Duties & Responsibilities:
• Participates in product driven workgroups to provide input to product designs/enhancements and implementation plans.
• Works closely with cross functional teams such as Enrollment & Billing, Claims, Member Services, Compliance, Sales, Finance, Clinical/Network Management, and senior management in implementing new products, product enhancements, business implementations and, end to end process improvements.
• Plans, schedules, monitors, and reports on activities related to a project or assignment.
• Keeps all areas of the corporation informed through written and oral reports. Ensures communication to all areas impacted.
• |Create and maintains reference library of regulatory research, analyses, and other supporting documentation related to product, product design and development decision making
• Serves as the subject matter expert on product requirements to other business units.
• Must be able to perform additional duties as required
• Research and Analyze Market Trends
Minimum Qualifications:
• High School Diploma or GED Equivalent
• Excellent communication skills and strong analytical ability required.
• Ability to work cross-functionally across departments.
• Experience with Managed Care products and government sponsored health products
• Demonstrated success in managing and delivering large, complex, and multifaceted projects with minimal supervision
• Must be able to think strategically while managing tactical execution.
• Excellent organizational/project management skills
• Sense of urgency necessary to meet goals, objectives and deadlines
• 1-2 years’ experience with Managed Care Plans – NYS Medicaid Program
Preferred Qualifications:
• Excellent interpersonal skills
• Able to work with people of varied management levels
• Knowledge of Company policy, procedures and organizational structure
• Bachelor’s degree from an accredited institution
• Experience with New York State Medicaid Program
Compliance & Regulatory Responsibilities: NA
License/Certification: NA
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470
All Other Locations (within approved locations): $71,600 - $106,505
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.