Jobs at Healthfirst

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Displaying results 1 - 15 of 98

Integrated Products Project Liaison

Healthfirst - New York, NY

Responsibilities: Maintains control of the divisions work flow as directed by the Assistant Director/Director of Intake , AVP or Executive Director while working independently to ambitiously handle multiple tasks with a fast-paced, proactive vs. a reactive approach to changing priorities. Ability to manage projects across multiple units within the department with the respective stakeh...

Application Deadline: None

Trainer, Sales Training

Healthfirst - New York, NY

Responsibilities: Trains and teaches product, process, and policy information for new hires and current Healthfirst employees Provides open audit and leave of absence (LOA) training to individual employees as needed Develops and adapts training materials based on product, procedure, and regulatory informationMaintains records of training program attendance, progr...

Application Deadline: None

Sr. Member Services Representative

Healthfirst - Lake Mary, FL

Responsibilities: Assists the Member Service Representatives in providing high quality on-line telephone assistance regarding member benefits, claim payment, provider information and handles escalated calls when needed. Assists the Member Service Representatives by walking the floor and assisting in all inquiries, research, system navigation and use of resources. ...

Application Deadline: None

Pharmacy Operations Specialist

Healthfirst - New York, NY

Responsibilities: Documentation of vendor issues reported to the Pharmacy Department using various intake sources and working with vendor and Pharmacy Analysts to determine root cause, resolution and future avoidance protocols Follow up with the vendor to attain timely status of issue resolution Support member/prescriber/provider communicati...

Application Deadline: None

Junior Web Developer

Healthfirst - New York, NY

Responsibilities: Assists in making layout and site changes withinthe development environment Delivers daily and weekly updates to the Healthfirst corporate website as well as any marketing microsites or internal applications Slices Adobe Photoshop (PSD) files for development of corporate and marketing websites/microsites Converts Adobe Photoshop files...

Application Deadline: None

Manager Financial Analysis

Healthfirst - New York, NY

Responsibilities: Assume ownership of all data initiatives specific to the Finance Department to support month end close processes, audits, internal and external reporting requirements. Responsible for all user acceptance testing for new products and data processes related to the departments Actuarial Datamart. Responsible for the Finance Departments documentatio...

Application Deadline: None

Workforce Analyst

Healthfirst - Lake Mary, FL

Responsibilities: Create, update and adjust monthly, weekly, daily and half-hourly forecast of staffing requirements based on historical call trends, seasonal variations and business growth objectives. Partner with other internal teams (marketing, finance, business leadership) to understand the key drivers of call volume and incorporate into forecasting and scheduling.

Application Deadline: None

Clinical Manager, Care Management SHP

Healthfirst - New York, NY

Responsibilities: Supervises, directs, and evaluates approximately 10-12 staff members per virtual CMT (Social Worker and RN). Conducts prospective new hire interviews, conflict resolution, and performance evaluations for each CMT. Provides instruction(s), continued system(s) training, and supervision to CMT direct reports while ensuring all CMT staff are contributing to the Members C...

Application Deadline: None

Regulatory Complaint Analyst

Healthfirst - New York, NY

Responsibilities: Duties Responsibilities: Records all provider and member complaints and inquires initiated by local, state and federal regulatory agencies as well as governmental contracted entities into a company workflow management system. Identifies the root causes of complaints and works with the applicable operat...

Application Deadline: None

Director, IT Business Management

Healthfirst - New York, NY

Responsibilities: Manage agenda of IT planning sessions, ensuring that priorities are appropriately reflected. Manage budgets, costs and resources for technology organization Facilitate strategic financial planning decisionsregarding investment in capital and resources Support the IT Leadership Teamby providing business alignment, influencing chang...

Application Deadline: None

VP Network Management

Healthfirst - New York, NY

Responsibilities: The new Vice President, Network Management will focus on the following objectives during his/her first year: Establishing credibility with key stakeholders including the Healthfirst executive team, the provider community and the network management staff. Leading the network management team in its continuous expansion through increased provider c...

Application Deadline: None

Marketing Specialist II - Bilingual Spanish

Healthfirst - New York, NY

Responsibilities: Continuously manage a broad base of agencies, services and professionals as referral sources. Responsible for scouting new providers and referral sources, while meeting departmental guidelines. Must meet monthly referral goal per department guidelines. This includes: Obtaining weekly designated Licensed Home Care Services Agencies (LHCS...

Application Deadline: None

Operations Analyst

Healthfirst - Lake Mary, FL

Responsibilities: Reporting Analyzes and reports on developments and changes that have been reported.Ensures issue description is accurate and actionable by engaging users for more information where necessary. Generates, adjusts and maintains existing business analytic reports using SQL and/or MS Access. Supports simple ad-hoc reporting requests from the...

Application Deadline: None

Clinical Quality Assurance Auditor RN

Healthfirst - New York, NY

Responsibilities: Review clinical documentation in order to ensure that all components of the Member's medical record are completed with quality standards and accuracy following the Company's policies and State regulations. Assist the Clinical Educator, as needed, to determine areas that require immediate remediation andassist Healthfirst's employees to stay ah...

Application Deadline: None

Assistant Director Care Management RN or MSW

Healthfirst - New York, NY

Responsibilities: Participate in all aspects of personnel management to ensure appropriate staffing, orientation, support, discipline and timely performance appraisals. Ensure annual performance appraisals are completed in an objective manner; that employees are encouraged to complete their self-evaluation and that appraisals are completed in a timely manner. In ...

Application Deadline: None