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Test 2 - Per Diem Care Manager

NY Req ID: R016452 Remote
Duties/Responsibilities: Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention. Develops care plans that align with the physician’s treatment plans and recommends...
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Test EVER - REF

Req ID: R016636 Hybrid
Duties/Responsibilities: ​ Manage current Right Plan Fit Activities including assignment, monitoring and measurement of both Core Product and Integrated Migration outreach programs Manage current Involuntary Disenrollment activities including assignment, monitoring and measurement of both Loss...
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Test EVER - REF - Child

Req ID: R016635 Hybrid
Duties/Responsibilities: ​ Manage current Right Plan Fit Activities including assignment, monitoring and measurement of both Core Product and Integrated Migration outreach programs Manage current Involuntary Disenrollment activities including assignment, monitoring and measurement of both Loss...
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Test EVER - REF - 3

Req ID: R016634 Hybrid
Duties/Responsibilities: ​ Manage current Right Plan Fit Activities including assignment, monitoring and measurement of both Core Product and Integrated Migration outreach programs Manage current Involuntary Disenrollment activities including assignment, monitoring and measurement of both Loss...
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Test Manager

NY Req ID: R016520 Hybrid
Duties & Responsibilities: Build, launch and oversee the talent acquisition strategy for his/her respective business area Develop deep market insights necessary to inform business decisions dependent upon the acquisition of talent, including labor market insights such as supply and demand,...
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Test MEDPRWFT

NY Req ID: R016616 Remote
Duties/responsibilities: ·       The Medical Director will assess/review requests for authorization, and claims payment, based on medical records and internal Healthfirst information and make informed clinical judgments and recommendations. ·       The Medical Director will render...
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test questionnaire

NY Req ID: R020193 Hybrid
•Partner with Application support staff to assign and prioritize work comprised of support requests, change requests, projects and system upgrades.•Regularly monitor and review staff’s performance using standard feedback and coaching methods. Create development and training plans to enhance staff...
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Test Req - CCO - James

IN Req ID: R001500 Remote
The Operations Contact Center Service Agent is responsible for assisting members & providers with issues and inquiries about our members and their insurance, applications and/or claims in one or more families of products, i.e., Medicare, Medicaid. The Service Agent is also responsible for...
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Test Sailpoint

NY Req ID: R016137 Remote
Business liaison SME that aligns to the business strategy and ISQA service delivery on Core strategic initiatives - Effectively align the Testing Support Services and the Testing services under the Quality Assurance Team for strategic planning as it pertains to build Vs Run - Participate in the...
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Test Sailpoint

NY Req ID: R016136 Hybrid
Duties & Responsibilities: Ensure successful onboarding and offboarding of Healthfirst delegated vendors Continuously review and update vendor performance goals and expectations Monitor and manages delivery of vendor services through periodic review meetings Leverage delegated vendor scorecards...
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Test Sailpoint

NY Req ID: R016138 Remote
• Ensure all strategic projects and operational projects meet the highest quality possible by following industry recognized QA methodologies and best practices. The candidate must have experience in structured testing methodology, with a proven ability to breakdown business...
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Test Sailpoint Email Address

NY Req ID: R016139 Hybrid
Duties & Responsibilities: Responsible for the documentation process and procedures for the Deskside Support team Responsible for hardware inventory management Manage and document for ticketing system operations Communicate policies and drive performance expectations, provide feedback to direct...
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TL Claims

FL Req ID: R018718 Hybrid
Duties & Responsibilities:Monitors staff production and performance in order to meet corporate performance goals. Provides ongoing coaching and feedback to staff.Ensures the accurate and timely adjudication of claimsPlans and organizes the daily operation of the Service Department, including...
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TL Claims

FL Req ID: R018720 Hybrid
Duties & Responsibilities:Monitors staff production and performance in order to meet corporate performance goals. Provides ongoing coaching and feedback to staff.Ensures the accurate and timely adjudication of claimsPlans and organizes the daily operation of the Service Department, including...
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TL Claims

FL Req ID: R018714 Hybrid
Duties & Responsibilities:Monitors staff production and performance in order to meet corporate performance goals. Provides ongoing coaching and feedback to staff.Ensures the accurate and timely adjudication of claimsPlans and organizes the daily operation of the Service Department, including...
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TL Claims

FL Req ID: R018716 Hybrid
Duties & Responsibilities:Monitors staff production and performance in order to meet corporate performance goals. Provides ongoing coaching and feedback to staff.Ensures the accurate and timely adjudication of claimsPlans and organizes the daily operation of the Service Department, including...
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TL Claims

FL Req ID: R016454 Hybrid
Duties & Responsibilites: Monitors staff production and performance in order to meet corporate performance goals. Provides ongoing coaching and feedback to staff. Ensures the accurate and timely adjudication of claims Plans and organizes the daily operation of the Service Department, including...
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