
The Process Manager for Enrollment and Billing (E&B) leads the execution of processes that support the delivery of critical health services for Healthfirst customers. The incumbent monitors, reports, and plans for improvement across a set of core operational processes. The process manager oversees and optimizes the daily execution of process tasks and procedures owned by line of business (LOB) leaders, manages the throughput of value through each process, and reports on process health. He/she is accountable for the development and management of all supporting process documentation, including reports, process maps, data measurements, user support content, and continuous improvement plans.
This position requires three days per week in office (Tues/Wed/Thurs) at either: 100 Church Street, NYC or 1101 Greenwood, Lake Mary, FL.
Duties & Responsibilities:
Ensuring successful execution of assigned business processes
Forecasting, tracking, trending and reporting out operational KPIs
Ensure process compliance with regulatory requirements
Developing and managing a continuous improvement agenda for E&B core operational processes
Collaborating with delivery teams as part of the E&B Software Delivery Lifecycle to represent and plan for process impacts resulting from new capabilities
Representing E&B processes as a subject matter expert across associated metrics, systems, and people
Identifying, implementing, and managing critical data measures, metrics, and control points within processes
Collecting, analyzing, and communicating insights to a variety of stakeholders to provide visibility on the quality of process execution
Using a data-driven approach to articulate the throughput of value through a process and ensuring that resources and systems are optimized for delivery
Connecting the throughput of a given process to customer experience
Identifying, understanding, and managing impacts that are upstream and downstream to a given process
Developing and maintaining all documentation to support process execution
Ensuring the learning of all users within a given process and partnering on the development, planning, and delivery of supporting communication and training
Communicating via channel and approach that is efficient, engaging, and appropriate for respective stakeholders
Leading by example while developing teammates through coaching and learning plans
Managing all key stakeholder expectations and relationships in a proactive manner
Building people and teams through collaboration, actively seeking input and perspective from others, being an active listener, and celebrating success and failures as opportunities for improvement
Additional duties as necessary or assigned
Minimum Qualifications:
Bachelor’s degree from an accredited institution or equivalent experience
HS Diploma or GED from an Accredited Institution
Demonstrable understanding and proficiency of process management Demonstrable proficiency with the Microsoft Office suite of applications
Experience leveraging basic project management skills and tools
Demonstrable proficiency of complex problem-solving skills Experience in an operational department within the healthcare industry (which can include commercial insurance plan, hospital, nursing home, third party administrators, or other related area).
Preferred Qualifications:
Experience managing processes through business process management, LEAN or Six Sigma methodologies and tools
Project management certification
Two (2) plus years’ experience in process management
Experience with process mapping tools
Healthcare experience a plus - industry work experience in healthcare such as hospital, managed or long-term care, insurance, government or other healthcare agency
Experience with enrollment, billing, and payment processing processes
Compliance & Regulatory Responsibilities: Noted above
License/Certification: NA
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLCshallnotdiscriminateagainstanydisabledemployeeorapplicantinregard to any position for which the employee or applicant is otherwise qualified.
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 HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.
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): $103,400 - $149,430
All Other Locations (within approved locations): $88,700 - $131,920
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

Healthfirst believes that every New Yorker deserves access to the best available healthcare. As one of New York’s highest quality not-for-profit health insurers serving close to two million New Yorkers, we make this a reality for our members. Founded more than 30 years ago by the leading hospital systems in downstate New York, Healthfirst established a partnership model that enables hospitals, health systems, and physicians in our network to prioritize health outcomes over profits, placing the needs of our members and community first. Healthfirst serves members in New York City, on Long Island, and in Westchester, Rockland, Sullivan, and Orange counties, offering market-leading products to suit every life stage. Our offerings include Medicaid plans, Medicare Advantage plans, Child Health Plus plans, Essential Plans, Long-Term Care plans, and Qualified Health plans. For more information on Healthfirst, please visit healthfirst.org.