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Developer

AZ Req ID: R018722 Remote
• Designs, develops, and maintains complex applications• Develops unit tests and provides code coverage to accurately test business logic and functionality• Participates in developing specifications such as user stories and designs• Solves or recommends solutions for complex issues and problems•...
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Developer II

AZ Req ID: R018750 Remote
• Designs, develops, and maintains complex applications• Develops unit tests and provides code coverage to accurately test business logic and functionality• Participates in developing specifications such as user stories and designs• Solves or recommends solutions for complex issues and problems•...
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Director, Clincial

CT Req ID: R018723 Hybrid
Designs, implements, and evaluates clinical initiatives and programs, in collaboration with key stakeholders, to improve access, clinical quality and medical cost management. Promotes a culture of shared learning and continuous quality improvementParticipates actively in strategic planning for BH...
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Facilitated Enroller

NY Req ID: R016407 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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Facilities Advisor

NY Req ID: R018729 On-site
Perform light building maintenance such as minor repairs of office furniture and replacement of ceiling tiles.Troubleshooting A/C electrical shorts and flushing out A/C drainage systems with building management.Complete daily work orders such as replacing light bulbs, maintaining proper operation...
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Field Service Agent

NY Req ID: R016366
Duties/Responsibilities: Provide high-quality customer service to providers and members across all LOBs with a variety of questions and issues on topics such as eligibility, benefits, claims process, escalations, and products Manage face-to-face encounters by interacting with customers to provide...
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Field Service Agent

NY Req ID: R016398 Hybrid
Duties/Responsibilities: Provide high-quality customer service to providers and members across all LOBs with a variety of questions and issues on topics such as eligibility, benefits, claims process, escalations, and products Manage face-to-face encounters by interacting with customers to provide...
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Finance Analyst

CA Req ID: R018738 Hybrid
Responsibilities:Evaluate business processes, anticipating requirements, uncovering areas for improvement, and developing and implementing solutionsLead ongoing reviews of business processes and developing optimization strategiesStaying up-to-date on the latest process and IT advancements to...
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Finance Coordinator

MA Req ID: R018730 Hybrid
Duties and Responsibilities:Responsible for financial analysis and reporting of assigned cost centers.  Produce monthly variance reports, vendor analysis and executive summaries to business owners.Responsible for monthly accrual preparation for assigned cost centers. Additionally, making all...
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Financial Data Analyst

NY Req ID: R016558 Hybrid
EMR adjustments: Create new adjustment files for any data that is not flowing through automated processes in data warehouse. These adjustments are also needed to fix any anomaly data in DWH. AX and GL interface: Controlling the data that flows from data warehouse to GL. GL and EMR reconciliation:...
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Fraud Examiner

Req ID: R017103 Remote
Submit standard RFIs for routine reviews, inclusive of requests made to external business partners such as Medicare Broker Field Marketing Offices (FMO); and Ancillary Agencies for member involved and impacted allegations of Theft and or Assault. Perform routine and basic reviews such as the...
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Healthcare Analyst

NY Req ID: R016553 Hybrid
UPDATE Provide support to the Provider Organizations performance improvement work groups. -Monitor costs and revenue trends for Provider Organizations and assist in understanding trends. -Understand and analyze impacts of new program changes. -Responsible for creating, modifying, and updating...
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Healthcare Analyst - TEST BG 2

NY Req ID: R016538 Hybrid
Analyze the financial performance of all Healthfirst products, identify favorable and unfavorable trends, develop recommendations to improve trends, communicate recommendations to management. Create financial models to evaluate the impact of provider reimbursement changes. Gather data and...
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Hospital Specialist

NY Req ID: R020014 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 analysis Managing education/training regarding company-wide initiatives including but not limited to new product implementation,...
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HR Sr. Analyst

NY Req ID: R016379 Remote
Duties & Responsibilities: Research and respond to a high volume of escalated inquiries from employees across the enterprise + HR via outlook and the HRSS Case Management tool for a variety of topics: Complex System Troubleshooting, Reporting, etc. and recommends solutions or alternate...
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Intern

NY Req ID: R020103 Hybrid
Minimum Qualifications:Undergraduate students must be a junior or senior at an accredited institution or have graduated within 12 months of the program. Graduate students must be enrolled at an accredited institution or have graduated within 12 months of the program.Will not require sponsorship...
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