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Hf Management Services
The Program Manager Issue Management is responsible for coordinating and overseeing the post-implementation monitoring and issue-management process for initiatives impacting the provider network.This role serves as the central point of coordination between Delivery System Engagement
The Program Manager Issue Management is responsible for coordinating and overseeing the post-implementation monitoring and issue-management process for initiatives impacting the provider network.This role serves as the central point of coordination between Delivery System Engagement
Hf Management Services
The Fraud Examiner will be responsible for effectively providing support to both all SIU investigators by carrying out preliminary investigative tasks conducting data analysis and supporting SIU responses to audits and external entities.Synthesize analyze and process healthcare claims
The Fraud Examiner will be responsible for effectively providing support to both all SIU investigators by carrying out preliminary investigative tasks conducting data analysis and supporting SIU responses to audits and external entities.Synthesize analyze and process healthcare claims
Hf Management Services
As a valued member of the Behavioral Health Care Management Team the Peer Support Specialist (PSS) utilizes lived experience to model recovery and support Healthfirst members who are struggling with mental health and/or substance use disorders. The PSS works directly with members in b
As a valued member of the Behavioral Health Care Management Team the Peer Support Specialist (PSS) utilizes lived experience to model recovery and support Healthfirst members who are struggling with mental health and/or substance use disorders. The PSS works directly with members in b
Hf Management Services
The Procurement Intelligence Analyst develops and delivers the analytics market intelligence performance reporting and data insights that enable Enterprise Procurement to make informed data-driven decisions. The role transforms procurement supplier financial and operational data into
The Procurement Intelligence Analyst develops and delivers the analytics market intelligence performance reporting and data insights that enable Enterprise Procurement to make informed data-driven decisions. The role transforms procurement supplier financial and operational data into
Hf Management Services
<p>Healthfirst is New York Citys largest not-for-profit health insurer dedicated to improving health through community-driven value-based care. For over 30 years we have led the shift from volume to value by focusing on better outcomes preventative care and cost efficiency. Recognized
<p>Healthfirst is New York Citys largest not-for-profit health insurer dedicated to improving health through community-driven value-based care. For over 30 years we have led the shift from volume to value by focusing on better outcomes preventative care and cost efficiency. Recognized
Hf Management Services
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. The individual is responsible for assisting customers with issues and inquiries they may have about their The Field Service Agent acts as an in-person liaison between Healthfirst and its custom
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. The individual is responsible for assisting customers with issues and inquiries they may have about their The Field Service Agent acts as an in-person liaison between Healthfirst and its custom
Hf Management Services
Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care system. The Care Coordinator supports various teams to provide excellent customer service to our NorthStar Members.Duties and Re
Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care system. The Care Coordinator supports various teams to provide excellent customer service to our NorthStar Members.Duties and Re
Hf Management Services
The Vendor Lead is responsible for strengthening vendor performance governance risk management and strategic relationships across an assigned portfolio of enterprise vendors. The role operates through a combination of center-led vendor governance and centralized vendor management appl
The Vendor Lead is responsible for strengthening vendor performance governance risk management and strategic relationships across an assigned portfolio of enterprise vendors. The role operates through a combination of center-led vendor governance and centralized vendor management appl
Hf Management Services
The Strategic Sourcing Specialist executes enterprise strategic sourcing initiatives across multiple spend categories translating category sourcing strategies into disciplined competitive sourcing events that deliver measurable commercial value. The role manages RFx execution supplier
The Strategic Sourcing Specialist executes enterprise strategic sourcing initiatives across multiple spend categories translating category sourcing strategies into disciplined competitive sourcing events that deliver measurable commercial value. The role manages RFx execution supplier
Hf Management Services
The Procurement Digital Transformation Lead develops and executes the digital procurement roadmap that enables Enterprise Procurement to operate as a scalable data-driven and AI-enabled function. The role is responsible for translating procurement strategy and operating-model requirem
The Procurement Digital Transformation Lead develops and executes the digital procurement roadmap that enables Enterprise Procurement to operate as a scalable data-driven and AI-enabled function. The role is responsible for translating procurement strategy and operating-model requirem
