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Hospital Specialist

Job Category: Delivery System Management

Location: New York, NY, United States

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Job Description

Description

The Hospital Specialist is the point person responsible for ensuring maximization of operational efficiency between Healthfirst and our network hospitals.

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:

  • 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

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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 [email protected] 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 Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

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