17 Healthcare Job Openings at Healthfirst Within 50 mi. of New York, NY

Displaying results 1 - 15 of 17
Healthfirst

Provider Quality Manager

Healthfirst - New York, NY
The Provider Quality Managerrequires that the manager oversee the day-to-day operations of all incentive programs which fall under the Healthfirst Quality Incentive Program umbrella. This involves the planning, designing, executing, releasing, and supporting of each incentive program on an annual basis.This position has two direct reports. Responsibilities: Planning, designin...
Posted Apr 14, 2014   —   Application Deadline: None
Healthfirst

Medical Director

Healthfirst - New York, NY
Behavioral Health is changing healthcare delivery and Healthfirst is at the forefront of defining those changes. This is a significant career opportunity for a Medical Director to contribute to Behavioral Healths overall strategy and execution as Healthfirst leads the market in applying this essential element to healthcare delivery. The Medical Director will provide clinic...
Posted Apr 10, 2014   —   Application Deadline: None
Healthfirst

Director - Dedicated Testing Organization

Healthfirst - New York, NY
The Director of Dedicated Testing Office ensures the organization processes and goals are aligned. The Dedicated Testing Office is one of the three divisions in the Strategy Management and Implementation (SMI) department and is responsible for working with all areas of the company to improve our ability to develop robust test plans. This increases our speed to market and minimizes rework th...
Posted Apr 10, 2014   —   Application Deadline: None
Healthfirst

Reassessment Nurse

Healthfirst - New York, NY
This is a field based position for a Reassessment Nurse at Senior Health Partners (SHP) at Healthfirst. The Reassessment Nurse takes independent ownership for self-scheduling reassessment visits at intervals required by the Department of Health (DOH) to determine service needs and continued eligibility; coordinates with Care Management Team (CMT) to maintain a high level of efficient and ef...
Posted Apr 09, 2014   —   Application Deadline: None
Healthfirst

AVP Care Management

Healthfirst - New York, NY
The Assistant Vice President of Care Management for Senior Health Partners (SHP),Healthfirstprovides leadership and direction to maximize the quality of member care and effectively manage available medical resources. Maintains high-level day-to-day operations of the care management division. Responsibilities: Supervises directors, assistant directors and all other direct repo...
Posted Apr 09, 2014   —   Application Deadline: None
Healthfirst

Director, Business Operations

Healthfirst - New York, NY
The Director, Business Operations is responsible for managing the strategic and day-to-day operational aspects of Network Management, Claims Operations, Product Management, Data Analysis and Information Technology for the Behavioral Health Department. The Director will develop and implement processes to support and improve operations and quality by conducting a thorough analysis of operatio...
Posted Apr 08, 2014   —   Application Deadline: None
Healthfirst

Senior Pharmacy Manager

Healthfirst - New York, NY
The Senior Pharmacy Manager is responsible for leading an initiative to build a care management model that integrates with Nurse Care Managers to provide clinical oversight for medication therapy-related issues for Healthfirst's Medicare and Medicaid dual-eligible population who are high risk and/or have multiple chronic conditions. Responsibilities: Performs medication couns...
Posted Apr 08, 2014   —   Application Deadline: None
Healthfirst

Manager, Clinical Quality Improvement

Healthfirst - New York, NY
The purpose of the Clinical Quality Improvement unit is to achieve measurable improvement in key areas through identification and resolution of clinical issues negatively impacting the experience and/or delivery of care; and to promote positive health outcomes for our members through partnering with various internal Healthfirst stakeholders, providers and hospitals to create and foster win-...
Posted Apr 01, 2014   —   Application Deadline: None
Healthfirst

Medical Management Specialist - Document Management

Healthfirst - New York, NY
With minimal supervision, the Medical Management Specialist - Document Management organizes, maintains and manages all departmental correspondence that is vital to achieving regulatory compliance, department objectives and operations. The incumbent is responsible for overseeing and coordinating the creation, storage, protection, retrieval and retirement of letters to enrollees, providers an...
Posted Mar 26, 2014   —   Application Deadline: None
Healthfirst

Documentation & Coding Audit Manager

Healthfirst - New York, NY
The Documentation Coding Audit Manager supervises staff and processes associated with auditing clinical documentation that supports Healthfirst diagnoses submitted to CMS (Centers for Medicare and Medicaid Services), New York State, and other entities in support of appropriate risk scores of Healthfirst members. This position will oversee direct review of provider documentation, as well as ...
Posted Mar 26, 2014   —   Application Deadline: None
Healthfirst

Manager Member Experience

Healthfirst - New York, NY
The Member Experience Manager will lead member satisfaction efforts across the organization and for all Healthfirst lines of business. This would include designing the channels for member feedback (i.e. surveys) related to our members' care experience, reporting those results to key stakeholders within the organization, analyzing the results to identify trends and areas of improvement, and ...
Posted Mar 25, 2014   —   Application Deadline: None
Healthfirst

Registered Dietician

Healthfirst - Ny, Telecommuter
The Registered Dietician (RD) reports to the Nutrition Team Manager to conduct nutritional assessments and determine dietary needs for a frail adult population to achieve an optimal level of independent functioning. The RD provides necessary consultation and teaching to members, families/caregivers, and the care teams of Senior Health Partners (SHP) teams and Healthfirst Complete Care, and ...
Posted Mar 14, 2014   —   Application Deadline: None
Healthfirst

Trainer / Educator

Healthfirst - New York, NY
The Trainer/Educator oversees and implements the successful training of newly hired Medical Management and Managed Long Term Care (MLTC) staff, as well as provides retraining and continuing education for current staff. This includes planning, implementing, coordinating and evaluating training/educational programs, in addition to creating, developing and maintaining training manuals and rele...
Posted Feb 19, 2014   —   Application Deadline: None
Healthfirst

Clinical Quality Assurance Auditor RN

Healthfirst - New York, NY
Clinical Quality Assurance Auditor will review all clinical documentation submitted by the Reassessment Nurses to confirm accuracy and monitor timeliness in accordance with the Company's policies and regulatory standards ensuring adherence to departmental and regulatory data integrity standards and requirements including contractual obligations with State and Federal agencies such as New Yo...
Posted Jan 27, 2014   —   Application Deadline: None
Healthfirst

Care Manager - Onsite

Healthfirst - New York, NY
The Care Manager coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning and case management as assigned. Responsible for efficient utilization of health services and optimal health outcomes for members, as well as meeting designated metrics. This is a Healthfirst positionlocated at SUNY Downstate Medical Center ...
Posted Jan 22, 2014   —   Application Deadline: None
Displaying results 1 - 15 of 17