Description and RequirementsThe Hospital Specialist is the point person responsible for ensuring maximization of operational efficiency between Healthfirst and our network hospitals. This role is required to report onsite to our 100 Church Street office Tuesday-Thursday.
Responsibilities:- Managing day to day operational issues and concerns from hospital partners including but not limited to roster maintenance and claim issue root cause analysis
- Managing education/training regarding company-wide initiatives including but not limited to new product implementation, regulatory initiatives, and other various health plan business objectives
- Serving as an advocate for Hospital Providers within Healthfirst
- Work closely with numerous departmental partners, including operations, sales and finance
Minimum Requirements:- High School Diploma or GED Equivalent
- Direct experience working with managed care operations and/or health plans
- Claims experience including root-cause analysis, system set-up, etc.
- Strong communication skills (both verbal and written)
- Ability to work collaboratively, confidently and influentially various levels of staff and clients
- Excellent organizational skills
- Demonstrated ability to focus on the most tedious of details, while also being able to solve issues that are larger and more complex
- Ability to develop relationships and partner with external and internal business stakeholders
- Strong problem-solving skills
- Proficiency with Microsoft suite of applications
Preferred Qualifications: - Bachelor's degree from an accredited institution
Hiring Range*:
- Greater New York City Area (NY, NJ, CT residents): $58,900 - $80,070
- All Other Locations (within approved locations): $51,000 - $75,905
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.
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, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.
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