Healthfirst

Ancillary Services Network Account Manager

NY  |  Req ID: R022491  |  Hybrid

Monitor and audit contracted ancillary providers to ensure that accurate demographic, payment and fee schedules are loaded into the HF Provider System correctly.Manage a network of Ancillary Providers for all lines of Healthfirst's business (such as Medicaid, CHP, Medicare, and...

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Community Relations Specialist - Queens/Nassau

NY  |  Req ID: R022253  |  On-site

The candidate must successfully achieve the following: Contribute to the development and implementation of strategies to build and nurture relationships with community partners, organizations, and stakeholdersCreate, maintain and foster partnerships to drive positive impact and company...

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Field Entitlement Advocate

NY  |  Req ID: R022445  |  Hybrid

Duties and ResponsibilitiesSHP 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...

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Hospital Specialist

NY  |  Req ID: R022430  |  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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Senior Manager, Product Management and Strategy

NY  |  Req ID: R022545  |  On-site

Support developing presentations for on-going management meetings including the 3-Strategic Plan, Board & Committee meetings, Quarterly Business Reviews and other management meetings as needed.Lead the Monthly Operating Review agenda setting and work collaboratively across all departments to...

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Senior Provider Network Contractor – Out-of-Network Provider Negotiations

NY  |  Req ID: R022225  |  Hybrid

Strategic 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 outreach strategies to...

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