Hospital Specialist

HealthFirst•Hybrid - NY, NY

12d•$51,000 - $80,070•Hybrid

About The Position

The 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.

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

Nice To Haves

Bachelor’s degree from an accredited institution

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