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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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AVP, Vendor Contracting

NY Req ID: R018408 Hybrid
Execute an effective vendor management governance and oversight frameworkProvide senior leadership-level oversight and guidance across all vendor management risk areas between vendors and business ownersDevelop and contributes to continuous improvement in vendor governance and performanceLead...
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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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Customer Experience Senior Specialist

NY Req ID: R017889 Hybrid
Job Duties & ResponsibilitiesDaily monitoring of journey tactics and campaigns to ensure launches were successfulAddress problems and troubleshoot journeys/campaigns Oversee or manage asset development/ projects from entry to completionAssist with the management of Journey Documentation and...
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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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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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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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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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