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IT testing position

NY Req ID: R019841 On-site
Duties & Responsibilities: Monitor Field Service Agents during encounter with members to determine quality standards are being met including improvement of the overall member experience.Record/track quality assessment scores and provide feedback to reduce errors and improve processes and...
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Kainos - QA Lead Job Requisition

NY Req ID: R016605 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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Lead

NY Req ID: R019908 Remote
Duties & ResponsibilitiesIdentify root causes and make recommendations for process improvements to increase efficiency and improve overall productivityAssess, prepare, and address the operational impacts, workflow, and training issues related to any assigned project(s)Provide daily, weekly,...
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Lead

NY Req ID: R019888 Remote
Coordination of contracts with external and internal producers |Oversight of the entire appointment process to ensure proper completion of contracts and marketing agreements for internal agents and commercial brokers/GA |Responsible for review of credentialing paperwork, confirmation of active...
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LG Support Coordinator Test Req

NY Req ID: R016466 Remote
- Handles calls to and from members to assist with benefit questions/issues, schedule appointments, and screen assessments to identify risk factors which need closer intervention. - Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans. -...
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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, 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, 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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MarketPlace FE

NY Req ID: R020115 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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