Firefly Health

Firefly Health is an innovative healthcare company focused on providing personalized support and guidance to its members, utilizing advanced technologies to enhance the patient experience.

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πŸ“ United States

🧭 Full-Time

πŸ” Healthcare

  • 5+ years in health plan operations or a related role, preferably in value-based care or care navigation.
  • Background in tech-enabled, early-stage companies with a focus on innovative process design.
  • Hands-on experience with 3rd party partners/vendors.
  • Strong project management skills with a proven track record.
  • Data-driven mindset with experience in data analysis.
  • Excellent interpersonal and communication skills.
  • Familiarity with healthcare operations tools.

  • Build, manage and optimize end-to-end health plan operations processes, including enrollment, claims, billing, and customer support.
  • Coordinate with key stakeholders to ensure seamless operations and alignment with product strategy.
  • Implement SOPs and KPIs with stakeholders.
  • Oversee vendor relationships and ensure SLAs are met.
  • Identify and implement workflow improvements for operational efficiency.
  • Utilize data analytics to monitor performance and propose solutions.
  • Ensure regulatory compliance and support audits.

Project ManagementData AnalysisData analysisCommunication SkillsCollaborationCompliance

Posted 2024-11-21
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πŸ“ United States

🧭 Full-Time

πŸ” Healthcare

  • Bachelor's degree in Mathematics, Economics, Statistics, Actuarial Science, Data Science, or a related field.
  • 5+ years of experience in healthcare analytics, medical economics, or actuarial services.
  • Familiarity with medical billing, adjudication, and revenue cycle.
  • Proficiency in risk adjustment and SQL.
  • Solid understanding of healthcare financial terms, value-based care, and medical cost drivers.
  • Excellent communication skills for presenting complex data to various stakeholders.
  • Comfortable working in a fast-paced, mission-driven environment and collaborating with cross-functional teams.

  • Extract, analyze, and summarize large healthcare datasets to identify medical cost trends and utilization patterns.
  • Develop actuarial and financial models to forecast financial performance and find cost improvement opportunities.
  • Collaborate with clinical, finance, network, and engineering teams to provide data-driven recommendations.
  • Produce actionable insights on the impact of Firefly Health initiatives.
  • Prepare and present detailed reports to both technical and non-technical audiences.

SQLData AnalysisData analysisData scienceAnalytical Skills

Posted 2024-11-21
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πŸ“ Chicago, Illinois, United States

🧭 Full-Time

πŸ” Healthcare

  • 10+ years of relevant sales experience, preferably in selling health plan products to employers, or who has a demonstrated track record of selling into HR / Benefits teams.
  • Experience closing both large and jumbo employers.
  • Experience with complex contract negotiations, claims repricing and network disruption analyses, and ROI / value model development to demonstrate our impact with customers.
  • Comfortability working independently.
  • Superb project management, organizational and communication skills.
  • Strong public speaking skills and a willingness to present in front of large audiences when needed.
  • Ability to effectively manage multiple priorities in a fast-paced environment.
  • Willingness to travel.

  • Drive new sales with target employer accounts by developing strategies that drive top of funnel activity and efficiently moving prospects through each stage of the sales funnel to close.
  • Understand the network synergy between employers, payers, consultants, and other influencers and harnesses that influence to create leverage in driving deals forward.
  • Work cross-functionally internally to identify and solve gaps that will help move deals forward faster.
  • Maintain comprehensive knowledge of prospect priorities and key business objectives.
  • Work with Firefly’s marketing team to develop service adoption strategies that will lead to high levels of membership attribution and engagement, customized to specific customer populations.
  • Maintain and update employer opportunities and track sales activity metrics in our Salesforce CRM.

LeadershipProject ManagementBusiness DevelopmentPeople ManagementProject CoordinationCross-functional Team LeadershipStrategyBusiness developmentCommunication SkillsCollaboration

Posted 2024-11-07
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πŸ“ Texas, United States

πŸ” Healthcare

  • 10+ years of relevant sales experience, preferably in selling health plan products to employers, or demonstrated experience selling into HR / Benefits teams.
  • Experience closing both large and jumbo employers.
  • Experience with complex contract negotiations, claims repricing, network disruption analyses, and ROI / value model development to demonstrate our impact with customers.
  • Superb project management, organizational and communication skills.
  • Strong public speaking skills and a willingness to present in front of large audiences when needed.
  • Ability to effectively manage multiple priorities in a fast-paced environment.
  • Willingness to travel.

  • Drive new sales with target employer accounts by developing strategies that drive top of funnel activity and efficiently moving prospects through each stage of the sales funnel to close.
  • Understand the network synergy between employers, payers, consultants, and other influencers and harness that influence to create leverage in driving deals forward.
  • Work cross-functionally internally to identify and solve gaps that will help move deals forward faster.
  • Maintain comprehensive knowledge of prospect priorities and key business objectives.
  • Work with Firefly’s marketing team to develop service adoption strategies that will lead to high levels of membership attribution and engagement, customized to specific customer populations.
  • Maintain and update employer opportunities and track sales activity metrics in our Salesforce CRM.

LeadershipProject ManagementBusiness DevelopmentPeople ManagementCross-functional Team LeadershipStrategyBusiness developmentCommunication SkillsCollaboration

Posted 2024-11-07
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πŸ“ United States

🧭 Full-Time

πŸ” Healthcare

  • 5+ years of relevant professional experience.
  • Experience operating within Salesforce.
  • Excellent project management and organizational skills.
  • Strong analytical and modeling skills for quantifying growth.
  • Ability to work cross-functionally in a critical growth role.
  • Thrives in ambiguous situations.
  • Proven leadership skills with strong relationship-building abilities.
  • Experience in a fast-moving startup environment.

