Healthfirst · 17 hours ago
Program Coordinator
Tennessee, United States
Full-time
Hybrid
Entry Level
$40K/yr - $55K/yr
2+ years expHealthfirst is seeking a Program Coordinator for their Reward Card Program in Clinical Quality. The role involves supporting initiatives related to Member Rewards and Incentives, HEDIS Quality Improvement, and Medicare Stars, while also collaborating with various teams and managing member outreach.
Commercial InsuranceHealth CareHealth InsuranceInsurance
Responsibilities
Verifies reward requests based on required preventive services appropriate for the member’s age, gender and other accepted demographics as outlined via the Member Reward Card Program Guidelines, HEDIS/QARR Technical Specifications, and CMS/DOH guidelines
Conducts member and provider outreach to inform on reward guidance and status using multiple internal systems and applications
Collaborates with internal and external teams to track and document program requirements and implementation status
Documents, communicates and presents technical improvement findings and recommendations in all systems supporting Member Rewards Program
Provides support in creating, editing and communicating member and provider material updates
Additional duties as necessary
Qualification
Required
High School/GED Diploma from an accredited institution
Basic knowledge of MS Word, Excel, Access, and Outlook
Strong organizational skills
Good communication (verbal and written) and interpersonal skills
Flexibility, reliability, and easily adaptable to any work assignments or new computer applications
Competent in managing responsibilities in a high-volume and fast-paced environment
Ability to resolve member issues with patience and courtesy
Preferred
Associate's degree from an accredited institution + 2 Years Work Experience
Experience processing reward card requests highly preferred
Bilingual in English and one or more language(s): Spanish, Mandarin, Cantonese may be required based on business needs
Familiarity with some medical terminology
Experience addressing member inquiries in a managed care environment
Knowledge of CPT and ICD-9 codes
Benefits
Medical, dental and vision coverage
Incentive and recognition programs
Life insurance
401k contributions
Company
Healthfirst
Healthfirst is a health insurer providing medical, business, and health insurance services.
1001-5000 employees
H1B Sponsorship
Healthfirst has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (35)
2024 (26)
2023 (19)
2022 (31)
2021 (3)
2020 (11)
Funding
Current Stage
Late StageLeadership Team
Pat Wang
President and CEO
Recent News
2025-10-10
Crain's New York Business
2025-09-23
2025-08-21
Company data provided by crunchbase