Jobs at Healthfirst

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Displaying results 1 - 15 of 103

Senior Clinical Analyst

Healthfirst - New York, NY

Responsibilities: Lead the delivery of monthly, seasonal and ad-hoc HEDIS/QARR results using NCQA certified analysis software/data. Manage the receipt and processing of supplemental data from hospitals and provider groups. Ensures timely communication and accurate processing within established service level agreements. Responsible for the monthly reporting and tr...

Application Deadline: None

Mgr, Behav Health Network Contracting

Healthfirst - New York, NY

Responsibilities: Oversees the Behavioral Health Network recruiting, contracting, and training of Healthfist provider network. Provides ongoing oversight of network provider access and availability adequacy to ensure a compliant network for all Healthfirst product lines. Maintains staff productivity, effectiveness and efficiency. Develops key indicator...

Application Deadline: None

Relationship Coordinator, Sales - Bilingual Spanish

Healthfirst - New York, NY

Responsibilities: Working under the direction of the Relationship Manager, maneuvers multiple tasks independently with a fast-paced proactive vs. reactive approach to changing priorities, call volume and telemarketing call and appointment goals. Attention to managing many details and remaining focused in an environment with distractions. Receives and screens all ...

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 s...

Application Deadline: None

Pharmacy Vendor Oversight Manager

Healthfirst - New York, NY

Responsibilities: Develop and implement processes to manage oversight of all vendor contract deliverables such as fees/billing, performance guarantees/penalties, rebates and reporting. Develop and implement monitoring tools to manage and trend department budget/expenses related to vendors and consultants. Create vendor performance dashboard/reporting; perform com...

Application Deadline: None

Clinical Analyst

Healthfirst - New York, NY

Responsibilities: Processing, reviewing and troubleshooting of supplemental data from hospitals and provider groups Tracking, trending and proactively identifying issues with various data feeds Ad-Hoc analysis pertaining to the quality of care delivered to our membership Supporting role in Clinical and I.S. strategies and projects Performing...

Application Deadline: None

HR Program Manager

Healthfirst - New York, NY

Responsibilities: Work with the HRLT to prioritize and implement projects according to HR Operating Plan; manage against the HR Operating Plan to ensure deliverables are met on time Define scope and requirements of projects: develop project plans, ensure effective functioning of projects and supervise implementation Perform workflow analysis to determine best pro...

Application Deadline: None

Project Analyst (Reporting, UAT, Project Management)

Healthfirst - New York, NY

Responsibilities: Analysis, Reporting and Performance Improvement: Perform research, complex analysis and interpretation of statistical data, processes and other project assignments. Manipulate data to understand root cause, trends and patterns, and then summarizes data, presents findings and offers recommendations to leadership in a professional manner. Provides ...

Application Deadline: None

CISO (Chief Information Security Officer)

Healthfirst - New York, NY

Responsibilities: Duties and Responsibilities: Provides executive leadership, vision and managerial oversight in the development and implementation of Healthfirst security strategy to define policies and processes that enable consistent, effective information security practices and minimize risk. Determines projects and priorities for all information securi...

Application Deadline: None

Ancillary Services Contractor

Healthfirst - New York, NY

Responsibilities: Manage a network of Ancillary Providers for all lines of Healthfirst's business (such as Medicaid, CHP, Medicare, and Commercial). Monitor and audit contracted ancillary providers to ensure that accurate demographic, payment and fee schedules are loaded into the HF Provider System correctly. Resolve configuration issues by identifying root causes in order to prevent ...

Application Deadline: None

Supervisor, Information Systems

Healthfirst - New York, NY

Responsibilities: Supervise the activities of the development team throughout the software development life cycle. Prioritize, plan, assign, and monitor work for the team using input from the development team, senior management, and business partners. Manage Projects. Maintain project status and related documentation. Facilitate project related activities, including plannin...

Application Deadline: None

Applications Support Analyst

Healthfirst - New York, NY

Responsibilities: Duties Responsibilities: Should be able to gain application skills via online training or via other resources within the IT division to serve as SME. Monitor Help Desk queue for new tickets and resolve issues to completion. Seek guidance and directions from other Analysts. Make sure that help desk tickets are register...

Application Deadline: None

EAI-Solution Integration Architect & Delivery

Healthfirst - New York, NY

Responsibilities: Responsible for working with Project Manager, Solution Architect to design, develop and implement application integration solutions based on the requirements and the overall technical architecture. Responsible for designing integration solutions using service oriented architecture (SOA) based, industry standard integration frameworks, patterns and...

Application Deadline: None

Senior Application Support Analyst

Healthfirst - New York, NY

Responsibilities: Provide support for mission critical enterprise applications. At times extended support hours are required outside of a normal work day. These instances are rare however they do occur and the Sr. Business Analyst is responsible for maintaining and restoring their applications to Production Ready levels. Work on enhancements and system upgrades for CRM appl...

Application Deadline: None

Programmer Analyst

Healthfirst - New York, NY

Responsibilities: The Senior Programmer Analyst develops and translates designs and specifications into various systems following programming standards. Demonstrates a proficiency in at least one of Healthfirsts programming languages (i.e., SQL. Server Integration Services (SSIS) or TSQL) while facilitating the transition of programs from development into production. Partic...

Application Deadline: None