Job Locations US-NY-New York
Req #
1774
Agency
Elderplan
Status
Regular Full-Time
Location : Postal Code
10041
Category
Customer Service
Office or Field
Hybrid

Overview

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No?  You will here!  You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals.  You take care of our patients, residents and health plan members, and we will take care of the rest!

 

Benefits include:

 

  • Tuition Reimbursement for all full and part-time staff
  • Generous paid time off
  • Affordable medical, dental and vision coverage for employee and family members
  • Two retirement plans! 403(b) AND Employer Paid Pension
  • Flexible spending
  • And MORE!

 

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities

Investigate and respond to written and/or verbal appeals and grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS (Centers for Medicare & Medicaid Services), and DOH (Department of Health) regulations.

Qualifications

  • Associates degree or 60 college credits preferred, but will consider prior experience.
  • 4 years prior related experience is required.
  • Managed Care or Health Care related experience preferred.
  • Must be proficient in MS word, excel and desktop software knowledge preferred.
  • Excellent organizational skills.
  • Very good communication skills (oral and written).
  • Good interpersonal Skills.

Min

USD $61,463.13/Yr.

Max

USD $73,755.75/Yr.

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