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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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Service Agent 6

NY Req ID: R018743 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 7

Req ID: R018744 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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Sr Provider Advocate

NY Req ID: R020025 Remote
Duties & Responsibilities:Work within a team of Senior Provider Advocates and dedicated Senior Claims Examiners.Develop and maintain professional and effective relationships with assigned Providers and with associates in key functional areas.Responsible for conducting root cause analysis and...
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Sr Provider Advocate

NY Req ID: R016628 Remote
Duties & Responsibilities: Work within a team of Senior Provider Advocates and dedicated Senior Claims Examiners. Develop and maintain professional and effective relationships with assigned Providers and with associates in key functional areas. Responsible for conducting root cause analysis and...
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Sr Relationship Coord

NY Req ID: R020104 Hybrid
Duties and ResponsibilitiesAdministers new hire training and refresher training to the relationship coordinator team.Creates and keeps all training materials up to date with the latest processes and procedures in an organized SharePoint site.Contributes to the development and implementation of...
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Sr Service Agent

FL Req ID: R020195 Remote
Duties and Responsibilities ·       Provides high quality assistance to the team via phone, chat, video call, email, in person, and/or other communication channels related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats,...
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Sr Service Agent

FL Req ID: R020112 Remote
Duties and Responsibilities ·       Provides high quality assistance to the team via phone, chat, video call, email, in person, and/or other communication channels related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats,...
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Sr Service Agent - CCO

NY Req ID: R020151 Remote
Duties and Responsibilities ·       Provides high quality assistance to the team via phone, chat, video call, email, in person, and/or other communication channels related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats,...
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Sr Service Agent- Remote

NY Req ID: R016515 Remote
Duties and Responsibilities Provides high quality assistance to the team via phone, chat, video call, email, in person, and/or other communication channels related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats,...
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Sr. Claims Examiner

FL Req ID: R020069 Remote
Duties and Responsibilities:Reviewing and investigating claims and encounters for medical, facility, pharmacy, dental and vision services including contractual provisions, authorizations and Healthfirst Policy and Procedure.Subsequent auditing and handling of specific claims and appeal requests...
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Sr. Service Agent

NY Req ID: R020121 Remote
Duties and Responsibilities ·       Provides high quality assistance to the team via phone, chat, video call, email, in person, and/or other communication channels related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats,...
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Sr. Service Agent - CCO

FL Req ID: R020157 Remote
Duties and Responsibilities ·       Provides high quality assistance to the team via phone, chat, video call, email, in person, and/or other communication channels related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats,...
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Team Lead

NY Req ID: R018772 Hybrid
Duties and Responsibilities ·       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...
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Team Lead Contact Center

NY Req ID: R018710 Hybrid
Duties and Responsibilities ·       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...
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Test - Per Diem Care Manager

NY Req ID: R016161 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 - Per Diem Care Manager

NY Req ID: R016376 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 - Per Diem Care Manager

NY Req ID: R016381 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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