49 jobs

Overview Crown Honda is offering a Signing Bonus for qualified Automotive Service Technicians! SIGNING BONUS UP TO $10,000 FOR QUALIFIED TECHNICIANS! We offer: Flexible work schedules Full-time/Part-time/Flex-time Highest flat rate pay-plans Paid Time Off (PTO) Up to 28 paid days off per year for te ...

Interested in bringing your Pega Development experience to a company and industry that matters? The Senior Pega Developer is an essential team member responsible for developing high performing solutions on the Pega platform. The Pega Developer should be able to work with other members of the team on ...

Summary: This position is eligible for hybrid work schedule after probation period. Primarily responsible for user support for Application Development Team (ADT) software. This is the entry position in the job family. Essential Job Functions: • Provide technical support assistance and training for e ...

The Sr. DevOps Engineer primary responsibility will be to design, develop, test, and deliver solutions on the DevOps enablement team. As part of the team, you will be building automated tools and frameworks and help develop and maintain the CI/CD pipelines Duties & Responsibilities Design, Build and ...

The Provider Operations Representative is responsible for processing requests to add new, and/or modify existing Provider records within MHS (Medical Health System). Additionally, they provide operational support for Network Management, Regulatory, Member Services, Provider Services, Credentialing, ...

The Claims Coding Analyst's primary responsibilities include maintaining and enhancing Healthfirst's claims editing systems to ensure proper claims payments, reviewing, researching, and responding to written and emailed correspondence from providers regarding claim denials based on clinical coding p ...

The Operations Analyst (OA) is responsible for tracking, reporting, analyzing and summarizing operations data. The OA position assists with the maintenance and testing of all system related changes; including workflows, validations, and automated processes. The OA runs and reconciles reports. The OA ...

Interested in bringing your Pega Development experience to a company and industry that matters? The Application Developer is an essential team member responsible for developing high performing solutions on the Pega platform. The Pega Developer should be able to work with other members of the team on ...

Interested in bringing your Pega Development experience to a company and industry that matters? The Sr Application Developer (Pega) is an essential team member responsible for developing high performing solutions on the Pega platform. The Sr Pega Developer should be able to work with other members o ...

Interested in bringing your Pega Development experience to a company and industry that matters? The Application Developer (Pega) is an essential team member responsible for developing high performing solutions on the Pega platform. The Pega Developer should be able to work with other members of the ...

The Enrollment & Billing Specialist (EBS) is responsible for enrolling new and renewing existing Healthfirst members into the Healthfirst Managed Healthcare System in an accurate and timely fashion. The EBS processes all member payment information, responds to member inquiries and performs account a ...

The Process Manager for Enrollment and Billing (E&B) leads the execution of processes that support the delivery of critical health services for Healthfirst customers. The incumbent monitors, reports, and plans for improvement across a set of core operational processes. The process manager oversees a ...

The Operations Analyst (OA) is responsible for tracking, reporting, analyzing and summarizing operations data. The OA position assists with the maintenance and testing of all system related changes; including workflows, validations, and automated processes. The OA runs and reconciles reports. The OA ...

The Overpayment and Recovery Specialist is responsible for processing overpayment recovery of professional, facility and ancillary claims in accordance with Healthfirst Overpayment Recovery Policies and Procedures. In addition, incumbents in this position may also be responsible for handling overpay ...

The work involves conducting compliance and operational audits to identify areas of risk and make recommendations to help improve operational efficiency and effectiveness; as well as, ensuring compliance with applicable laws and procedures. Duties & Responsibilities Include: Evaluate the design and ...

The A&G Specialist is the subject matter expert responsible for non-clinical case development and case resolution while ensuring compliance with Federal and/or State regulations. The A&G Specialist will manage his/her own caseload and is accountable for investigating and resolving member or provider ...

The Enterprise Data Architect is responsible for aligning the future state enterprise information architecture with the corporate strategy. This role collaborates with enterprise architects, partners with solution architects and subject matter experts from cross-functional Business and IT areas. Thi ...

Healthfirst has an immediate opening for an experienced Cloud Engineer to help execute on our cloud transformation strategy. The ideal candidate will have a solid 'hands-on' background in deploying and managing enterprise solutions in AWS with experience in developing tools to automate system deploy ...

The DSE Operations Specialist is a resource with in-depth account knowledge and is responsible for strengthening provider engagement and enhancing quality. This role will develop effective provider relationships that enhance Health first's reputation as a "trusted partner" and supports administrativ ...

The Provider Outreach Specialist performs outbound calls to providers to ensure compliance with Access & Availability standards in accordance with State regulatory requirements. They are also expected to assist with inbound Provider Service calls as needed during time of peak call intervals and/or u ...