Full-Time

MS Performance Support Specialist-French

Posted on 5/3/2025

Healthfirst

Healthfirst

1,001-5,000 employees

Not-for-profit health insurer serving New Yorkers

Compensation Overview

$41.1k - $62.4k/yr

Entry, Junior

Company Does Not Provide H1B Sponsorship

New Mexico, USA + 33 more

More locations: Washington, USA | Kansas, USA | Pennsylvania, USA | North Dakota, USA | Wyoming, USA | Texas, USA | Montana, USA | Jackson Township, NJ, USA | Florida, USA | Waterbury, CT, USA | Nevada, USA | South Carolina, USA | South Dakota, USA | Georgia, USA | Arizona, USA | Concord, NH, USA | Mississippi, USA | Tennessee, USA | Virginia, USA | Minnesota, USA | Colorado, USA | Utah, USA | Northeastern United States, USA | West Virginia, USA | New York, NY, USA | Maryland, USA | Maine, USA | Massachusetts, USA | North Carolina, USA | Oklahoma, USA | Louisiana, USA | Alabama, USA | United States

Category
Customer Experience & Support
Customer Support
Required Skills
Word/Pages/Docs
Customer Service
Excel/Numbers/Sheets
PowerPoint/Keynote/Slides
Requirements
  • High School Diploma or GED from an accredited institution
  • Healthcare industry experience
  • Experience working in customer service
  • Excellent telephone & customer service skills
  • Experience working in clerical or administrative capacity
  • Experience meeting strict deadlines
  • Proficient in Microsoft suite of applications including Word, Power point, Outlook and Excel.
Responsibilities
  • Provide assistance in resolving complaint issues escalated by the MS representatives
  • Pull non-urgent complaint reporting through various systems on a daily basis
  • Review each matter and reach out to the member to provide determinations
  • Maintain a tracking system for incoming complaint issues
  • 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
  • Timely filing of complaints
  • Conduct outreaches as required
  • Attend meetings as business requires
  • Additional duties as assigned.
Desired Qualifications
  • Fluent in French
  • Associate degree from an accredited school
  • Conflict Resolution Experience
  • Experience handling complex situations and/or projects
  • Experience in developing and coaching of staff

Healthfirst provides health insurance services to nearly two million residents in New York, focusing on making quality healthcare accessible to all. Their products include a variety of plans such as Medicaid, Medicare Advantage, Child Health Plus, Essential Plans, Long-Term Care, and Qualified Health plans, catering to different life stages and needs. Healthfirst operates on a partnership model with hospitals and physicians, emphasizing health outcomes over profits, which sets them apart from many for-profit insurers. The company's goal is to promote health equity, ensuring that every individual, regardless of their background, has the opportunity to lead a healthy and fulfilling life.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

New York City, New York

Founded

1993

Simplify Jobs

Simplify's Take

What believers are saying

  • Partnerships with tech firms like Hyphen boost innovative care solutions.
  • Healthfirst's health equity programs address disparities effectively.
  • Community health initiatives expand access to care in underserved regions.

What critics are saying

  • Competition from companies like Twilio offering integrated data solutions.
  • Pharmacy Incentive Program's reliance on community pharmacists poses operational challenges.
  • Dependence on partnerships for legal assistance may face disruptions.

What makes Healthfirst unique

  • Healthfirst collaborates with Hyphen to enhance value-based care through pharmacy programs.
  • The company focuses on health equity with initiatives like Healthfirst ADVANCE.
  • Healthfirst's community-based programs improve access to care in underserved areas.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) Company Match

Performance Bonus

Company News

Business Wire
May 15th, 2024
Hyphen, Healthfirst Collaboration To Empower Pharmacists’ Role In Value-Based Care Receives 2024 Points Of Light Award From Klas Research

HARTFORD, Conn.--(BUSINESS WIRE)--Hyphen, the technology company creating connected-care, has received a 2024 Points of Light Award from KLAS Research, the leading healthcare research and insights firm, for its efforts to improve payer-provider collaboration in support of improved outcomes in value-based care with Healthfirst, a non-profit health plan serving close to 2 million New Yorkers. KLAS recognized Hyphen’s Pharmacy Assistant application, which supports Healthfirst’s Pharmacy Incentive Program. The program is designed to empower community pharmacists within Healthfirst’s network to take action to improve medication adherence rates, increase members’ understanding of their health plan benefits, and get compensated for those actions. This program is especially impactful because 80% of Medicare Advantage members in New York visit their community pharmacy 5-10 times annually — more than they visit their primary care doctor. The Pharmacy Assistant application connects disparate data sources and delivers real-time, actionable information in pharmacists’ existing workflows so they can close care gaps

MENAFN
Jan 25th, 2024
Montefiore Designated As A Behavioral Center Of Excellence, Granted $7M To Address Gaps In NYC Mental And Behavioral Health Care

New York State Office of Mental Health Funding to Support Plans for New Comprehensive Psychiatric Emergency Program and Outpatient Services Includin

WNewsJ
Sep 20th, 2023
Health First announces local grants

HealthFirst partnered with the Clinton County Foundation to ensure grant funding is annually available to the community.

Digit Kerala
Aug 10th, 2023
Health First Pharmacy Careers in Dubai - Abu Dhabi and Al Ain

Health First Pharmacy Careers UAE: Health First Pharmacy has published the latest job vacancies on its Careers page.

Clinton County Ohio Foundation
Aug 8th, 2023
Health First Renews Focus on Individual and Community Health and Wellness

HealthFirst partnered with the Clinton County Foundation to ensure grant funding is annually available to the community.

INACTIVE