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The Network Account Manager represents and advances Healthfirst interests in the Provider market through superior customer service and execution of Provider engagement strategies. Responsibilities include serving as a plan liaison, resolving issues, provider recruitment, negotiating rates, monitoring performance, and contributing to strategic improvement plans.
The Manager of Actuarial Services oversees the financial monitoring of the Medicare line of business, offering insights, conducting annual filings, and managing financial audits. They also engage in forecasting, budgeting, and advising on the impact of regulatory changes, while leading and directing staff in day-to-day operations.
The Team Lead, Workforce Systems & Reporting is responsible for leading a team of analysts, ensuring operational effectiveness, coordinating workflows, analyzing data, and implementing reporting tools. They will also manage testing and project goals while recommending improvements based on analyses to enhance the performance of the Contact Center Operations.
The Senior Recruiter will lead high-volume recruitment for Call Center Operations, utilizing innovative sourcing techniques and technology. Responsibilities include developing talent sourcing strategies, leveraging CRM platforms, acting as an employment brand ambassador, and tracking ROI on sourcing efforts. The role emphasizes building strong relationships with hiring managers and efficiently managing multiple requisitions.
The Manager, Network Account Management will oversee the Account Team, focusing on building relationships with key providers to enhance engagement, quality, and profitability. Responsibilities include strategic planning, negotiating provider agreements, coordinating internal resources, and implementing projects while understanding market trends.
The Team Lead, Operations Analytics will manage the analytics team, supervise daily activities, oversee report generation processes, collaborate with business partners to improve processes, conduct root cause analysis, and ensure quality outcomes while providing training and mentorship to the team.
The Actuarial Analyst will support Medicare products analysis including pricing, forecasting, data analytics, and performance monitoring. Key tasks involve handling premium and claims data, assisting in the Medicare bid process, and conducting various analyses on Medicare products.
The Senior Social Media Manager is responsible for developing and implementing a comprehensive social media strategy, analyzing performance data, managing content development, overseeing community management, and staying up-to-date with social media trends. This role requires strong leadership, communication, and analytics skills to drive brand awareness and engagement in the social media space.
The Specialist will assist in executing and improving retail strategies for member and prospect experiences, manage day-to-day operations, support community engagement, and enhance operational standards through systems, processes, and training development. Responsibilities include coordinating with stakeholders, data collection, project management, and maintaining Salesforce for performance tracking.
The Workforce Systems & Reporting Analyst focuses on enhancing operational efficiency in contact center systems by gathering data, making recommendations, developing project plans, and improving business processes. Responsibilities include providing status reports, collaborating with business units, performing systems testing, and supporting leadership initiatives to meet daily KPIs.
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