HF Management Services

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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

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HF Management Services

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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

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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

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HF Management Services

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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

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HF Management Services

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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

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HF Management Services

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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

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HF Management Services

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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

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HF Management Services

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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

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HF Management Services

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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

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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

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HF Management Services

دوام كامل

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

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HF Management Services

دوام كامل

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

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HF Management Services

دوام كامل

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

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HF Management Services

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The Process Manager for Enrollment and Billing (E&B) leads the execution of processes that support the delivery of critical health services for Healthfirst customers. The incumbent monitors reports and plans for improvement across a set of core operational processes. The process manag

The Process Manager for Enrollment and Billing (E&B) leads the execution of processes that support the delivery of critical health services for Healthfirst customers. The incumbent monitors reports and plans for improvement across a set of core operational processes. The process manag

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HF Management Services

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The Fleet Driver is responsible for maintaining an efficient well organized community outreach vehicle (COV) and cargo van at the assigned Healthfirst marketing location. The Driver is accountable for the day to day operations on the assigned COV/cargo van liable for all marketing mat

The Fleet Driver is responsible for maintaining an efficient well organized community outreach vehicle (COV) and cargo van at the assigned Healthfirst marketing location. The Driver is accountable for the day to day operations on the assigned COV/cargo van liable for all marketing mat

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HF Management Services

دوام كامل

The AI Infrastructure Architect role at Healthfirst works to establish sustainable design principles across infrastructure systems cloud platforms enterprise integration patterns and emerging AI platform capabilities. This person will work internally across Infrastructure & Operations

The AI Infrastructure Architect role at Healthfirst works to establish sustainable design principles across infrastructure systems cloud platforms enterprise integration patterns and emerging AI platform capabilities. This person will work internally across Infrastructure & Operations

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The Senior Manager of Product Management and Strategy is responsible for working cross functionally to develop assist in execution and continuously improve upon a market growth strategy that supports a profitable growth across the entire Medicaid/Medicare portfolio.Support developing

The Senior Manager of Product Management and Strategy is responsible for working cross functionally to develop assist in execution and continuously improve upon a market growth strategy that supports a profitable growth across the entire Medicaid/Medicare portfolio.Support developing

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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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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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دوام كامل

>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 b

>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 b

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