Jobs at Healthfirst - Page 3

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Displaying results 31 - 45 of 156

Senior Business Analyst (Claims)

Healthfirst - New York, NY

Responsibilities: Reporting and Analysis Coordinates workflow for the team, is the point person for Business Analysts and coaches and instructs others as needed to increase bench strength Identify defects and improve departmental performance by supporting quality, operation efficiency and production goals Communicate departmentally and interde...

Application Deadline: None

Project Coordinator - Portfolio Intake (NY)

Healthfirst - New York, NY

Responsibilities: Create, maintain and update all associated documents with the intake of project work in order to support portfolio planning. This includes evaluating and assessing projects against specific criteria Facilitate ongoing discussions throughout the year with key business stakeholders on the intake of new projects and the proper identification of value added in...

Application Deadline: None

Director, Portfolio Management (NY)

Healthfirst - New York, NY

Responsibilities: Drivesthe adoption and implementation of project and program management methodology and oversees project and program management coaching. Establishes methodologies and recommends governance for the Organization. Establishes a program to ensure utilization and maturation of best practice project management standards and methodologies. Fosters ...

Application Deadline: None

Sales Operations Manager

Healthfirst - New York, NY

Responsibilities: Develop an in-depth knowledge of Healthfirsts core products via successful completion of required sales training program, and utilize this knowledge to successfully lead Sales Support operations in a product agnostic manner. Manage a successful sales support team and ensure that the team consistently meets or exceeds daily sales performance metrics. ...

Application Deadline: None

Customer Service Representative (Call Center) Provider Services

Healthfirst - Lake Mary, FL

Responsibilities: Responding to inquiries regarding provider information or plan benefits Communicating effectively to providers to ensure understand expectations and/or concerns. Performing research on provider inquires Providing complete and accurate information regarding company policy and procedures Prepare clear documentation to facilit...

Application Deadline: None

Enrollment Medicaid Specialist

Healthfirst - New York, NY

Responsibilities: Conducts individual pre-enrollment screening: Meets with individuals who may qualify for enrollment in Senior Health Partners throughout the 5 boroughs, Westchester and Nassau County. Explains the program features, benefits and commitments, including explanation of the Member Handbook. Conducts pre-screening for financial eligibility.

Application Deadline: None

Behavioral Health Care Manager - Utilization Management

Healthfirst - Telecommuter

Responsibilities: Performs initial, concurrent, and discharge reviews for members being treated in facilities. Evaluates and pre-authorizes requests for mental health services in community based settings to ensure timely access to the most appropriate, least restrictive, level of care in accordance with department and regulatory guidelines. Collaborates with members of the ...

Application Deadline: None

Care Coordinator, Medical Management - Bilingual: Cantonese or Mandarin

Healthfirst - New York, NY

Responsibilities: Duties and Responsibilities: For Call Center: Receive Incoming calls from members regarding benefit questions/issues, care coordination, inquiries about program, provision of educational materials, connecting to their care manager, and screening assessments to identify risk factors requiring case management intervention. Confirmation and d...

Application Deadline: None

Lead Information Security Architect/Engineer

Healthfirst - New York, NY

Responsibilities: Plan, design and implement security solutions, tools, and monitoring systems. Review new systems designs and major modifications for security implications prior to implementation. Document, analyze, and report on IS business processes to recommend security enhancement and improvements. Provide leadership and mentoring advisory services to the security team and busine...

Application Deadline: None

IPA Network Management Rep, bilingual Mandarin/Cantonese

Healthfirst - New York, NY

Responsibilities: Serve as plan liaison for physicians/physician groups in a specified geographical area. Will be main point of contact for all plan-related issues including marketing, enrollment, contracting,billing and reimbursement. Responsibility for the resolution of all issues, including those identified by the provider, and those identified internally that have an impact on the...

Application Deadline: None

Senior QA Automation Engineer

Healthfirst - New York, NY

Responsibilities: Duties and Responsibilities: Design, develop, implement and maintain a cost effective, long-term automation strategy and framework to increase regression testing accuracy, coverage and reduce regression timelines Enhance HF Test Automation Framework using advanced techniques such as hybrid, key-word, and data driven methodologie...

Application Deadline: None

Member Services Representative - Bilingual Spanish

Healthfirst - Lake Mary, FL

Responsibilities: Interacts with customers to provide information in response to inquiries about products and services. Transfer customer calls to appropriate departments. Identify, research, and resolve customer issues using the computer system. Follow-up on customer inquiries not immediately resolved. Research member billing and claims iss...

Application Deadline: None

Member Services Representative - English

Healthfirst - Lake Mary, FL

Responsibilities: Interacts with customers to provide information in response to inquiries about products and services. Transfer customer calls to appropriate departments. Identify, research, and resolve customer issues using the computer system. Follow-up on customer inquiries not immediately resolved. Researc...

Application Deadline: None

Pharmacy Reporting Analyst

Healthfirst - New York, NY

Responsibilities: Creates reporting from appropriate systems. Designs complex algorithms/programs to display metrics from data within Healthfirst's Enterprise Data Warehouse (EDW) and ad-hoc data sets. Seeks out and adopts best practices in reporting and analytics. Documents requirements and technical specifications; handles reporting requests, executes project specificatio...

Application Deadline: None

Senior Design Manager

Healthfirst - New York, NY

Responsibilities: Create layouts for both digital and traditional media, exploring appropriate design principles such as color, typography, and photographic selection for the brand, organizing elements and usability Conduct brand and/or product research, apply consistent style and message across brand documents Understands style and referencing usage and applies ...

Application Deadline: None