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Our Members’ First Line of Support

Healthfirst provides members with quality care. Our Call Center Operations team is the first line of support directly assisting our members. Dafne helps call center representatives stay informed and inspired to provide the best possible member experience. Interested in joining our Operations team? Check out our available positions listed below.

Open Positions in Operations

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Per - Care manager-21

Req ID: R016357 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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Policy & Process Analyst

NY Req ID: R017197 Remote
Duties & Responsibilities: Writing, formatting, editing, and validating various technical documents. Ensuring all documentation uses standard templates. Interpret Technical Data - Analyzes and interprets technical data to determine relevant material for publication by collaborating with subject...
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QA Kainos - Test Manager

NY Req ID: R020019 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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QA Test Manager

NY Req ID: R020197 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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QA Test Manager

NY Req ID: R020016 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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QA Test Manager

NY Req ID: R020079 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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QA Tester

NY Req ID: R018727 Remote
Duties & ResponsibilitiesEvaluate the design and effectiveness of controls to manage risk within our risk appetite and toleranceAudit activities of various groups for compliance with key controls compliance with plans, policies, procedures, regulatory requirements and best practices.Perform...
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Relation Coord Inbound

NY Req ID: R020096 Remote
Ability to multitask and remain focused in an environment with distractionsReceives and screens all incoming callsEnters referrals into Salesforce-database systemTransfers all incoming calls to appropriate staff, unit, or departmentAssist callers requesting MSP (Medicare Savings Program)...
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Relation Coordinator

NY Req ID: R016566 Remote
Ability to multitask and remain focused in an environment with distractions Receives and screens all incoming calls Enters referrals into Salesforce-database system Transfers all incoming calls to appropriate staff, unit, or department Assist callers requesting MSP (Medicare Savings Program)...
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RELATIONSHIP COORDINATOR

NY Req ID: R020118 Remote
Duties and ResponsibilitiesHandling inbound and outbound calls to and from customers to address their needs while adhering to internal Service Levels standards. Creates and/or follow ups for up to 90 days on Long-Term Care (LTC) Leads and Opportunities entered in Salesforce.Create and/or...
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Relationship Coordinator

NY Req ID: R017057 Remote
Duties and Responsibilities Handling inbound and outbound calls to and from customers to address their needs while adhering to internal Service Levels standards. Creates and/or follow ups for up to 90 days on Long-Term Care (LTC) Leads and Opportunities entered in Salesforce. Create and/or...
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Relationship Coordinator

NY Req ID: R020102 Remote
Duties and Responsibilities:Handling inbound and outbound calls to and from customers to address their needs while adhering to internal Service Levels standards. Creates and/or follow ups for up to 90 days on Long-Term Care (LTC) Leads and Opportunities entered in Salesforce.Create and/or follow...
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Relationship Coordinator

NY Req ID: R020109 Remote
Duties and ResponsibilitiesHandling inbound and outbound calls to and from customers to address their needs while adhering to internal Service Levels standards. Creates and/or follow ups for up to 90 days on Long-Term Care (LTC) Leads and Opportunities entered in Salesforce.Create and/or follow...
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Relationship Coordinator

NY Req ID: R016409 Remote
Duties & Responsibilities: Ability to multitask and remain focused in an environment with distractions. Receives and screens all incoming SHP calls and handles Maximus ""warm transfer calls"". Enters all referrals into pre-enrollment database system. Transfers all incoming calls to appropriate...
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Relationship Coordinator-6

NY Req ID: R016601 Remote
Working under the direction of the Relationship Manager, maneuvers multiple tasks independently with a fast|paced proactive vs. reactive approach to changing priorities, call volume and telemarketing call/appointment goals. Attention to managing many details and remaining focused in an...
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Senior Relationship Coordinator

NY Req ID: R016434 Hybrid
The Senior Relationship Coordinator will handle escalated customer complaints upon customer or executive request and utilize escalations as a method to train and develop staff working closely with management and the Quality Assurance Team. Contribute to the development and implementation of...
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Service Agent

NY Req ID: R021196 Remote
Duties and Responsibilities Provides excellent quality customer service to our members and/or providers relating to all aspects of member/provider questions and issues such as eligibility, benefits, claims process, escalations, and product questions, etc. May include but is not limited to...
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Service Agent

FL Req ID: R016596 Remote
Duties and Responsibilities Provides excellent quality customer service to our members and/or providers relating to all aspects of member/provider questions and issues such as eligibility, benefits, claims process, escalations, and product questions, etc. May include but is not limited to...
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Service Agent

FL Req ID: R019864 Remote
Duties and Responsibilities Provides excellent quality customer service to our members and/or providers relating to all aspects of member/provider questions and issues such as eligibility, benefits, claims process, escalations, and product questions, etc. May include but is not limited to...
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