  • Develop and execute a tactical plan for the commercial operations function aligned with company strategy.
  • Manage the deal desk and deal exceptions process.
  • Maintain Salesforce CRM and assist in training sales reps.
  • Create reports on key sales indicators to improve sales velocity.
  • Respond to RFIs and RFPs to support the Sales team.
  • Oversee field effectiveness and enablement operations.
  • Assist with lead generation events and strategic partnerships.

LeadershipProject ManagementSalesforceStrategyCollaboration

Posted 2024-11-07
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πŸ“ United States

🧭 Full-Time

πŸ” Healthcare

  • Willing to work 100% FTE over 5 days per week.
  • Graduate of a state-accredited MD or DO residency program.
  • Current board certification in family or internal medicine.
  • Current Massachusetts medical license required, with eligibility for a license in all 50 states.
  • Experience working effectively on cross-functional teams with NPs.
  • Excellent written and verbal communication skills.
  • Experience at the intersection of healthcare delivery and technology.
  • Experience with process improvement and rapid-cycle change tools is a plus.

  • Provide 100% FTE primary care to a diverse patient population in a complete virtual setting.
  • Conduct virtual consultations with patients to assess medical concerns and develop personalized treatment plans.
  • Oversee Nurse Practitioner collaborative practice agreements and serve as the physician supervisor.
  • Contribute to the development and maintenance of evidence-based clinical programs.
  • Serve as an educator and clinical consultant to Firefly colleagues.
  • Take home call on a predictable schedule for urgent health needs.
  • Maintain adherence to Firefly best practices and policies.

LeadershipData AnalysisCross-functional Team LeadershipData analysisCommunication SkillsCollaboration

Posted 2024-10-20
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πŸ”₯ Senior Counsel
Posted 2024-10-19

πŸ“ District of Columbia, United States

πŸ” Healthcare

  • You have a JD and are admitted to practice law.
  • You’ve been practicing for at least 6 years, with experience in both law firm and in-house settings.
  • Ability to navigate risk and regulation in the healthcare industry.
  • Understanding of complex regulatory environments and compliance requirements.
  • Strong listening skills with an ability to build rapport and maintain relationships.
  • Motivated by Firefly's mission, empathetic, and solution-oriented.
  • Bias for action, process-driven, and capable of handling ambiguity.
  • Ability to work independently and take ownership of projects.

  • Partner with internal stakeholders to handle complex transactions and strategic partnerships.
  • Provide legal guidance on compliance, risk management, and data strategy.
  • Advise the Product and Clinical teams on the legal implications of new programs.
  • Manage outside counsel and engage external legal experts as needed.
  • Review, negotiate, and finalize various agreements, including payer contracts and NDAs.
  • Develop a deep understanding of Firefly's business model.
  • Establish yourself as a leader to identify risks and opportunities.
  • Implement compliance programs and establish legal processes to enable efficient deal flow.

LeadershipCommunication SkillsAnalytical SkillsCollaboration

Posted 2024-10-19
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πŸ”₯ Member Guide
Posted 2024-10-04

πŸ“ United States

πŸ” Healthcare

  • Have experience in a healthcare environment and basic knowledge of medical terminology.
  • Are highly organized and thrive in fast-paced, dynamic environments.
  • Have strong interpersonal skills, including effective communication and a genuine desire to help people.
  • Are technologically savvy and able to navigate and assist others in digital environments.
  • Can multitask efficiently without compromising on quality.
  • Are eager to learn and grow within a groundbreaking healthcare organization.

  • Spearhead member engagement efforts by executing key initiatives like new member onboarding.
  • Facilitate a smoother patient experience by managing historical medical record requests and handling insurance verification.
  • Coordinate processes such as discharging members and re-establishing members to ensure a seamless experience.
  • Provide real-time support for patient scheduling.
  • Handle patient relations, particularly focusing on immediate problem resolution and escalation when needed.
  • Deliver ongoing member services, including phone support, message filtering, and responses.
  • Provide immediate technology support for patients to ensure a smooth user experience.

Operations ManagementCommunication SkillsAnalytical SkillsCollaborationOrganizational skillsMultitasking

Posted 2024-10-04
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πŸ“ Massachusetts, NY, NJ, MD, WV, VA, VT, TN, SC, RI, PA, NC, DE, CT

πŸ” Healthcare

  • Graduate of state-accredited nurse practitioner program.
  • Board certification from AANP or ANCC.
  • Current licensure to practice as a nurse practitioner in Massachusetts and one of NY, NJ, MD, WV, VA, VT, TN, SC, RI, PA, NC, DE, CT.
  • Current federal DEA registration and Massachusetts Controlled Substance Registration.
  • Willingness to work 11-7 EST shift.
  • Experience working in teams to care for patients.
  • Excellent written and verbal communication skills.
  • At least two years of experience in a primary care setting.
  • Experience in telemedicine is a plus.
  • Spanish language proficiency is a plus.
  • Experience with process improvement tools is a plus.

  • New patient onboarding and initial visits via video visit.
  • Create longitudinal care plans with patients to set goals and tasks.
  • Manage chronic diseases with tailored care plans for conditions like hypertension and diabetes.
  • Collaborate with Health Guides and the behavioral health team for comprehensive patient care.
  • Support RN staff in addressing new patient complaints and follow-up.
  • Establish wellness goals using standard prevention templates.

Communication SkillsAnalytical SkillsCollaboration

Posted 2024-09-20
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