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Growing Our Network

Healthfirst is dedicated to educating the New York community on the importance of health insurance while sharing information on services that we offer. As Sr. Manager of Learning Delivery, Wanthony is responsible for leading and executing the learning experience for multiple business areas. Interested in joining our Sales and Marketing Team? Check out our available positions listed below.

Open Positions in Sales & Marketing

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Ancillary Srvs Contractor

NY Req ID: R018044 Hybrid
Manage a network of Ancillary Providers for all lines of Healthfirst's business (such as Medicaid, CHP, Medicare, and Commercial).   Monitor and audit contracted ancillary providers to ensure that accurate demographic, payment and fee schedules are loaded into the HF Provider System...
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Bilingual Entitlement Advocate

NY Req ID: R017361 Hybrid
SHP Renewal Line: (Inbound/Outbound):Handle 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...
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DSE Outreach Specialist

NY Req ID: R018334 Remote
Make outbound calls to Healthfirst network providers to validate member access to services and existing demographic information currently contained in the Healthfirst Provider Database in accordance with Access and Availability surveys and Provider Spot check. Outreach providers in support of...
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DSI Specialist

NY Req ID: R018012 Hybrid
Responsibilities:Ensure Providers' issues and needs are responded to in a timely and accurate fashion.Educate and communicate Healthfirst benefits, policies, changes, and impacts to the practice.Ability to review a Provider issue and work across internal departments to identify root cause,...
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Events Manager, Community Engagement

NY Req ID: R018239 Hybrid
Contributes to the strategic development of the CE engagements calendarResponsible for end-to-end event planning and implementationTracks Budgets and Vendor Management for Events and ConferencesManage project plans for long term and short-term InitiativesDirects the event reporting arm of the...
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Hospital Specialist

NY Req ID: R018315 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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Manager of Vendor Performance

NY Req ID: R017980 Hybrid
Duties & Responsibilities: Ensure successful onboarding and offboarding of Healthfirst delegated vendors. Continuously review and update vendor performance goals and expectations Monitor and manage delivery of vendor services through a full-service engagement model. Leverage delegated vendor...
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Manager, Facilitated Enroller

NY Req ID: R017125 On-site
THIS POSITION IS LOCATED IN THE FIELD SERVING:(BROOKLYN, NY OR BRONX, NY)Manage the sales and retention efforts of the Facilitated Enrollment and Retention Specialist staff for a specific geographic area. The FE Manager will be assigned to a specific region within the borough division.Responsible...
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Manager, Medicare Markets

NY Req ID: R017884 Hybrid
Duties/Responsibilities:Active analysis of complex financial reports with a P&L mindset to identify areas of performance improvement opportunity and to make informed business decisions.Leverage market and competitive intelligence reporting that summarizes and provides updates on the...
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Medicare Outside Sales Rep

NY Req ID: R017069 On-site
Duties & Responsibilities:Drive membership growth by acquiring new members while also meeting aggressive retention targets.Work directly with community-based organizations, providers, sales locations, and other sources to develop self-generated referral channels resulting in increased...
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Network Account Manager (Contracting Specialist)

NY Req ID: R018262 Hybrid
Serve as plan liaison for vendors/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...
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Senior Network Optimization Specialist

NY Req ID: R018196 Hybrid
Responsibilities:Develop tools and processes for efficient operational and reimbursement management of hospital and physician partners.Evaluate Medical Trend and other standard reporting identifying Network trend drivers and operational / financial opportunities.Collaborate with internal partners...
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Senior Retention Advocate

NY Req ID: R018086 Hybrid
Duties & Responsibilities:Contact 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 are in accordance to approved Healthfirst scriptsHas full and complete access to...
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Senior Retention Advocate Specialist

NY Req ID: R018169 Remote
Interprets product, procedural and regulatory information, and assists with the development of training curricula to provide field staff with available services.Administer new hire training and refresher training to the Senior Retention Advocates, Relationship Coordinators and Senior Retention...
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State Program Member Engagement Specialist (FE)

NY Req ID: R017031 On-site
Identify and educate potential members on all aspects of the plan including answering questions regarding plan’s features and benefits. Responsible for identifying and assisting current members who are due to recertify their healthcare coverage for Medicaid, EP, QHP and CHP by completing member’s...
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Team Lead, Entitlement Advocate

NY Req ID: R018051 Hybrid
Supervise Enrollment Medicaid Specialists. This includes observing staff in the field and conducting customer phone surveys to ensure all enrollment and Medicaid applications are completed in accordance with Company protocols and State regulations.Travel within NYC, Westchester, and Nassau...
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