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Manager Contact Center Operations

FL Req ID: R020190 Hybrid
·       Leads and directs teams and functions related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats, onsite/remote/virtual/field location, onshore/offshore, on behalf of CCO. ·       Ensures KPIs including but not limited to...
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Manager Enrollment and Billing

NY Req ID: R020160 Hybrid
Duties and Responsibilities:Oversee the enrollment process, ensuring timely and accurate processing of new and modified enrollments, renewals, and terminations.Collaborate with internal teams (e.g., sales, customer service, compliance) to ensure seamless management of members.Monitor ,report, and...
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Manager, Claims

FL Req ID: R016620 Hybrid
Duties & Responsibilities: The Claims Manager is responsible for assisting examiners with clarification on claims processing. In addition, managing and communicating with both in-house and telecommuting staff. The incumbent is required to work in the office while managing staff that work from...
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Manager, Communication

NY Req ID: R018745 Hybrid
Leverages consumer insights and past marketing experience with health insurance plans to develop and drive strategies encompassing multi-channel campaigns. In collaboration with internal partners, builds integrated marketing plans, calendars, and defines appropriate key performance...
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Manager, Communications

NY Req ID: R018719 Hybrid
Leverages consumer insights and past marketing experience with health insurance plans to develop and drive strategies encompassing multi-channel campaigns. In collaboration with internal partners, builds integrated marketing plans, calendars, and defines appropriate key performance...
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Manager, Medicare Commissions

NY Req ID: R020905 Hybrid
Duties & Responsibilities:Has oversight of the entire broker appointment process to ensure proper completion of contracts and marketing agreements.Responsible for reviews of credentialing paperwork, confirmation of active licenses, and assignment of specific coding to be assigned to all new...
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Manager, Regulatory Complaints

NY Req ID: R016554 Hybrid
Duties & Responsibilities: Coordinates and leads the development, preparation, and submission of regulatory reports and filing materials, including but not limited to, product Rate & Form filings, and correspondence with various federal and state regulatory bodies. Serves as Subject Matter Expert...
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Marketing Manager

Req ID: R016508 Hybrid
Leverages consumer insights and past marketing experience with health insurance plans to develop and drive strategies encompassing multi-channel campaigns. In collaboration with internal partners, builds integrated marketing plans, calendars, and defines appropriate key performance...
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Marketing Representative

NY Req ID: R020111 On-site
Develop and maintain relationships with prospective members, community leaders, owner hospitals, community partners and current business partnersEnsure individual enrollment quotas are met based on tenureMaintain Healthfirst visibility in the community by monitoring multiple marketing locations...
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Marketing Specialist

NY Req ID: R016012
Manage a broad base of agencies, services and professionals as referral sources. Responsible for scouting new providers and referral sources, while meeting departmental guidelines. Must meet monthly referral goal per department guidelines. This includes: Obtaining weekly designated Licensed Home...
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MarketPlace FE

NY Req ID: R018764 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...
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MarketPlace FE

NY Req ID: R020066 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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Medicare Outside Sales Rep

NY Req ID: R021133 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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Medicare Outside Sales Rep

NY Req ID: R016408
Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners Ensures individual enrollment quotas are met based on tenure  Maintain Healthfirst visibility in the community by monitoring multiple marketing...
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Mgr Claims Support Group

NY Req ID: R016549 Hybrid
Duties and Responsibilities: Play a key role as Subject Matter Expert (SME) to support internal Operations staff and vendor resources as required. Support the development and operationalizing of departmental initiatives and strategies by working with Operations’ leaders and Project Management to...
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Mgr Claims Support Group

NY Req ID: R020048 Hybrid
Duties and Responsibilities: Play a key role as Subject Matter Expert (SME) to support internal Operations staff and vendor resources as required. Support the development and operationalizing of departmental initiatives and strategies by working with Operations’ leaders and Project Management to...
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