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The Senior Product Strategy Specialist leads product initiatives for Medicaid Products, coordinating with cross-functional teams, ensuring accurate documentation, and driving strategic execution.

The Product Owner will interface between operations and technology, prioritize development, shape product strategy, and enhance Agile processes.

The Peer Support Specialist supports members with mental health and substance use issues by modeling recovery, coordinating care, and conducting field visits. Responsibilities include managing a caseload of clients, facilitating communication with healthcare providers, and documenting interactions effectively.

The Sales Support Associate coordinates enrollment events and collaborates with Sales Managers to promote Healthfirst’s services, supporting membership growth and retention through community outreach and marketing.

The Support Coordinator assists care managers with non-clinical tasks, manages authorizations, provides telephonic outreach, and ensures compliance with policies.

The Director of Utilization Management leads strategic oversight for UM teams, ensuring quality care and compliance with regulatory standards while driving process improvement and innovation.

The Risk Score Accuracy Manager will oversee analytics related to risk score forecasting and manage regulatory audit processes, requiring SQL proficiency and cross-department collaboration.

The Vice President, Enterprise Procurement leads sourcing and procurement strategies, manages supplier relationships, ensures compliance, and drives cost efficiency across the organization.

The Director of Performance Improvement leads initiatives to enhance business processes and productivity, manages staff, and collaborates on strategy development.

The Coding Educator trains providers on diagnosis coding compliance, audits clinical documentation, manages inquiries, and develops educational materials to improve coding accuracy.