Jobs at Healthfirst

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Displaying results 1 - 15 of 96

Business Analyst (Billing & Reconciliation Reporting Analytics)

Healthfirst - New York, NY

Application Deadline: None

Business Analyst

Healthfirst - Lake Mary, FL

Responsibilities: Create reports and data extracts against database using MS Excel, MS Access, SAS, Qlikview and Crystal Reports. Create ad hoc reports for upper level management. Design, create, modify, support and maintain daily, weekly and monthly reports for accuracy. Monitor Business Analyst mailbox for report request and take action for completio...

Application Deadline: None

Reassessment Field Performance Supervisor

Healthfirst - New York, NY

Responsibilities: Provides on-site supervision within the Healthfirst coverage area to ensures accurate and comprehensive completion of UAS assessments and required State approved and internal documents. Must be able to travel to all boroughs on a rotation. Oversees required procedures are applied in the field, each member receives an individualized assessment an...

Application Deadline: None

Director, Commercial Sales

Healthfirst - New York, NY

Responsibilities: Directs the marketing, acquisition, and retention efforts of the commercial sales staff both internal and external for a specific geographic area. Oversees assigned territory small businesses, small business associations, business improvement districts, community based organizations, faith based organizations and city agencies that would provide partn...

Application Deadline: None

Support Coordinator, Complete Care SHP Care Management

Healthfirst - Telecommuter

Responsibilities: Communicate with service providers regarding authorizations including, but not limited to, outreach calls and mailings to members and providers, telephonic calls to community-based organizations, calling providers with the pre-certification number, entering cases in CCMS (CareEnhance Clinical Management Software), education material mailings, benefit questions and is...

Application Deadline: None

Assistant Director Marketing Operations & Provider Marketing

Healthfirst - New York, NY

Responsibilities: Supervise the planning and execution of provider/network marketing strategy Provide marketing operations leadership while supporting the establishment and management of department planning, budgets, operations and project management processes. Work with vendors to optimize vendor relationships and provide overall vendor management. Work with mar...

Application Deadline: None

Reassessment Field Performance Supervisor Bilingual Spanish

Healthfirst - New York, NY

Qualifications: Minimum Qualifications: Associate's Degree in Nursing and New York State (NYS) Registered Nurse(RN) License U.S. based field work experience in any ofthe following areas: Geriatrics, Home Care, Discharge Planning, Case Management or Medical Surgical Nursing. Experience usingthe Mini Mental State Exam (MMSE and Uniform A...

Application Deadline: None

RN Onsite Case Manager- Discharge Planner

Healthfirst - New York, NY

Responsibilities: Duties and Responsibilities: Performs onsite discharge planning screenings by reviewing patient medical records to identify readiness for discharge and discharge planning opportunities; then formulates discharge plans as early within the admission as possible. Supports members post-discharge to prevent a re-admission. ...

Application Deadline: None

Director, Clinical Performance

Healthfirst - New York, NY

Responsibilities: Oversees management of performance dashboards and projections and regularly communicate key performance notes and issues to stakeholders. Leads collaborations with stakeholders across Healthfirst departments to develop evidence-based interventions to improve performance on quality ratings. Provides oversight for the implementation, tracking, and evaluation...

Application Deadline: None

Manager, Facilitated Enrollment

Healthfirst - New York, NY

Responsibilities: Manages the sales and retention efforts of the Facilitated Enrollment and Retention Specialist staff for a specific geographic area. The Facilitated EnrollmentManager will be assigned to a specific region within the borough division. Responsible for maintaining relationships with a network of hospitals, community physicians, community based organizations, ...

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

Education Manager

Healthfirst - Telecommuter

Responsibilities: Oversees the training of newly hired staff related to the provision of the basic departmental functions which include: pre-certification, concurrent review, discharge planning, case management, disease management, appeals processing and referrals, Healthfirst and SHP standards and the rules/regulations set forth by the Company, the Department of Health, and State and...

Application Deadline: None

Program Analyst-Clinical Partnerships

Healthfirst - New York, NY

Responsibilities: Collaborate with various Healthfirst departments to create reports on Healthfirst members and providers participating in Healthfirst initiatives; ensure that reports are regularly refreshed in order to accurately track program progress. Use research methods to analyze various data sets; summarize findings and make recommendations for changes to programs, a...

Application Deadline: None

Intake Supervisor - Medical Management

Healthfirst - New York, NY

Responsibilities: Duties Responsibilities: Supervises the timeliness of staff and even distribution of work. Insuresthe Intake Coordinators comply with all regulatory mandates as well as adhere to the policies and procedures set forth by the department and Federal/State agencies. Reviews work of Intake Coordinatorsdaily guaranteeingcas...

Application Deadline: None

Junior Healthcare Analyst

Healthfirst - New York, NY

Responsibilities: Research and Data analysis utilize research methods to analyze various data sets. Gather data and conduct analyses as directed by Senior Analysts, Managers, or Directors and assist with the development of reports. Assist in the analysis of trend mitigation opportunites. Support analysis projects related to cost of care saving...

Application Deadline: None