Most Recent Healthfirst Job Listings

Displaying results 1 - 15 of 104
Healthfirst

Business Analyst (Member Services)

Healthfirst - Lake Mary, FL
Responsibilities: Develop and maintain Member and Prospect relationship management through the Customer Relationship Management system's Contact History, Campaign Manager, etc. Support upgrades, perform user acceptance tests and monthly maintenance. Support peripheral systems (such SalesLogix, Macess, etc.). Support and administrate Member Portal. Support and administrate M...
Application Deadline: None
Healthfirst

Communications & Training, Specialist - Provider Relations & Contracting

Healthfirst - New York, NY
Responsibilities: Collaborate with management in the drafting, maintenance and distribution of key Provider Communications Materials such as: Provider Manual, Policies and Procedures, Job Aides, and other Provider correspondence. Individual must have excellent writing skills. Participate in internal operational workgroups and projects to ensure that provider communication p...
Application Deadline: None
Healthfirst

Member Services Representative - English

Healthfirst - New York, NY
Responsibilities: Interacts with customers to provide information in response to inquiries about products and services. Transfer customer calls to appropriate staff. Identify, research, and resolve customer issues using the computer system. Follow-up on customer inquiries not immediately resolved Research membe...
Application Deadline: None
Healthfirst

Enrollment Medicaid Specialist, Spanish

Healthfirst - New York, NY
Responsibilities: Conducts individual pre-enrollment screening: Meets with individuals who may qualify for enrollment in Senior Health Partners throughout the 5 boroughs, Westchester and Nassau County. Explains the program features, benefits and commitments, including explanation of the Member Handbook. Conducts pre-screening for financial elig...
Application Deadline: None
Healthfirst

Educator RN, Intake Clinical Eligibility

Healthfirst - New York, NY
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 quality and effectiveness of the Intake process. Travel t...
Application Deadline: None
Healthfirst

Test Manager

Healthfirst - New York, NY
Responsibilities: Minimum Qualifications: Bachelor's Degree Ability to edit, search, sort/filter and format in Microsoft Excel Adobe Acrobat skill to make content changes / data entry in existing.pdf files Microsoft Excel skills creating graphs/tables and pivot tables to locate information including 'vlook-up', ...
Application Deadline: None
Healthfirst

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 FE Manager will be assigned to a specific region within the borough division. The FE Manager will be responsible for maintaining relationships with a network of hospitals, community physicians, community based organizations, schools...
Application Deadline: None
Healthfirst

Product Management Associate-Commercial, Strategy

Healthfirst - New York, NY
Responsibilities: Support the design and creation of the communication strategy and member touch-points for commercial health plan members, with such activities including but not limited to: drafting communication letters to be sent out to members, drafting talking points for internal partners and educating individuals on new and existing products, reviewing and analyzing data related...
Application Deadline: None
Healthfirst

Clinical Quality Assurance Auditor - RN Reassessment

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 and assist Healthfirst's employees stay ahead of changing ...
Application Deadline: None
Healthfirst

Data Entry Auditor (Claims)

Healthfirst - New York, NY
Responsibilities: Audit of Provider Record entries and Data Audit and handle specific entry and modification requests for weekly and adhoc requirements Identify defects and improve departmental performance by supporting quality, operational efficiency and production goals Solicit and coordinate required information between Management staf...
Application Deadline: None
Healthfirst

Care Coordinator

Healthfirst - Telecommuter
Responsibilities: For Call Center-Receive Incoming calls from members regarding benefit questions/issues, care coordination, inquiries about program, provision of educational materials, connecting to their care manager, and screening assessments to identify risk factors requiring case management intervention. Confirmation and documentation of accurate Members demographic information a...
Application Deadline: None
Healthfirst

Assistant Director, Ancillary Services

Healthfirst - New York, NY
Responsibilities: Support the Director and Ancillary team as a development and implementation lead in support of corporate and departmental projects and initiatives. A key contact for this team for regulatory, clinical and customer satisfaction initiatives related to ancillary networks, as well as ensure resolution on Provider issues. Develop and manage a high performance t...
Application Deadline: None
Healthfirst

Enrollment Representative

Healthfirst - New York, NY
Responsibilities: Review, research, complete and respond to internal MACESS enrollment inquiries from Member Service within the agreed upon Service Level Agreement. Data entry of membership files from New York State into Healthfirst core membership system. Reconcile New York State membership files with the appropriate Health plan membership system to ensure all m...
Application Deadline: None
Healthfirst

Senior Performance Improvement Specialist

Healthfirst - New York, NY
Responsibilities: Completing performance improvement projects to meet deadlines and expected goals/ deliverables (i.e. facilitating team meeting, completing root cause analyses, compiling improvement opportunities, presenting project findings to the executive steering committee, as well as the project sponsors/owners). Developing and maintaining various required performanc...
Application Deadline: None
Healthfirst

Business Analyst-SHP

Healthfirst - New York, NY
Responsibilities: Create reports and analyze data using MS Access and/or Excel. Develop, export, analyze and process EMR (Electronic Medical Records System)/MAXIMUS business partner files; MACESS; MHS/MP reports. Reporting is usedby Enrollment, Complete Care, Directors and Managers to support SHP and Complete Care products with SAS and SQL. Collaborate with business units t...
Application Deadline: None
Displaying results 1 - 15 of 104