Most Recent Healthfirst Job Listings (Page 2)

Displaying results 1 - 15 of 100
Healthfirst

Relationship Coordinator, Sales - Spanish

Healthfirst - New York, NY
The Relationship Coordinator solicits and provides information via telephonic efforts in support of Healthfirst's Medicare Advantage Plan (MAP) and Senior Health Partners' (SHP) Managed Long-Term care Plan (MLTCP).This position ensures that referral sources, prospective enrollees and/or significant others are courteously, appropriately and effectively processed through communication and fol...
Application Deadline: None
Healthfirst

Relationship Coordinator, Sales - Russian

Healthfirst - New York, NY
The Relationship Coordinator Inbound solicits and provides information via telephonic efforts in support of Healthfirst's Medicare Advantage Plan (MAP) and Senior Health Partners' (SHP) Managed Long-Term care Plan (MLTCP).This position ensures that referral sources, prospective enrollees and/or significant others are courteously, appropriately and effectively processed through communication...
Application Deadline: None
Healthfirst

Customer Service Representative

Healthfirst - Lake Mary, FL
Healthfirst is seeking talented and passionate candidates for thier Member and Provider Services Departments.The Customer Service Representative acts as a liaison betweenHealthfirstand its customers. The individual is responsible for assisting customers with issues and inquiries they may have about their insurance, applications and or claims not paid. The Customer Service Representative is ...
Application Deadline: None
Healthfirst

Senior QA Automation Analyst

Healthfirst - New York, NY
Healthfirst is the 4th largest health insurer in New York City, providing government sponsored as well as commercial health plans to the greater New York City area. The last two and a half years have seen rapid growth and we are looking for someone who can effectively integrate the company's mission, vision and values to best support the training needs of our Sales and Marketing organizatio...
Application Deadline: None
Healthfirst

Ancillary Contract Coordinator

Healthfirst - New York, NY
The Ancillary Contract Coordinator is responsible for all of the administrative contracting activities, including but not limited to the reviewing of new and existing Provider applications and ensuring they are complete and accurate. Obtaining necessary credentialing documents required for verification that will assist in determining whether a Provider meets specific company and other regul...
Application Deadline: None
Healthfirst

Interactive Workforce Analyst (Call Center)

Healthfirst - New York, NY
The Workforce Analyst position is responsible for forecasting, scheduling and managing call center traffic in the Intake and Enrollment - Relationship Coordinator Department. Responsibilities include forecasting for budgeting and capacity planning, data analysis for call arrival patterns, attrition and shrinkage rates, average handle time changes, vacation and training impact and responsibl...
Application Deadline: None
Healthfirst

Assistant Director, Physician Relations

Healthfirst - New York, NY
In collaboration with the Director of Physician Relations, Assistant Director is responsible for providing management oversight and leadership to their Network Management staff within the Physician Relations area. This individual will have direct oversight of provider network maintenance, operational processes and will ensure compliance with current regulatory requirements. Responsibil...
Application Deadline: None
Healthfirst

Care Manager, Medical Management

Healthfirst - Telecommuter
The Care Manager coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning and case management as assigned. The Care Manager is r esponsible for efficient utilization of health services and optimal health outcomes for members, as well as meeting designated metrics. Responsibilities: Provides case management services f...
Application Deadline: None
Healthfirst

Associate General Counsel

Healthfirst - New York, NY
The Associate General Counsel is a professional position which is responsible for the performance of wide variety legal and regulatory activities of HealthFirst, Inc. and its subsidiaries. With broad latitude for independent judgment and discretion, the Associate General Counsel works with all HealthFirst departments to provide legal advice and appropriate instruments. In this role...
Application Deadline: None
Healthfirst

Manager, Behavioral Health Care/Utilization Mgmt. (HARP)

Healthfirst - Telecommuter
The Manager assumes a leadership role within Healthfirst's Behavioral Health Department and acts as a senior resource for team members in all areas of work. Is responsible for clinical supervision and maintains an in-depth knowledge of strength based, person centered, recovery oriented behavioral health principles, practices, standards and techniques and applies this knowledge in accordance...
Application Deadline: None
Healthfirst

Behavioral Health Care Manager/UM HARP

Healthfirst - Telecommuter
The Behavioral Health Care Manager reviews, evaluates and determines the appropriateness, medical necessity and efficiency of a full continuum of behavioral health treatments and recovery oriented services proposed or provided across all levels of care in accordance with evidenced based practices and consistent with established guidelines and plan benefits to improve health outcomes and eff...
Application Deadline: None
Healthfirst

Behavioral Health Case Manager

Healthfirst - Telecommuter
Clinically responsive and provides case management and care coordination services for members who have significant problems with a mental health or substance use disorder (MHSUD). The Behavioral Health Case Manager encourages lifestyle changes to support recovery and provides one-on-one support, disease education and monitoring, care coordination and management to improve health literacy, a...
Application Deadline: None
Healthfirst

Senior Finance Operations Analyst

Healthfirst - New York, NY
Senior Finance Operations Analyst will take the lead in performing monthly reconciliations, creating vendor reporting and participating in special projects. Responsibilities: Perform monthly vendor reconciliations to insure all data received from vendor is aligned with payments. Creating monthly vendor reporting, operations calendars and statistical reporting relev...
Application Deadline: None
Healthfirst

Intake Coordinator, Medical Management

Healthfirst - Telecommuter
The Intake Coordinator is responsible for answering all calls that come into Healthfirst via the Medical Management telephone queue. Responsibilities: Answers calls in a high-volume call center environment. These calls may be related to, but not limited to, authorization requests from providers, benefit questions and issues from members, emergency and crisis member calls and ...
Application Deadline: None
Healthfirst

Business Analyst, Network Operations

Healthfirst - New York, NY
The Provider Services Business Analyst is responsible for business process review and data analysis as relates to activities which ensure operational effectiveness. Incumbents will assist management by analyzing data, identifying useful information, recommending and supporting decision-making with the goal of departmental improvement. The Business Analyst owns project goal...
Application Deadline: None
Displaying results 1 - 15 of 100