Jobs at Healthfirst

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Displaying results 1 - 15 of 108

Educator Clinical RN

Healthfirst - New York, NY

Responsibilities: Duties and Responsibilities: Successful candidate is the first source of job-related information and is required to train/teach about products, processes and policy information at the onset of the hiring process and on a continuous need basis to help current Healthfirst employees stay abreast of evolving information as well as improve the ...

Application Deadline: None

Financial Data Analyst

Healthfirst - New York, NY

Responsibilities: EMR adjustments: create new adjustment files for any data that is not flowing through automated processes in data warehouse These adjustments are also needed to fix any anomaly data in DWH. AX and GL interface: controlling the data that flows from data warehouse to General Ledger. GL and EMR reconciliation: Reconcile EMR and GL revenue and cost ...

Application Deadline: None

VP, Claims Operations

Healthfirst - New York, NY

Responsibilities: Strategic Business Management: In conjunction with Healthfirst and Operations leadership, establishes and communicates current and long range department goals and objectives and monitors results on a monthly basis, adjusting plans and performance expectations to achieve targeted results. Provides strategic guidance, direction and manag...

Application Deadline: None

Executive Assistant

Healthfirst - New York, NY

Responsibilities: Being responsible for varied administrative duties for a Senior Vice President or other top executive Composing Typing correspondence, relay confidential information, gather and interpret information to develop reports and maintain departmental files, assist in monitoring departmental budgets, and screen visitors and telephone calls

Application Deadline: None

Account Receivable Analyst

Healthfirst - New York, NY

Responsibilities: Generate and review State billing file for all Healthfirst products. Ensure billed records are accurate based on approved contracted rates from Department of Health. Correct any errors from exception reports. Identify and bill Kick events (Maternity, Newborn and Low Birth Events). Maintain the infrastructure of Paid Claim support files used to support bill...

Application Deadline: None

Data Analyst

Healthfirst - New York, NY

Responsibilities: Analyze and reconcile premium revenue and remittance status. Account for rate changes across all product lines. Support and report Accounts Receivable sub-ledger aging and collections. Create reports using SAS to assist in reconciliations and assist the team to create data driven processes that improve efficiency of monthly close processes. Collect and ana...

Application Deadline: None

Specialist, Medical Management Regulatory

Healthfirst - Telecommuter

Responsibilities: Meets with Regulatory to organize pre-survey deliverables and conduct pre-survey reviews of materials. Interacts with and represents the Medical Management Department and external auditors. Responds to auditor requests and audits outcome results. Prepares and coordinates on-site and electronic audits conducted by external regulatory entities. Coordinates a...

Application Deadline: None

Social Worker- Welcome Team

Healthfirst - Telecommuter

Responsibilities: Uses all available resources to assess members' psychosocial health status and social work needs; this includes making field home visits as needed in order to complete a psychosocial assessment for all new members within the first 30 days of enrollment. Determines member and family needs to develop a comprehensive care plan for each member based on counsel...

Application Deadline: None

Business Analyst

Healthfirst - Telecommuter

Responsibilities: Implements system processes for new corporate and regulatory requirements. Coordinates integration of multiple systems with outside entities and inside departments. Responsible for implementing new software and testing existing software used by the Medical Management and Appeal and Grievances Departments. Represents Medical Management...

Application Deadline: None

Behavioral Health Representative

Healthfirst - New York, NY

Responsibilities: Assist in the development and recruitment of BH network providers base don department needs to support (HARP) requirements based on the anticipated needs of special populations, including, but not limited to: Transition age youth with BH needs; Adults and transition age youth identified with First Episode Psychosis (FEP); Individuals with Intellectual and Development...

Application Deadline: None

Supervisor, Clinical Correspondence Unit

Healthfirst - New York, NY

Responsibilities: Active involvement and leadership of the clinical correspondence team's day-to-day operations; ensuring that staff is consistent with Healthfirsts policies and procedures; and are in compliance with contractual, state and federal guidelines Supervises, analyzes and coordinates the unit's daily activities to ensure that departmental productivity goals ...

Application Deadline: None

Administrative Assistant - Operations

Healthfirst - New York, NY

Responsibilities: Provides full administrative support to the VP-Operations which includes: Managing calendar and triage meetings/priorities for VP, Operations (calendar and meeting setup, accept/decline/change meetings; ensure technical and telephonic meeting needs are secured; assist VP in managing daily priorities to ensure schedule adherence based on VP...

Application Deadline: None

Project Coordinator

Healthfirst - New York, NY

Responsibilities: Create and maintain project schedules and other required project documentation using corporate project management tools and principles. Facilitate meetings and conference calls with project participants acting in a consultative capacity. Capture and summarize meeting objectives and outcomes, and outline key decisions and action items. Assist wit...

Application Deadline: None

Manager, Analysis (Data Governance)

Healthfirst - New York, NY

Responsibilities: Manages the day-to-day project schedule for EIM (Enterprise Information Management) program Manages the interdependencies with other projects that have an impact to or a dependency on the EIM program Contributes to the Data Governance portal. Attend the Data Governance Council and Steering Committee agenda and materials Support the Data Governanc...

Application Deadline: None

Nurse Care Manager, Complete Care

Healthfirst - Telecommuter

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. Assesses member's physical, psychosocial and d...

Application Deadline: None