Jobs at Healthfirst

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Long Term Care Specialist, Utilization Management

Healthfirst - New York, NY

Position Summary: The LTC Utilization Management Specialist supports primary care managers by arranging qualified services for their members. The UM Specialist is actively involved in the coordination of all covered services. This position reports to the Supervisor, Care Management. Responsibilities: Duties and Responsibilities:

Support Coordinator

Healthfirst - New York, NY

Job Summary: The Support Coordinator is responsible for assisting the care/case managers with non-clinical activities such as creating cases; providing telephonic outreach to members, providers and community-based organizations; handling member mailings; faxing clinical requests and Individual Health Care Plans on behalf of the care/case managers. May also prov...

Care Manager

Healthfirst - New York, NY

Position Summary: The Nurse Care Manager coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning and case management as assigned. This position is responsible for efficient utilization of health services and optimal health outcomes for members, as well as meeting designated metrics. This position repo...

Systems Administrator

Healthfirst - Lake Mary, FL

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

Healthfirst is a non-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...

Commercial Service Representative

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 ...

Mulesoft Developer

Healthfirst - Lake Mary, FL

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...

Senior Salesforce Developer

Healthfirst - Lake Mary, FL

Position Summary: The Senior Developer's primary responsibilities are to analyze, design, implement and test customized software applications. The Senior Developer will have a strong knowledge of software development and design and will have experience working to develop business-critical applications. Responsibilities: Duties & Responsibil...

Sr. Manager, Product Marketing

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...

Supervisor - Rightfax 11am-8pm (shift)

Healthfirst - New York, NY

Position Summary: The RightFax Supervisor coordinates and supervises daily operations of the RightFax Unit which is responsible for receiving, logging and creating files for faxes received electronically. This position reports to the Manager, Fax Correspondence. Responsibilities: Duties & Responsibilities: Super...

Business Analyst - Claims

Healthfirst - New York, NY

The Business Analyst is responsible for business process review and provider data analysis as it relates to activities which ensure operational effectiveness. The incumbent will analyze data, identify relevant information in order to make recommendations and support decision making with the goal of departmental improvement. The Business Analyst owns project goals and develops ...

HRIS Analyst

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...

Enrollment Medicaid Specialist - Bilingual Russian

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...

Commercial Business Service Center Liaison

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 ...

Manager, Commercial Business Service Center

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 ...