Jobs at Healthfirst in New York, NY

105 job openings within 25 miles

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Sr Mgr Customer Experience

Healthfirst - New York, NY

This role will report to the Director of Customer Experience and be instrumental in defining and building a world-class customer experience center of excellence. As part of the Customer Experience team, you will have the opportunity to shape and influence the experience direction of Healthfirst by creating and executing initiatives that will build momentum and accelerate a cultural change acros...

Nutrition Specialist, Long Term Care

Healthfirst - New York, NY

The Long Term Care Nutrition Specialist supports the Nutrition Team Registered Dietitians by arranging qualified services for their members. The LTC Nutrition Specialist is actively involved in the coordination of all covered services. This position reports to the Senior Manager and/or Manager of the Nutrition Team.Complete new and discontinued service authorizations as directed by Regi...

Retail Strategy and Operations Associate

Healthfirst - New York, NY

Reporting to the Retail Strategy Manager, the Retail Strategy Associate is responsible for supporting cross|functionally teams to assist the Retail Manager to develop, assist in execution, and continuously improve upon a retail strategy that supports the member and prospect experience across product lines and throughout the consumer lifecycle. This role primarily supports the consumer experienc...

Senior Claims Examiner

Healthfirst - New York, NY

The Senior Claims Examiner is responsible for the investigation, determination and reporting of claims processing thru auditing of normal business processes as well as handling second level appeal requests. The incumbent will audit, conduct root cause analysis, handle processing of determinations, track and trend findings. The Senior Claims Examiner will also assist management ...

Project Coordinator

Healthfirst - New York, NY

The Project Coordinator manage various reporting functions and communicate information to the various Sales Divisions in support of the Sales Effective and Integration Department. This individual acts as the main liaison between the various Sales Departments (PHSP, Commercial, Medicare, Complete Care and SHP) and our key stakeholders and business partners throughout the organization. S/he will ...

Member Services Clerk

Healthfirst - New York, NY

The Member Services Clerk will provide general clerical support to all Member Services staff for the day to day operations of the department. The Member Services Clerk will ensure that all forms are processed and forwarded on a timely basis to the appropriate departments. The individual at this level is expected to embody Healthfirst Culture Drivers and fulfill his/her role in helping t...

Program Manager, Clinical Partnerships

Healthfirst - New York, NY

The Clinical Partnerships Program Manager is responsible for the planning, implementation, management and monitoring of Healthfirst's Clinical Partnerships portfolio of provider facing, field and community programming. As a member of the Clinical Partnerships management team, this position ensures that all planning, data collection and reporting are completed timely according to the goals of Cl...

AVP Medical Director

Healthfirst - New York, NY

The AVP, Medical Director is responsible for providing clinical leadership and clinical decision making for medical management programs and projects as assigned, including Utilization Management (UM), Care Management CM), Credentialing, Appeals/Grievances Management (A&G), Quality Assurance/Improvement (QA/QI) and Delegation Oversight. This includes supporting the development and implementation...

Driver

Healthfirst - New York, NY

The Fleet Driver is responsible for maintaining an efficient, well organized community outreach vehicle (COV) and cargo van at the assigned Healthfirst marketing location. The Driver is accountable for the day to day operations on the assigned COV/cargo van, liable for all marketing materials on the assigned RV, the ordering of marketing supplies, daily set up and break down and responsible for...

Program Coordinator, Clinical Partnerships

Healthfirst - New York, NY

The Program Coordinator is responsible for the concurrent coordination of projects and initiatives related to Clinical Partnerships to ensure that all planning, data collection and reporting are successfully executed in a timely manner and according to established goals of Clinical Partnerships. This position will be responsible for coordinating Clinical Partnership team meeting materials, proj...

Driver

Healthfirst - New York, NY

The Fleet Driver is responsible for maintaining an efficient, well organized community outreach vehicle (COV) and cargo van at the assigned Healthfirst marketing location. The Driver is accountable for the day to day operations on the assigned COV/cargo van, liable for all marketing materials on the assigned RV, the ordering of marketing supplies, daily set up and break down and responsible for...

Sr Business Intelligence Analyst

Healthfirst - New York, NY

Reporting to the Manager Analysis, the Senior Healthcare Business Intelligence Analyst will perform functions that enable the success of key business processes and practices related to the Performing Provider System (PPS) and sponsor hospitals in the Delivery Systems Reform Incentive Payment (DSRIP) Program. Comfortable presenting reports to all levels of management internally/externall...

Mgr, Compensation (Job Architecture)

Healthfirst - New York, NY

The Manager, Compensation will assist in the development, implementation, communication and administration of the company's compensation programs in order to attract, retain, and motivate talent. Responsible for the development, implementation and administration of various compensation programs and processes, including but not limited to base pay administration, market pricing, job family archi...

Project Manager, Clinical Quality

Healthfirst - New York, NY

This position is responsible for developing, implementing and executing against projects geared towards improving Healthfirst's quality scores as they relate to HEDIS, QARR, Stars and QRS. The successful candidate will work with the Clinical Quality team to identify and support opportunities to improve performance on quality measures.Duties and Responsibilities:Develop, ma...

Sr Modeling Analyst

Healthfirst - New York, NY

The Sr. Analyst, Financial Modeling and Analytics will assist in supporting the financial planning for the Enterprise Project Management Office. Responsibilities include, but are not limited to; compiling and maintaining the financial planning process (i.e., the annual budget, capital plan and multi-year financial plan), building sophisticated financial models, preparing analyses and preparing ...