• Job Description

  Req#: R017166
  This position is 100% Remote.
  
  The MS Performance Support Specialist will be responsible for providing assistance in resolving complaint issues escalated by the MS representatives. This role is required to pull non-urgent complaint reporting through various systems on a daily basis, review each matter and reach out to the member in order to provide determinations while maintain a tracking system for any and all incoming complaint issues.

  •Assist in resolving customer complaints escalated by internal and external business partners as needed.
  •Assist in reviewing and modifying Physician capitation reports.
  •Assist in resolving member issues who called in multiple times with the same issues.
  •Assist in responding and resolving escalated inquiries from other departments and external contacts.
  •Make recommendations on process improvements.
  •Build sustainable relationships of trust through open and interactive communication with internal and external customers.
  •Able to properly follow procedures based on issues and documents received
  •Make recommendations to management concerning staff performance.
  •Make recommendations on process improvement.
  •Maintain open exchange of information with external and internal customers.
  •Required to multi-task, prioritize and manage time effectively.
  •Timely filing of complaints.
  •Conduct outreaches as required.
  •Attend meetings as business requires.
  •Additional duties as assigned.

  WE 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 careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

  EEO Law Poster and Supplement

  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): $46,200 - $62,400

  • All Other Locations (within approved locations): $40,100 - $58,240

  As 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.

• About the company

  Healthfirst health insurance gives you access to a large network of doctors and hospitals and access to the care you need, when you need it. Learn more now.

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