• Associate Medicare Retention Programs

    Healthfirst (NY)


    Duties & Responsibilities:

    Support Medicare Retention Manager in overseeing and measuring a broad range of existing Medicare customer retention initiatives

     

    Manage current Right Plan Fit Activities including assignment, monitoring and measurement of both Core Product, Medicare Cost Savings and Age-In outreach programs

     

    Manage current Involuntary Disenrollment activities including assignment, monitoring and measurement of Recertification and Loss of Medicaid 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:

    Bachelors degree from an accredited institution (or equivalent work experience)

     

    Experience in a cross functional strategy team and/or other projects within the healthcare industry

     

    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

     

    Compliance & Regulatory Responsibilities: Confirm all new programming is allowable with Medicare legal and regulatory partner

     

    WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, 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.