Jobs at Healthfirst

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Business Analyst

Healthfirst - Lake Mary, FL

The Provider Operations Business Analyst is responsible for business process review and data analysis as relates to activities which ensure operational effectiveness. Incumbents will assist Management by analyzing data, identifying useful information, recommending and supporting decision-making with the goal of departmental improvement. The Business Analyst owns project goals by developing p...

Network Mgmt Ops Coordinator

Healthfirst - New York, NY

Company Overview: Healthfirst is a not-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. We are one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees. Our ...

RN Care Manager Complete Care, bilingual Spanish preferred, sign on eligible

Healthfirst - New York, NY

Company Overview: Healthfirst is a not-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. We are one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees. Our ...

Operations Trainer

Healthfirst - New York, NY

Company Overview: Healthfirst is a not-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. We are one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees. Our mission ...

Clinical Regulatory Manager

Healthfirst - New York, NY

Job Summary: The Clinical Regulatory Manager plays a major role in ensuring that all lines of business are compliant with all requirements from external regulatory agencies, including but not limited to CMS, NCQA and NYDOH. The Manager will also be responsible for supporting the data collection, analysis, drafting and coordinating responses for regulatory audit...

Business Analyst, Claims Reporting

Healthfirst - New York, NY

Position Summary: The Business Analyst (Claims Reporting/Analytics) is responsible for reporting, business process review and data analysis relating to activities ensuring operational effectiveness. The Business Analyst (Claims Reporting/Analytics) will assist management by developing and maintaining reporting tool and processes, querying and analyzing data, identifyin...

Director HRBP and Enterprise Change Management,

Healthfirst - New York, NY

The Director HRBP and Enterprise Change Management leads a focused team of subject matter experts building Healthfirst's enterprise level Center of Expertise for OCM (Organizational Change Management), while serving as a coach, advisor and counselor on all human capital matters to the Strategy Integration division leader, a member of Healthfirst's Executive Team. ...

Operations Centralized Services Coordinator

Healthfirst - New York, NY

Healthfirst is a not-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. We are one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees. Our mission is to ensure that our members have superi...

Jr. Healthcare Analyst

Healthfirst - New York, NY

Position Summary: The Jr. Health Care Analyst is responsible for the productivity reporting of the Sales staff (i.e. ADP (Average Daily Production and bonus/commission data). Additionally, the analyst is responsible for Membership reporting and tracking, which include: membership trends, disenrollment reports, recertification rates and competitive landscape. Resp...

Network Account Manager

Healthfirst - New York, NY

Healthfirst is a not-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. We are one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees. Our mission is to ensure that our members have superi...

Assessment Nurse, bilingual Spanish preferred, sign on bonus eligible

Healthfirst - New York, NY

Company Overview: Healthfirst is a not-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. We are one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees. Our ...

Operations Analyst

Healthfirst - Lake Mary, FL

Position Summary: The Operations Analyst (OA) will be responsible for analyzing and summarizing operations data for the Enrollment line of business; including membership, productivity, and quality data. The OA position will assist with the maintenance and testing of all system related changes; including workflows, validations, and automated processes. The OA will run ...

Business Analyst

Healthfirst - Lake Mary, FL

Position Summary: The Business Analyst will be responsible for all Medicare Enrollment business systems and analysis as it relates to enhancements to existing Enrollment applications and new product lines and/or clients. Act as the liaison between own business unit and IS/Third Party team. Work closely with Project Managers, Information Services, Product Managers and o...

Field Member Services Rep-Bilingual Spanish-Manhattan/Brooklyn

Healthfirst - New York, NY

Company Overview: Healthfirst is a not-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. We are one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees. Our mission ...

Field Member Services Rep-Bilingual Spanish-Queens/Bronx

Healthfirst - New York, NY

Company Overview: Healthfirst is a not-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. We are one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees. Our mission ...