<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

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The Associate of Strategic Account Management is a pivotal role responsible for a wide range of tasks to ensure that each Strategic Account Management team is aligned and delivers results. The Strategic Account Management Associate has responsibility for tracking and communicating da

The Associate of Strategic Account Management is a pivotal role responsible for a wide range of tasks to ensure that each Strategic Account Management team is aligned and delivers results. The Strategic Account Management Associate has responsibility for tracking and communicating da

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HF Management Services

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The Account Specialist is responsible for identifying prospective members who do not have health insurance determine the appropriate plan for the individual or family and enroll them into one of the health programs offered by Healthfirst such as Medicaid Child Health Plus (CHP) Essent

The Account Specialist is responsible for identifying prospective members who do not have health insurance determine the appropriate plan for the individual or family and enroll them into one of the health programs offered by Healthfirst such as Medicaid Child Health Plus (CHP) Essent

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The MarketPlace Facilitated Enroller is responsible for identifying and educating potential members on all aspects of the plan including new Medicaid CHP/EP/QHP and answering questions regarding plans features and benefits. Responsible for identifying and assisting current members who

The MarketPlace Facilitated Enroller is responsible for identifying and educating potential members on all aspects of the plan including new Medicaid CHP/EP/QHP and answering questions regarding plans features and benefits. Responsible for identifying and assisting current members who

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HF Management Services

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The Network Account Manager represents and advances Healthfirst interests in the Provider market as the preferred and ultimately preeminent plan through superior customer service and execution of Provider engagement strategies. The Network Account Manager represents commitment to deve

The Network Account Manager represents and advances Healthfirst interests in the Provider market as the preferred and ultimately preeminent plan through superior customer service and execution of Provider engagement strategies. The Network Account Manager represents commitment to deve

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HF Management Services

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The Sales Support Associate is responsible for positioning Healthfirst as a socially responsible health partner. S/he will develop and coordinate plans of action that promote company-wide enrollment through promotions events sponsorships and collaboration with like-minded partners. Th

The Sales Support Associate is responsible for positioning Healthfirst as a socially responsible health partner. S/he will develop and coordinate plans of action that promote company-wide enrollment through promotions events sponsorships and collaboration with like-minded partners. Th

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The Director HR Technology Programs leads the strategy design and execution of integrated HR technology solutions that enhance and analyze the employee experience while directly supporting enterprise and organizational goals.Reporting to the VP HR Operations in partnership with the fu

The Director HR Technology Programs leads the strategy design and execution of integrated HR technology solutions that enhance and analyze the employee experience while directly supporting enterprise and organizational goals.Reporting to the VP HR Operations in partnership with the fu

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The Senior Manager HR Shared Services is responsible for creating and maintaining positive employee experiences for employees and new hires by leading the centralized HR Shared Services function responsible for first resolution of inquiries and execution of core HR operational process

The Senior Manager HR Shared Services is responsible for creating and maintaining positive employee experiences for employees and new hires by leading the centralized HR Shared Services function responsible for first resolution of inquiries and execution of core HR operational process

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HF Management Services

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Job Profile SummaryA vital role of the CMO Administration team the Medical Peer Reviewer plays a critical role in consulting on medical necessity in the context of utilization management and ensuring adherence to internal Healthfirst and external regulations.Duties/Responsibilities:Th

Job Profile SummaryA vital role of the CMO Administration team the Medical Peer Reviewer plays a critical role in consulting on medical necessity in the context of utilization management and ensuring adherence to internal Healthfirst and external regulations.Duties/Responsibilities:Th

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<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

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Reporting to the Director the Specialist Sales & CE Ops Strategic Planning & Performance will assist the Manager and Director for Sales & CE Ops Strategic Planning & Performance to execute and continuously improve upon a retail strategy that supports the member and prospect experience

Reporting to the Director the Specialist Sales & CE Ops Strategic Planning & Performance will assist the Manager and Director for Sales & CE Ops Strategic Planning & Performance to execute and continuously improve upon a retail strategy that supports the member and prospect experience

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HF Management Services

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The Clinical Quality Manager with members and providers to ensure members receive appropriate services. This role emphasizes improving the quality of care with a focus on HEDIS QARR and Medicare Advantage Star measures.Interacts with hospitals providers and members to improve quality

The Clinical Quality Manager with members and providers to ensure members receive appropriate services. This role emphasizes improving the quality of care with a focus on HEDIS QARR and Medicare Advantage Star measures.Interacts with hospitals providers and members to improve quality

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HF Management Services

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The Summer Internship is a 10-week paid program designed to provide Nursing (RN) students with a structured clinically oriented learning experience within an urban health plan. Interns apply foundational nursing knowledge in a population health setting while supporting evidence-based

The Summer Internship is a 10-week paid program designed to provide Nursing (RN) students with a structured clinically oriented learning experience within an urban health plan. Interns apply foundational nursing knowledge in a population health setting while supporting evidence-based

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HF Management Services

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The Clinical UM Pharmacist is a dynamic position responsible for the review of prior authorizations for medications requested under the medical benefit. Additionally the Clinical UM Pharmacist is responsible for developing clinical criteria medical policies for provider administered m

The Clinical UM Pharmacist is a dynamic position responsible for the review of prior authorizations for medications requested under the medical benefit. Additionally the Clinical UM Pharmacist is responsible for developing clinical criteria medical policies for provider administered m

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The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine members enrollment service needs and continued plan eligibility.

The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine members enrollment service needs and continued plan eligibility.

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T he Entitlement Advocate provides Healthfirst Medicare Advantage Plan(MAP) Managed Long-Term Care Plan(LTC) Dual eligible Medicare Plan and Nursing Home members and prospects with obtaining and retaining of financial entitlements for which they are eligible. This enables prospects an

T he Entitlement Advocate provides Healthfirst Medicare Advantage Plan(MAP) Managed Long-Term Care Plan(LTC) Dual eligible Medicare Plan and Nursing Home members and prospects with obtaining and retaining of financial entitlements for which they are eligible. This enables prospects an

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HF Management Services

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WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race color creed religion sex national origin sexual orientation pregnancy age

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race color creed religion sex national origin sexual orientation pregnancy age

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HF Management Services

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The Social Media Manager is a key driver of Healthfirsts social presence responsible for shaping how our brand shows up across channels through thoughtful audience-first content meaningful community engagement and performance-driven optimization.This role is ideal for a social media p

The Social Media Manager is a key driver of Healthfirsts social presence responsible for shaping how our brand shows up across channels through thoughtful audience-first content meaningful community engagement and performance-driven optimization.This role is ideal for a social media p

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WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race color creed religion sex national origin sexual orientation pregnancy age

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race color creed religion sex national origin sexual orientation pregnancy age

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The Sr Retention Advocate (SRA) is responsible for educating and providing Healthfirst members support to obtain financial entitlements for which they are eligible to enable members to maintain the highest level of independence both at home and within their communities. The SRA provid

The Sr Retention Advocate (SRA) is responsible for educating and providing Healthfirst members support to obtain financial entitlements for which they are eligible to enable members to maintain the highest level of independence both at home and within their communities. The SRA provid

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