HealthFirst is seeking an A&G Clinical Specialist to manage clinical case development and resolution while ensuring compliance with federal and state regulations. The role involves handling DOH and executive complaints, managing caseloads, and coordinating with external appeal processes.
Remote or on-site options are available at multiple locations. Ideal candidates have RN, LPN, or Dental Hygienist qualifications, with preferred experience in utilization management and familiarity with NY ART
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This position is listed as full time and able to be worked remotely.