Jobs at Healthfirst

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Displaying results 1 - 15 of 103

Project Coordinator

Healthfirst - New York, NY

Responsibilities: Create and maintain project schedules and other required project documentation using corporate project management tools and principles. Facilitate meetings and conference calls with project participants acting in a consultative capacity. Capture and summarize meeting objectives and outcomes, and outline key decisions and action items. Assist wit...

Application Deadline: None

Manager, Analysis (Data Governance)

Healthfirst - New York, NY

Responsibilities: Manages the day-to-day project schedule for EIM (Enterprise Information Management) program Manages the interdependencies with other projects that have an impact to or a dependency on the EIM program Contributes to the Data Governance portal. Attend the Data Governance Council and Steering Committee agenda and materials Support the Data Governanc...

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

Senior Healthcare Analyst

Healthfirst - New York, NY

Responsibilities: Utilize research methods to analyze various data sets. Provide analysis support for Claims, Ancillary, Medical Management, etc. departments. Support analysis projects related to medical cost savings initiatives. Assist with project management responsibilities related to the medical cost savings meetings. Assist in drill down analyses to identify...

Application Deadline: None

Senior Healthcare Analyst - Hospital Reporting

Healthfirst - New York, NY

Responsibilities: Produce and manage annual hospital performance review packets. The packets will include membership, revenue, and cost analysis for the hospital and overall Healthfirst. The person will be required to work with other departments to gather all relevant information on the hospital's performance. Monitor costs and revenue trends for hospitals and identify rout...

Application Deadline: None

Complete Care Specialist

Healthfirst - New York, NY

Responsibilities: Enrollment Process Ensure prospective members are enrolled properly and all internal and external processes are followed. Use successfully the electronic pen technology ensure that the applications are electronically submitted. Must ensure that extra documents relative to the applications are faxed and submitted to the En...

Application Deadline: None

Nurse Care Manager - SHP

Healthfirst - Telecommuter

Responsibilities: Maintains ongoing telephonic communication with members and their caregivers to ensure a safe and appropriate care plan. Member family education re: health management and community resources. Appropriately manages member care including but not limited to; coordination of benefits (Medicare Medicaid), coordinating monitoring all skilled services,...

Application Deadline: None

Learning Technologies Specialist

Healthfirst - New York, NY

Responsibilities: Design, develop, and implement innovative learning solutions in the form of webinars, custom e-learning courses, blended learning solutions, videos, games, simulations, quizzes, online communities, message boards, websites, etc. Facilitate instructor-led live and virtual programs. Manage the current LMS (or use your expertise to identify a new o...

Application Deadline: None

VP Pharmacy

Healthfirst - New York, NY

Application Deadline: None

Service Delivery Manager

Healthfirst - New York, NY

Responsibilities: Ensure Service Desk delivery targets are met and appropriate quantitative standards are achieved. Drive performance against the Service Level Agreements (SLAs) and Key Performance Indicators (KPIs) Handle large volume population of IS requests with regards to all business units Develops and implements robust processes to ensure that h...

Application Deadline: None

Member Services Supervisor

Healthfirst - Lake Mary, FL

Responsibilities: Supervising the day-to-day activities of member service representatives who responds to member inquiries to ensure effective delivery of service to members and providers. Tracking performance production stats fortheirdirect reports team. Review daily reports and identify trends to provide coaching or action plans with team and or departments. ...

Application Deadline: None

Manager of Care Management, Complete Care

Healthfirst - Telecommuter

Responsibilities: Oversees the provision of Medical Management functions which include: pre-certification, concurrent review, discharge planning, case management, disease management and referrals Trains new staff and provides ongoing training as necessary. Maintains staff productivity, effectiveness and efficiency. Develops key indicators for staff; audits staff ...

Application Deadline: None

RightFax Coordinator

Healthfirst - Telecommuter

Responsibilities: Ensures that all faxes received electronically are logged correctly and contain complete member/provider information, medical records and PHI (Personal Health Information) . Distributes information and files to appropriate personnel. Qualifications: Minimum Qualifications: High school diploma or GED. Admini...

Application Deadline: None

Clinical Performance Management Analyst

Healthfirst - New York, NY

Responsibilities: Under the supervision of a CPM Manager, the CPM Analyst uses data extraction, transformation, analytic and presentation skills, including Microsoft Excel, Word, PowerPoint, SAS, SQL, or other software tools to prepare and present analyses related to healthcare services utilization, enrollment or other data pertinent to requests from business customers. Busin...

Application Deadline: None

Business Analyst-SHP

Healthfirst - New York, NY

Qualifications: Minimum Qualifications: Bachelor's Degree Strong analytical skills in tracking, trending, forecasting and researching Intermediate to Advanced Excel skills to graph and report on analysis Preferred Qualifications: Three plus years experience as a Business Analyst

Application Deadline: None