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Healthfirst

Non-profit insurer offering MLTC, Medicare Advantage.

Vendor Partner Specialist - Contact Center Operations

Operations & LogisticsConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • Work experience in analysis and vendor relationship management.
  • Experience analyzing business requirements.
  • Experience with Microsoft Office Suite.
  • Experience in metric creation and reporting.
  • Experience meeting strict deadlines.
  • GED or high school diploma from an accredited institution.

Responsibilities

  • Analyze, manage, and delegate daily workflow to and from external vendors to ensure tasks are properly executed and service level agreements are met accurately.
  • Analyze vendor accuracy by reviewing and consolidating work product to identify trends and gaps.
  • Communicate regularly with department leaders, subject matter experts, and quality teams about processes, system issues, quality scores, and opportunities to improve performance or quality metrics affecting workflow and membership.
  • Ensure adherence to regulatory and compliance mandates.
  • Work with Information Technology to define business requirements and ensure they are understood and solutions are achieved.
  • Oversee and resolve daily issues affecting vendor user system access.
  • Work with Information Technology to assist with onboarding newly hired vendors.
  • Trend and respond to daily inquiries.
  • Serve as a liaison between department leaders and vendors, relaying information about business processes, workflow, projects, and process improvement.
  • Maintain accurate documentation of assigned and completed vendor work, with daily summary reporting to Management.
  • Coordinate training with appropriate parties.
  • Maintain ongoing communication to ensure Operations Training, Quality Assurance, and vendors are updated and aligned on departmental changes.
  • Identify new opportunities for vendor engagement.
  • Recommend changes, updates, and workflow process enhancements for continuous improvement and streamlining.
  • Assist with special projects and other duties based on business need.

Desired Qualifications

  • Healthcare industry experience, such as experience with a managed care organization, commercial health insurance plans, or a hospital.
  • Insurance enrollment and billing experience.
  • Understanding performance management, interpreting measurements, and disseminating information to department leadership or vendors.
  • A proactive approach to managing inventory and system access to ensure data and workflow continue to be maintained.
  • Bachelor's degree or higher from an accredited institution.

About the Company

Healthfirst

Non-profit insurer offering MLTC, Medicare Advantage.

Healthfirst is a nonprofit health insurer in the New York metropolitan area offering a range of health plans, including Managed Long-Term Care (MLTC) for people who need ongoing care, Medicare Advantage with extra benefits, and the Essential Plan for income-qualified individuals. MLTC coordinates in-home and community-based care; Medicare Advantage combines Medicare with additional benefits in a single plan; the Essential Plan provides affordable coverage through a low-cost option, all delivered through a network of healthcare providers funded by premiums and government support. It differentiates itself through its nonprofit status, strong local focus, and partnerships that connect New Yorkers to a coordinated set of public-program-aligned products alongside Medicare Advantage. Its goal is to expand access to affordable, comprehensive health coverage for New Yorkers, especially vulnerable groups, by leveraging its local presence and provider network.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
New York City, New York
Founded
1993

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