HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members, providers and health plan partners. Active since 1996, HealthCare Partners (HCP) is the largest physician-owned and led IPA in the Northeast, serving the five boroughs and Long Island. Our network includes over 6,000 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. Our MSO employs 240+ skilled professionals dedicated to ensuring members have access to the highest quality of care while efficiently utilizing healthcare resources.

HCP’s vision is to be recognized by members, providers and payers as the organization that delivers unsurpassed excellence in healthcare to the people of New York and their communities.

We pride ourselves on selecting the most qualified candidates who reflect HCP’s mission of serving our members by facilitating the delivery of quality care.

Interested in joining our successful Garden City Team? HCP has opportunities available for experienced clinicians and administrative candidates.

We offer a comprehensive package which includes:

  • Competitive Salaries Commensurate with Experience
  • Medical & Dental Coverage Fully Paid for the Employee
  • Life Insurance
  • Long-Term Disability
  • Voluntary Supplemental Benefits: Vision, AFLAC, Short-Term Disability, Retirement Products and Flexible Spending Accounts
  • Paid Time Off
  • 2 Floating Holidays
  • 8 Holidays
  • Diverse, Collaborative & Innovative Corporate Culture
  • Wellness Workshops
  • Employee Assistance Program
  • Employee Service and Recognition Award Programs
  • Annual Appreciation Party & Employee Picnic
  • Employee Activities Committee
  • Business Casual Dress Code
  • Job Posting Program

Join the HealthCare Partners Talent Network today and stay up-to-date on our openings as they continue to become available!

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Business Intelligence

Data Analyst II, Business Intelligence

The Business Intelligence Data Analyst II plays a pivotal role in driving data-driven decision-making processes within the organization. This advanced-level data analyst position requires strong proficiency in SQL, SSRS reporting, Power BI, Python, and VBA. The successful candidate will possess excellent problem-solving skills, the ability to debug and troubleshoot, strong process documentation skills, and a deep understanding of data structures & algorithms.

Claims

Claims Audit Coordinator

The Claims Audit Coordinator is responsible for auditing claims processing activities to ensure compliance with HCP guidelines, specifically focusing on payment and procedural accuracy. This role plays a critical part in safeguarding the accuracy of completed claims before payment is issued, identifying trends, and recommending process improvements.

Coding

Medical Coding Analyst

The Coding Analyst will provide Risk Adjustment/HCC coding and auditing services that include the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated alphanumerical codes. The Medical Coder will summarize audit results and provide feedback and education to the field team and providers regarding documentation needs and requirements.

Customer Engagement Center

Quality Outcomes Associate

The Quality Outcomes Associate (QOA) plays a key role in supporting high-impact Population Health programs through provider and member outreach, education, and engagement. This position is essential to driving continuous quality improvement in Healthcare Effectiveness Data and Information Set (HEDIS) measures, including Medicare Stars and Medicaid QARR.
As the external-facing quality liaison for HCP, the QOA ensures all communications align with HCP's corporate messaging and branding by working in close partnership with the Customer Engagement Center (CEC), Pharmacy, Risk Adjustment, Utilization Management, Quality, Network Relations, and other internal teams.

Core responsibilities include:
• Facilitating provider and member outreach to promote timely clinical interventions that improve health outcomes.
• Supporting medical record abstraction, retrieval, and data entry for HEDIS medical record review and supplemental data collection.
• Acting as a quality ambassador in external engagements, ensuring consistency in communication and alignment with strategic goals.

This role is instrumental in bridging internal quality initiatives with external provider and member engagement, ultimately contributing to improved performance metrics and member health outcomes.

Information Technology

Senior Database Administrator

The Senior Database Administrator plays a crucial role in ensuring the operational excellence and stability of our hybrid database architecture, spanning SQL Server on-premises, Azure SQL Databases, Managed Instances, and Fabric Databases in the cloud. Responsible for creating, managing, and monitoring mission-critical databases core to the organization's success.

The ideal candidate will ensure the availability, performance, and security of our databases, supporting both OLTP and OLAP systems, as well as integration and ELT processes. This includes the administration of SQL Server systems, the design and development of new database solutions, solving complex performance problems, capacity planning, and automation. Given our healthcare focus, strict adherence to HIPAA compliance is essential.

As a senior member of Enterprise Architecture team, you will field escalated issues related to data architecture, query design/development/best practice, provide guidance to colleagues, and work collaboratively in delivering database solutions that exceed business expectations. You are the expert and have an opportunity to influence both our data strategy and estate going forward.

Medical Management

Nurse Case Manager, Prior Authorization RN

The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan requirements are met. This role reports to the Manager of Inpatient Utilization Management and involves collaborating with healthcare providers, patients, and internal teams to determine the medical necessity of requested services, ensuring compliance with insurance guidelines, and maintaining accurate documentation. The Nurse Case Manager, Prior Authorization RN will support the goal of delivering timely and efficient authorization decisions while promoting quality patient care.

Nurse Case Manager, RN (Case Management)

The Nurse Case Manager is responsible for engaging members enrolled in case management to provide comprehensive care coordination and education aimed at improving health outcomes. This role involves assessing medical needs, developing individualized care plans, and collaborating with healthcare professionals to address barriers and ensure continuity of care. The Nurse Case Manager also monitors progress, adjusts care plans as necessary, and supports members in navigating the healthcare system to achieve optimal wellness.

Prior Authorization Nurse

The purpose of the prior authorization nurse is to provide timely review of authorization requests and ensure the requests meet national standard and contractual requirements. The prior authorization nurse will promote the quality and cost effectiveness of patient care using clinical acumen. Additionally, the nurse will prepare documentation, perform audits of patient records, and assist management when needed. The nurse must be versed in the application of clinical guidelines.

Utilization Management Specialist

The Utilization Management Specialist plays a key role in optimizing healthcare resource utilization and ensuring adherence to quality and compliance standards. This specialist-level position involves expertise in reviewing healthcare service requests, including prior authorizations, inpatient services, denials, and appeals. The role implements utilization management strategies while collaborating closely with internal and external stakeholders to drive operational excellence and improve patient outcomes.

Network Relations

Provider Relations Specialist - Suffolk Country

HealthCare Partners (HCP) is dedicated to improving our healthcare ecosystem. The Provider Relations Specialist is the mission-critical linchpin between HealthCare Partners and our network of primary care physicians. This role focuses on fostering strong working relationships with PCPs and staff in an ongoing effort to advance HCP's organizational objectives, facilitate value based care, and improve both provider satisfaction and member health. The Provider Relations Specialist leverages data and knowledge of the primary care setting to identify PCP opportunities and tailor strategic action plans to support success. The Provider Relations Specialist serves as an internal subject matter expert with regard to their territory and collaborates cross departmentally to engage physicians optimally. This unique role blends a service and consultative approach to ensure HCP achieves its mission.

Risk Adjustment

Supervisor, Medical Coding

The Coding Supervisor is responsible for overseeing and managing the day-to-day operations related to Affordable Care Act, Medicaid and Medicare coding, project creation/assignment, and compliance. This role ensures accurate and compliant diagnostic capture and validation, adherence to CMS/NYSDOH regulations, staying current with all industry regulations, and acting as the subject matter expert within this area. The supervisor will lead a team of coding specialists, providing training, quality oversight, and performance management. The position also involves collaborating with internal departments, such as Risk Adjustment, Provider Relations, Compliance, and Quality, to ensure streamlined processes and continuous improvement.

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