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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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Mgr, Print & Mail Ops

NY Req ID: R018717 Hybrid
Duties and Responsibilities:Manage Mail-room, Production, and Return Mail staffEnsure all print, fulfillments, and postage operations are completed according to existing SLA'sEvaluate current operations, develop an effective production schedule, and improve the overall level of print job...
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Mgr, Print & Mail Ops

NY Req ID: R018715 Hybrid
Duties and Responsibilities:Manage Mail-room, Production, and Return Mail staffEnsure all print, fulfillments, and postage operations are completed according to existing SLA'sEvaluate current operations, develop an effective production schedule, and improve the overall level of print job...
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Network Account Manager-4

NY Req ID: R016555 Hybrid
TESTING THE UPDATE Serve as plan liaison for 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...
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Operations Analyst

FL Req ID: R020107 Remote
Duties & Responsibilities: Complete daily, weekly and monthly analysis, reports, summaries and dashboardsReceive and respond to inquiries and complaints and interface with internal and external personnelSupport audit, compliance and regulatory responsibilitiesMeet SLA guidelines in creating...
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Operations Analyst - 100% Remote

NY Req ID: R016442 Remote
Duties & Responsibilities:  Complete daily, weekly and monthly analysis, reports, summaries and dashboards Receive and respond to inquiries and complaints and interface with internal and external personnel Support audit, compliance and regulatory responsibilities Meet SLA guidelines in creating...
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Operations Analyst - 100% Remote

FL Req ID: R016384 Remote
Duties & Responsibilities:  Complete daily, weekly and monthly analysis, reports, summaries and dashboards Receive and respond to inquiries and complaints and interface with internal and external personnel Support audit, compliance and regulatory responsibilities Meet SLA guidelines in creating...
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Operations Trainer

FL Req ID: R020100 Hybrid
-Facilitate and Delivery Training - conduct new hire, refresher and skills enhancement training for all operational areas, utilizing varying delivery methods based on business and audience needs, to include: Synchronous and Asynchronous (Live instructor led classroom and webinar capacity...
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Path 29 (00336 Paydoc Program)

NY Req ID: R016112 Hybrid
Duties/Responsibilities: Works with the AVP of Pharmacy Benefits and the Clinical Pharmacy Director to design and manage the Healthfirst Pharmacy Benefit for all Medicare plans. Strategically leads the development, planning and implementation of the annual pharmacy benefit cycle to ensure that...
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Payroll Admin

LA Req ID: R018739 Remote
Manager Support – Work with Asst. Director of Payroll to develop polices and procedures in the payroll department.Oversee day to day payroll operations in area of responsibility utilizing the Workday platform.Audit the work of staff members in area of responsibility.Partner Service – Respond to...
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PEGA Business Analyst

Remote
Job Description SummaryThe Pega Business Analyst is responsible to improve process effectiveness and efficiency through Pega solutions that accelerate Healthfirst’s strategic operational objectives and transform the experience for our Provider Partners, Customers and employees.Job...
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Pega Developer, BG TEST

FL Req ID: R016580 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...
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