Associate Medicare Retention Programs

Focus on Member Migration (Right Plan Fit) and Involuntary Disenrollment Medicare retention programs Position will be devoted to existing programming that encourages Healthfirst members to choose the correct plan design for their needs and to maintain their Medicare/Medicaid eligibility so they can remain Medicare plan members Supports Enterprise Goal of placing 32K LIP members into CC and reducing Complaints Against the Health Plan for which we have a 5-star goal in 2021

Duties/Responsibilities: ​

• Manage current Right Plan Fit Activities including assignment, monitoring and measurement of both Core Product and Integrated Migration outreach programs
• Manage current Involuntary Disenrollment activities including assignment, monitoring and measurement of both Loss of Medicaid and Loss of Part A/Part B outreach programs 
• Maintain responsibility for Medicare Product representation and follow ups at Complaints Against the Health Plan working group
• Strategize with internal stakeholders (i.e., Marketing, Population Health, Sales) on new initiatives Healthfirst can leverage to improve member migrations and reduce involuntary disenrollment
• Monitor and Measure outcomes of initiatives, report findings, adjust actions
• Additional duties as assigned

Minimum Qualifications :

• Bachelor’s degree from an accredited institution (or equivalent work experience)
• At least 6 months (nonconsecutive) experience in program or project management
• Ability to understand complex federal rules and guidelines and be able to ascertain business implications required.
• Must have strong interpersonal skills
• Technical skills: Microsoft Office (specifically Microsoft PowerPoint, Excel, and Word), corporate email systems and SharePoint

Preferred Qualifications:

• Experience managing business processes for project teams
• Ability to build project plans or schedules
• Ability to drive, track and report project execution progress
• Ability to learn quickly and keep pace with fast-changing state and federal guidelines
• Experience in a cross functional strategy team and/or other projects within the healthcare industry

Compliance & Regulatory Responsibilities:

• Confirm all new programming is allowable with Medicare legal and regulatory partners

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): $57,400 - $78,030

• All Other Locations (within approved locations): $49,800 - $74,120

As a candidate for this position, your salary and related elements of compensation will