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Reporting to the Assistant Director, Medical Management,the Social Worker Case Manager responds to complex psychosocial needs, assisting members with physical, mental & substance use disorders to access care and a full range of supports...
provides information via telephonic efforts in support of Healthfirst's Medicare Advantage Plan (MAP) and Senior Health Partners' (SHP) Managed Long-Term care Plan (MLTCP).This position ensures that referral sources, prospective enrollees...
and implement program changes and best practices at Healthfirst. Member Communications Support Assist in the ... issues Gain a solid understand of Healthfirsts Medicare/Part D benefit design Bid Support Provide quality...
The Entitlement Specialist provides Healthfirst's Medicare Advantage Plan (MAP) and Senior Health Partners' (SHP) ... others in functional area and interact with others across Healthfirst and/or externally. This is a paperless work...
The Entitlement Specialist provides Healthfirst's Medicare Advantage Plan (MAP) and Senior Health Partners' (SHP) ... others in functional area and interact with others across Healthfirst and/or externally. This is a paperless work...
with selecting a Primary Care Physician (PCP) using the Healthfirst provider directory on their Blackberry device. ... relations in order to generate new opportunities for Healthfirst including new sites and event requisitions.
The Pharmacy department at Healthfirst oversees all functions delegated to the PBM such as Pharmacy Claims Processing, ... skills. * Must be able to effectively interact with Healthfirst departments such as Member Services, Medical...
The Sales Manager will build, maintain and direct an efficient, well trained and effective sales team within the assigned territory. Manager will execute sales programs and strategy in accordance with approved policies. This position is...
The Supervisor, within Healthfirst's Care Management Department, is responsible for supervising non-clinical Support Coordinators. On a daily basis, the Supervisor plans, coordinates and supervises the Care Management Support Coordinators...
The AVP, Care Management is a management position that provides leadership and direction for Senior Health Partner's care management staff in order to maximize the quality of member care and effectively manage available medical resources.
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