# Job Position
**Position:** A&G Non Clinical Specialist

**Company:** Healthfirst

**Location:** Remote

**Country:** US

**Work Type:** Full-time

**Salary:** $49,795 - $72,800 a year

**Company Rating:** 3.3/5 (736 reviews)

**Posted:** "2024-08-10T12:23:43.602Z"

---

## Job Description

**This position is Remote 
 Duties and Responsibilities 
 
 
 Responsible for case development and resolution of non-clinical cases, such as: certain types of claim denials, member complaints, and member and provider appeals. The end-to-end process requires the Specialist to independently: 
 Research issues 
 Reference and understand HF’s internal health plans’ policies and procedures to frame decisions 
 Interpret regulations 
 Resolve cases and make critical decisions 
 Edit and finalize resolution letters 
 Manage all duties within regulatory timeframes 
 Communicate effectively to hand-off or pick-up work from colleagues 
 Work within a framework that measures productivity and quality for each Specialist against expectations 
 Additional duties as assigned 
 Minimum Qualifications