Hf Management Services
The Category Manager Services develops and executes enterprise category strategies that optimize value manage risk and enable business growth through data-driven decision-making digital procurement capabilities and strategic supplier partnerships. Working collaboratively across Procu
The Category Manager Services develops and executes enterprise category strategies that optimize value manage risk and enable business growth through data-driven decision-making digital procurement capabilities and strategic supplier partnerships. Working collaboratively across Procu
Hf Management Services
The Clinical Quality Project Coordinator is responsible for coordinating medical record retrieval activities including in-person retrievals at provider offices and healthcare facilities. Responsibilities include submitting and tracking record requests monitoring and following up on ou
The Clinical Quality Project Coordinator is responsible for coordinating medical record retrieval activities including in-person retrievals at provider offices and healthcare facilities. Responsibilities include submitting and tracking record requests monitoring and following up on ou
Hf Management Services
The Relationship Coordinator solicits and provides information via telephonic efforts in support of Healthfirsts Medicare Advantage Plan Complete Care (MAP) Managed Long Term Care Plan (MLTC) Senior Health Partners (SHP) and Mainstream/Health and Recovery Plan (HARP) population seekin
The Relationship Coordinator solicits and provides information via telephonic efforts in support of Healthfirsts Medicare Advantage Plan Complete Care (MAP) Managed Long Term Care Plan (MLTC) Senior Health Partners (SHP) and Mainstream/Health and Recovery Plan (HARP) population seekin
Hf Management Services
The Development Managers primary responsibilities are to guide the design development implementation testing and delivery of enterprise applications and integration solutions. The Development Manager will have strong knowledge of software development API development and enterprise app
The Development Managers primary responsibilities are to guide the design development implementation testing and delivery of enterprise applications and integration solutions. The Development Manager will have strong knowledge of software development API development and enterprise app
Hf Management Services
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. The individual is responsible for assisting customers with issues and inquiries they may have about their insurance applications and/or claims not paid. The Field Service Agent is also respons
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. The individual is responsible for assisting customers with issues and inquiries they may have about their insurance applications and/or claims not paid. The Field Service Agent is also respons
Hf Management Services
The Healthcare Analyst (HCA) provides support through the research and investigation of business issues related to cost utilization and revenue data for multiple Healthfirst products. The HCA will identify/monitor cost and utilization trends and the root causes in health plan trend pe
The Healthcare Analyst (HCA) provides support through the research and investigation of business issues related to cost utilization and revenue data for multiple Healthfirst products. The HCA will identify/monitor cost and utilization trends and the root causes in health plan trend pe
Hf Management Services
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. This individual receives and addresses member & provider inquiries de-escalates and resolves complaints educates clients engages in member retention activities and escalates issues requiring ad
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. This individual receives and addresses member & provider inquiries de-escalates and resolves complaints educates clients engages in member retention activities and escalates issues requiring ad
Hf Management Services
The Senior Healthcare Analyst provides support through the research and investigation of business issues related to cost utilization and revenue data for multiple Healthfirst products. The HCA will identify/monitor cost and utilization trends and the root causes in health plan trend p
The Senior Healthcare Analyst provides support through the research and investigation of business issues related to cost utilization and revenue data for multiple Healthfirst products. The HCA will identify/monitor cost and utilization trends and the root causes in health plan trend p
Hf Management Services
Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care system. The Care Coordinator supports various teams to provide excellent customer service to our NorthStar Members.Duties and Re
Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care system. The Care Coordinator supports various teams to provide excellent customer service to our NorthStar Members.Duties and Re
Hf Management Services
The Appeals & Grievances (A&G) unit processes member and non-contracted provider appeals for all of HFs line of businesses which include commercial Medicaid dual enrollments Medicare and complete care. Appeals Specialist is the subject matter expert responsible for non-clinical case
The Appeals & Grievances (A&G) unit processes member and non-contracted provider appeals for all of HFs line of businesses which include commercial Medicaid dual enrollments Medicare and complete care. Appeals Specialist is the subject matter expert responsible for non-clinical case
