HF Management Services

The Senior Business Analyst- Provider Data Operations (PDO) is responsible for business process review data analysis and reporting as it relates to activities which ensure operational effectiveness. Incumbents assist management by coordinating workflow and working directly with more j

The Senior Business Analyst- Provider Data Operations (PDO) is responsible for business process review data analysis and reporting as it relates to activities which ensure operational effectiveness. Incumbents assist management by coordinating workflow and working directly with more j

The Senior Manager Fee Schedules Total Cost of Care will develop analyses and tools to help monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. This key role will serve as healthcare analytics and data subject matter

The Senior Manager Fee Schedules Total Cost of Care will develop analyses and tools to help monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. This key role will serve as healthcare analytics and data subject matter

<p>The Entitlement Advocate provides Healthfirst’s 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 pr

<p>The Entitlement Advocate provides Healthfirst’s 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 pr

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

The Manager Fleet is responsible for the day-to-day management and oversight of Healthfirst MUs (Mobile Units) or Cargo Fleet Drivers who are responsible for driving Healthfirst owned marketing vehicles utilized by our Sales Force within the NYC boroughs Hudson Valley and Long additi

The Manager Fleet is responsible for the day-to-day management and oversight of Healthfirst MUs (Mobile Units) or Cargo Fleet Drivers who are responsible for driving Healthfirst owned marketing vehicles utilized by our Sales Force within the NYC boroughs Hudson Valley and Long additi

Community Relations Specialists are on the front lines of improving the lives of New Yorkers by connecting people to health-insurance products and resources that create greater health equity. Community Relations Specialists are bridge-builders connecting communities to needed informat

Community Relations Specialists are on the front lines of improving the lives of New Yorkers by connecting people to health-insurance products and resources that create greater health equity. Community Relations Specialists are bridge-builders connecting communities to needed informat

TheLearning Delivery Specialist will act as an ambassador in fostering the HF culture and supporting the implementation and delivery of content relevant to enterprise initiatives business units and strategy. This individual will lead and support learning projects and will be responsib

TheLearning Delivery Specialist will act as an ambassador in fostering the HF culture and supporting the implementation and delivery of content relevant to enterprise initiatives business units and strategy. This individual will lead and support learning projects and will be responsib

The Bilingual (Spanish and/or Man/Can) Sr Retention Advocate (SRA) is responsible for educating and providing Healthfirst members support to obtain financial entitlements for which they are eligible that enable members to maintain the highest level of independence both at home and wit

The Bilingual (Spanish and/or Man/Can) Sr Retention Advocate (SRA) is responsible for educating and providing Healthfirst members support to obtain financial entitlements for which they are eligible that enable members to maintain the highest level of independence both at home and wit

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

The Senior Data Engineer designs builds and operates enterprise-scale data solutions on Healthfirsts AWS Lakehouse platform. They implement batch and streaming data ingestion ELT/ETL data quality and transformation patterns that produce curated trusted operations/analytics ready data

The Senior Data Engineer designs builds and operates enterprise-scale data solutions on Healthfirsts AWS Lakehouse platform. They implement batch and streaming data ingestion ELT/ETL data quality and transformation patterns that produce curated trusted operations/analytics ready data

The Field Based Care Manager evaluates members care needs and promotes quality outcomes and treatment via a variety of modalities and engagement strategies. The Field Based Care Manager works directly with members in field-based settings and telephonically to support members unique ca

The Field Based Care Manager evaluates members care needs and promotes quality outcomes and treatment via a variety of modalities and engagement strategies. The Field Based Care Manager works directly with members in field-based settings and telephonically to support members unique ca

As key position under Enterprise Correspondence this role will be responsible for developing and leading the architecture design and implementation of enterprise content management solutions built on the Alfresco platform. This role requires a strong combination of solution architect

As key position under Enterprise Correspondence this role will be responsible for developing and leading the architecture design and implementation of enterprise content management solutions built on the Alfresco platform. This role requires a strong combination of solution architect

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

The Community Office Specialist is the primary interface and front line resource for the community office. S/he will triage research educate liaise and manage the community office efficiency while tracking and providing metrics on office production. S/he works in tandem with the Manag

The Community Office Specialist is the primary interface and front line resource for the community office. S/he will triage research educate liaise and manage the community office efficiency while tracking and providing metrics on office production. S/he works in tandem with the Manag

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

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 quali

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 quali

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

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

The Operations Analyst (OA) is responsible for tracking reporting analyzing supporting and summarizing operations processes and data. The OA position assists with various departmental activities that may or may not include ensuring policy adherence managing workflows reconciling repor

The Operations Analyst (OA) is responsible for tracking reporting analyzing supporting and summarizing operations processes and data. The OA position assists with various departmental activities that may or may not include ensuring policy adherence managing workflows reconciling repor

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