Senior SpecialistThe Senior Specialist leads special initiatives, small to mid-scale initiatives, and ad-hoc activities. This includes collaboration and coordination with internal business partners, contributors, and subject matter experts to ensure content is complete, accurate, and maximizes business opportunities. The Senior Specialist is responsible for supporting the Manager, Senior Manager, and Director with various product initiative planning and execution for initiatives included within the Healthfirst product portfolio, including collecting/organizing documentation to successful execution.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.Serves as the subject matter expert on product requirements to other business units.Must be able to perform additional duties as requiredParticipate in the CMS Bid Planning and Submission processesResearch and Analyze Market TrendsMinimum Qualifications:High School Diploma or GED EquivalentExcellent communication skills and strong analytical ability required.Ability to work cross-functionally across departments.Ability to adapt to constant change and competing priorities and ability to manage multiple projects simultaneously.Must be able to think strategically while managing tactical execution.Excellent organizational/project management skillsSense of urgency necessary to meet goals, objectives and deadlines1-2 years' experience with Managed Care Plans and Medicare PlansPreferred Qualifications:Excellent interpersonal skillsAble to work with people of varied management levelsKnowledge of Company policy, procedures and organizational structureMasters degree from an accredited institutionExperience completing and submitting a CMS BidWE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability 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 Thank you for considering a career with Healthfirst Management Services.All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about.
If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.Hiring Range*:Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470All Other Locations (within approved locations): $71,600 - $106,505As 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.