet goals, objectives and deadlines
• 1-2 years’ experience with Managed Care Plans and Medicare Plans

Preferred Qualifications:

• Excellent interpersonal skills
• Able to work with people of varied management levels
• Knowledge of Company policy, procedures and organizational structure
• Masters degree from an accredited institution
• Experience completing and submitting a CMS Bid

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $57,400 - $78,030

• All Other Locations (within approved locations): $49,800 - $74,120

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.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.