HF Management Services

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 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

The Senior HR Shared Services Specialist is responsible for resolving complex high impact inquiries and transactions across multiple tiers within the HR Shared Services (HRSS) organization. Serving as a subject matter expert (SME) this role is accountable for the governance and contin

The Senior HR Shared Services Specialist is responsible for resolving complex high impact inquiries and transactions across multiple tiers within the HR Shared Services (HRSS) organization. Serving as a subject matter expert (SME) this role is accountable for the governance and contin

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 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

The Enrollment & Billing (E&B) Reconciliation & Recovery Analyst ensures member data is accurate so eligible Healthfirst members premium collection from the State is completed in a timely manner. The incumbent also supports various activities within E&B aimed at minimizing future audi

The Enrollment & Billing (E&B) Reconciliation & Recovery Analyst ensures member data is accurate so eligible Healthfirst members premium collection from the State is completed in a timely manner. The incumbent also supports various activities within E&B aimed at minimizing future audi

As a valuable member of the Healthfirst Care Management team the Field Care Coordinator (FCC) is responsible for conducting local home visits for Healthfirst members. During these care management visits the FCC may perform a home environment assessment administer health questionnaires

As a valuable member of the Healthfirst Care Management team the Field Care Coordinator (FCC) is responsible for conducting local home visits for Healthfirst members. During these care management visits the FCC may perform a home environment assessment administer health questionnaires

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 Support Coordinator is responsible for assisting the care/case managers with non-clinical activities such as creating cases and events; managing authorizations; providing telephonic outreach to members providers and community-based organizations; handling member mailings; faxing c

The Support Coordinator is responsible for assisting the care/case managers with non-clinical activities such as creating cases and events; managing authorizations; providing telephonic outreach to members providers and community-based organizations; handling member mailings; faxing c

The Director Enterprise Delivery Services in support of their assigned strategic focus area develops implements and executes strategies to deliver on the Healthfirst strategic plan. This person has the responsibility to educate the company suppliers and other invested parties on all

The Director Enterprise Delivery Services in support of their assigned strategic focus area develops implements and executes strategies to deliver on the Healthfirst strategic plan. This person has the responsibility to educate the company suppliers and other invested parties on all

The Actuarial Analyst will support the development maintenance and analysis of Healthfirsts financial Forecast and Budget across all lines of business. This role plays a key part in evaluating financial performance monitoring emerging experience and delivering insights that support st

The Actuarial Analyst will support the development maintenance and analysis of Healthfirsts financial Forecast and Budget across all lines of business. This role plays a key part in evaluating financial performance monitoring emerging experience and delivering insights that support st

The Senior Analyst Audit and Compliance Analytics leverages healthcare data analytical tools and business knowledge to support Internal Audit Compliance Analytics and Claims Configuration Audit initiatives. This role partners with cross-functional teams to identify risks evaluate cont

The Senior Analyst Audit and Compliance Analytics leverages healthcare data analytical tools and business knowledge to support Internal Audit Compliance Analytics and Claims Configuration Audit initiatives. This role partners with cross-functional teams to identify risks evaluate cont

This role requires being in the office at 1101 Greenwood Blvd. Lake Mary FL 32746 weekly on Tuesdays Wednesdays and Thursdays.As a highly experienced hands-on Engineer-Agile specializing in SAFe Agile delivery methodology you will lead the design and implementation of complex dynamic

This role requires being in the office at 1101 Greenwood Blvd. Lake Mary FL 32746 weekly on Tuesdays Wednesdays and Thursdays.As a highly experienced hands-on Engineer-Agile specializing in SAFe Agile delivery methodology you will lead the design and implementation of complex dynamic

The Instructional Designer is responsible for designing and developing multi-pronged multi-modal best-in class learning programs that align to the Healthfirst culture with an emphasis in digital transformation. The Instructional designer will execute learning analysis design and devel

The Instructional Designer is responsible for designing and developing multi-pronged multi-modal best-in class learning programs that align to the Healthfirst culture with an emphasis in digital transformation. The Instructional designer will execute learning analysis design and devel

The Director Enterprise Delivery Services in support of their assigned strategic focus area develops implements and executes strategies to deliver on the Healthfirst strategic plan. This person has the responsibility to educate the company suppliers and other invested parties on all t

The Director Enterprise Delivery Services in support of their assigned strategic focus area develops implements and executes strategies to deliver on the Healthfirst strategic plan. This person has the responsibility to educate the company suppliers and other invested parties on all t

The Product Strategy Analyst is passionate and motivated by Healthfirsts mission and wants to make a lasting impact in healthcare. This individual will create significant impact by providing the analytical support to the Medicaid Product Strategy team to develop assist in execution an

The Product Strategy Analyst is passionate and motivated by Healthfirsts mission and wants to make a lasting impact in healthcare. This individual will create significant impact by providing the analytical support to the Medicaid Product Strategy team to develop assist in execution an