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AVP, Customer Experience Strategy - Medicare

NY Req ID: R021418 On-site

Principal AccountabilitiesStrategy Development and Execution:Lead the creation and implementation of the Medicare customer experience strategy aligned with business objectives and regulatory requirementsOwn and evolve the Medicare member journey portfolio, identifying key moments that matter and...

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Director, Out-of-Network Contracting

NY Req ID: R021566 Hybrid

This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church St. New York, NY. ResponsibilitiesSet the enterprise strategy for Out-of-Network contracting, including rate methodologies, provider segmentation, and conversion strategies to bring high-utilization OON providers...

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Entitlement Advocate- Bilingual Spanish or Cantonese/Mandarin

NY Req ID: R021640 Hybrid

Duties and ResponsibilitiesHandle inbound and outbound calls to and from customers to address their needs while adhering to our service level goals.Screen all incoming calls and handles accordingly.Transfer calls to appropriate staff, unit, or department.Assist callers requesting assistance with...

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Field Entitlement Enrollment Specialist

NY Req ID: R021664 On-site

Duties & Responsibilities:Contacts member or primary caregiver by phone or letter to arrange a telephonic or in person interview to assess Medicaid/Medicare/Medicare Savings Program eligibility. Ensures all calls and conversations are conducted in accordance with approved Healthfirst...

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Field Entitlement Enrollment Team Lead

NY Req ID: R021665 Hybrid

Duties & Responsibilities:Supervises Retention Advocates- This includes observing staff in the field (travel within NYC, Westchester and Nassau counties) and conducting customer phone audits to ensure all activities are completed in accordance with Company protocols and State...

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FQHC Network Account Manager

NY Req ID: R021643 Hybrid

Serve as plan liaison for physicians/physician groups in a specified geographical area. Will be the main point of contact for all plan related issues including marketing, enrollment, contracting, billing and reimbursement.Responsible for the resolution of all issues, including those identified by...

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Hospital Specialist

NY Req ID: R021755 Hybrid

Responsibilities:Managing day to day operational issues and concerns from hospital partners including but not limited to roster maintenance and claim issue root cause analysisManaging education/training regarding company-wide initiatives including but not limited to new product implementation,...

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Medicare Sales Support Associate

NY Req ID: R021713 Remote

Responsible for coordinating events, presentations and enrollment opportunities, as directed by the Sales Managers, in order to execute, plan, and coordinate resources so that they can ensure a successful event.Live Healthfirst’s mission, our members are our North Star and our mission is guided...

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Project Planning & Operations Specialist

NY Req ID: R021520 Hybrid

Duties/ResponsibilitiesFacilitates cross-functional collaboration through regular retail site visits and daily coordination with multiple stakeholders including Sales, Member Services, EDS, Brand/Marketing, Facilities, Fleet, Technology/IT, Compliance to support existing retail sites.Identifies...

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Senior Field Entitlement Enrollment Specialist

NY Req ID: R021693 Hybrid

Duties & Responsibilities:Interprets product, procedural and regulatory information, and assists with the development of training curricula to provide field staff with available services.Administers new hire training and refresher training to the Senior Retention Advocates and Retention...

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Senior Provider Network Contractor - Out of Network Provider Negotiations

NY Req ID: R021524 Hybrid

Core ResponsibilitiesStrategic Out-of-Network Provider EngagementIdentify and prioritize high-cost, high-utilization, and strategically critical out-of-network providers and facilities based on claims data, network gaps, and regulatory network adequacy requirements.Develop and execute targeted...

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State Programs Member Engagement Specialist (Facilitated Enrollment)

NY Req ID: R021763 On-site

Engage in enrollment activities over the phone or in person through onsite coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO’s).Complete and review all applications prior to submitting to NYSOH marketplace.Assist members...

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Vendor Credentialing Specialist (Temp)

Req ID: R021743 Remote

Routine TasksDaily review of incoming credentialing cases across PITS and UPE, identify delegated providers and update case notes as needed, import new non-delegated initial providers into CVO, and assign cases to designated credentialing staff. Provide feedback and communicate issues to CVO as...

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Open Positions in Sales & Marketing

Filter jobs by

Filter jobs by

AVP, Customer Experience Strategy - Medicare

Director, Out-of-Network Contracting

Entitlement Advocate- Bilingual Spanish or Cantonese/Mandarin

Field Entitlement Enrollment Specialist

Field Entitlement Enrollment Team Lead

FQHC Network Account Manager

Hospital Specialist

Medicare Sales Support Associate

Project Planning & Operations Specialist

Senior Field Entitlement Enrollment Specialist

Senior Provider Network Contractor - Out of Network Provider Negotiations

State Programs Member Engagement Specialist (Facilitated Enrollment)

Vendor Credentialing Specialist (Temp)

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