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HF Management Services
Reporting to the VP Network Optimization the Director DSE Network Optimization Program Management is responsible for leading and distilling large negotiation programs and into distinct projects that drive the efficiency of the Healthfirst Out-of-Network (OON) provider network performa
Reporting to the VP Network Optimization the Director DSE Network Optimization Program Management is responsible for leading and distilling large negotiation programs and into distinct projects that drive the efficiency of the Healthfirst Out-of-Network (OON) provider network performa
HF Management Services
The HR Business Partners are the culture architects for the organization and responsible for delivering human capital solutions that enable the success of our business. The Senior Manager HRBP-IT leads and manages the full suite of talent lifecycle activity by partnering with business
The HR Business Partners are the culture architects for the organization and responsible for delivering human capital solutions that enable the success of our business. The Senior Manager HRBP-IT leads and manages the full suite of talent lifecycle activity by partnering with business
HF Management Services
The QA Manager is responsible for managing system testing of IT applications by delivering test planning and execution in line with strategic business objectives and priorities. The QA Manager provides technical insight oversight strategic context direction and leadership to the teams
The QA Manager is responsible for managing system testing of IT applications by delivering test planning and execution in line with strategic business objectives and priorities. The QA Manager provides technical insight oversight strategic context direction and leadership to the teams
HF Management Services
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
HF Management Services
The Director Benefits will develop and implement strategic goals for the oversight and management of the organizations benefit and retirement plans programs and policies. This includes health insurance coverage 401(k) plans paid time off leave of absence life insurance disability prot
The Director Benefits will develop and implement strategic goals for the oversight and management of the organizations benefit and retirement plans programs and policies. This includes health insurance coverage 401(k) plans paid time off leave of absence life insurance disability prot
HF Management Services
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
HF Management Services
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
HF Management Services
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
HF Management Services
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
HF Management Services
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
HF Management Services
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
HF Management Services
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
HF Management Services
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
HF Management Services
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.
HF Management Services
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
HF Management Services
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
HF Management Services
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
HF Management Services
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
HF Management Services
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
HF Management Services
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
