Jobs at Healthfirst - Page 4

156 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 46 - 60 of 156

Sr. Business Systems Analyst - Enrollment and Billing

Healthfirst - New York, NY

Responsibilities: Elicit anddocument business and functionalrequirements for software and system development, maintenance andenhancement in response to new or ongoing requirements or problem resolutions. Translate functional requirements into technicalrequirements working directly with developers to ensure solid understanding and execution. Interface with the dev...

Application Deadline: None

Senior Performance Improvement Specialist (Business Transformation)

Healthfirst - New York, NY

Responsibilities: Partnering closely with operations and business leaders to establish, publish and execute a strategy for how best to implement performance improvement initiatives within and between core processes. This role is the point person for collaborating and building a working strategy taking direct input from the process and operations leadership. Compl...

Application Deadline: None

Performance Improvement Specialist (Business Transformation)

Healthfirst - New York,Us, NY

Responsibilities: Completing performance improvement projects to meet deadlines and expected goals/ deliverables (i.e. facilitating team meetings, completing root cause analyses, compiling improvement opportunities, presenting project findings to the executive steering committee, as well as the project sponsors/owners). Developing and maintaining various required performanc...

Application Deadline: None

Claims Quality Assurance Auditor

Healthfirst - New York, NY

Responsibilities: Conduct quality audits of provider claims, pre and post paymentsutilizing appropriate sources of information; including eligibility, enrollment, state contracts, provider and facility contracts, and state and health plan billing manuals Analyze errors and determine root causes for appropriate classification. Record/track quality assessment scores and provi...

Application Deadline: None

Care Manager, (RN or MSW) - Bilingual: Spanish

Healthfirst - New York, NY

Responsibilities: Duties Responsibilities: Discharge planning assessments and screening for qualified HF members with a current admission to assigned hospital. Onsi te discharge planning includes: Review patient medical records to identify readiness for discharge and identify missing services in discharge planning. ...

Application Deadline: None

Solutions Delivery Manager - Sharepoint

Healthfirst - New York, NY

Responsibilities: Develop and own SharePoint roadmap and delivery by adhering to Enterprise release cadence and aligned to prioritized demand portfolio. Be the SharePoint evangelist in the organization to effect good user adoption. Lead and provide guidance to SharePoint technical team about SharePoint architect and environment. Elaborate customers' re...

Application Deadline: None

Help Desk Technician

Healthfirst - Lake Mary, FL

Responsibilities: Duties Responsibilities Provide daily phone support for end users within Healthfirst. Focus will be on maintaining/monitoring queue's and providing first level support for password resets, basic troubleshooting and user instructions. Documents resolutions and updates the knowledge base. Alerts management on critical o...

Application Deadline: None

IPA Network Management Rep, bilingual Spanish

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

Assessment Nurse Manager

Healthfirst - New York, NY

Responsibilities: Leads and manages daily operations (oversight of scheduling, clinical consultations, staffing) of teams of Intake and Reassessment Nurses: Ensures accurate and comprehensive completion of assessments and required State approved and internal documents including UAS, MMSE and all nursing documents. Ensures accurateUAS scoring andentries. ...

Application Deadline: None

Educator Clinical RN

Healthfirst - New York, NY

Responsibilities: Duties and Responsibilities: Trains/teach about products, processesand policy information at the onset of the hiring process and on a continuous need basis to help current Healthfirst employees stay abreastof evolving information as well as improve the quality and effectivenessof the Intake / Reassessment process. Must ...

Application Deadline: None

Informatics Supervisor, Medical Management Informatics

Healthfirst - Telecommuter

Responsibilities: Supervises a team of analysts engaged in ad hoc data reports, routine control reporting, system changes and/or troubleshooting of technical support issues while ensuring adherence to quality standards, deadlines, proper procedures, troubleshooting errors, conflicts, complaints and overall workflow. Explores technical solutions for current business proc...

Application Deadline: None

Senior Claims Examiner - Special Handling

Healthfirst - New York, NY

Responsibilities: Process complex, difficult and non-routine claims for multiple lines of business Review/validate work assigned to examiners to ensure completion Provide outcome to Manager from review/validation of completed work in report form Identify policies of common errors requiring retaining sessions Assist with training of new hires...

Application Deadline: None

Account Director, Network Management

Healthfirst - New York, NY

Responsibilities: Develop trusting and long-term relationships (with sponsor and non-sponsor hospitals/systems) with all key decision makers/influencers (including executive suite and managed care department personnel). Lead the strategic planning process at the hospital, site and system levels, and supports the team in execution at the account level. Lead the in...

Application Deadline: None

Assistant Director, Marketing Analytics

Healthfirst - New York, NY

Responsibilities: Oversee an analytics program, including tagging maintenance, data collection, cross-channel data integration, reporting + Insights, dashboards, data visualization, data mining, predictive analytics, audience measurement, brand and competitive intelligence, site surveys. Work collaboratively with business leaders to assess business needs and solutions, and ...

Application Deadline: None

Nurse Care Manager, RN, Complete Care

Healthfirst - Telecommuter

Responsibilities: Duties and Responsibilities: Contributes to the development of patient-focused care and initiates the process in accordance with established guidelines. Conducts assessments, develops treatment plans, performs defined interventions, and generates referrals to providers, community-based resources and appropriate social services. ...

Application Deadline: None