Most Recent Healthfirst Job Listings

Displaying results 1 - 15 of 107
Healthfirst

Reassessment Nurse

Healthfirst - New York, NY
This is a field based position for a Reassessment Nurse at Senior Health Partners (SHP) at Healthfirst. The Reassessment Nurse takes independent ownership for self-scheduling reassessment visits at intervals required by the Department of Health (DOH) to determine service needs and continued eligibility; coordinates with Care Management Team (CMT) to maintain a high level of efficient and ef...
Application Deadline: None
Healthfirst

Sr. Biztalk Developer

Healthfirst - Lake Mary, FL
The Senior Biztalk Developer within the Applications and Systems division of the Informations Services Department is responsible for designing, developing high performance EAI framework and application integration solutions for the organization using Microsoft BizTalk 2010/2013 ESB platform. Responsibilities: Responsible for working with Project Manager, Architect and lead th...
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

Behavioral Health Care Manager - Utilization Review

Healthfirst - Telecommuter
The Behavioral Health Care Manager reviews, evaluates and determines the appropriateness, medical necessity and efficiency of health care services proposed or provided, according to established criteria and plan benefits to improve clinical outcomes and reduce costs. Plans and manages discharge planning, concurrent planning and clinical reviews, pre-certification and clinical case appeals f...
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

Service Coordinator

Healthfirst - Telecommuter
The Service Coordinator is responsible for supporting the Welcome Care Management Team (CMT), which includes a Nurse Care Manager and Social Worker. Responsibilities: Support CMT in the coordination of all covered services. Arranges and Initiates home care/health services as approved by Care Management Team (CMT). Manages provision of aides to members. Follows up wit...
Application Deadline: None
Healthfirst

Service Coordinator - Bilingual Spanish

Healthfirst - Telecommuter
The Service Coordinator at Senior Health Partners (SHP) a Managed Long-Term Care (MLTCP) reporting to the Service Coordinator Supervisor is responsible for supporting the Care Management Teams (CMT), which includes a Nurse Care Manager and Social Worker. The care management services and plans are linked by the Service Coordinator who administers stability by providing customer service telep...
Application Deadline: None
Healthfirst

Senior Healthcare Analyst - Hospital Reporting

Healthfirst - New York, NY
The Senior Healthcare Analyst is responsible for monitoring risk pool performance, communicating financial results and identifying areas of opportunity for Healthfirst and hospital senior management. Responsibilities: Produce and manage annual hospital performance review packets. The packets will include membership, revenue, and cost analysis for the hospital and overall Heal...
Application Deadline: None
Healthfirst

AVP, Creative Services

Healthfirst - New York, NY
Reporting directly to the CMO, the AVP, Creative Services will be responsible for the development and direction of the long-term communications strategies that support the organizations vision, mission, and brand. They will also be responsible for creative direction, traffic and production. Responsibilities: This executive will lead the current team of 20, providing strategic direc...
Application Deadline: None
Healthfirst

Director-Operations Training

Healthfirst - New York, NY
Reporting to the VP-Operations Quality Assurance Training, the Director-Operations Training will be responsible for building a world class training team as well as content and delivery capability to support the companys strategic growth objectives. This role will work closely with Operations leaders in Member Services, Provider Services/Operations, Enrollment, Billing and Claims to ensure H...
Application Deadline: None
Healthfirst

Operations Analyst (Billing and Reconciliation)

Healthfirst - New York, NY
The Operations Analyst will be responsible for generating premium revenue for Qualified Health Plans (QHP), Managed Long Term Care (SHP/CC), Member Service Operations (MSO) and Child Health Plus member billing products. The candidate will ensure all revenue is accurate, invoices are generated and reconciled against membership. The individual will be responsible for generating member corresp...
Application Deadline: None
Healthfirst

SQL Server DBA

Healthfirst - New York, NY
SQL Server Database Administrator (DBA) primary responsibility is the administration of SQL Server 2005/2008/2012 in Production, Quality Assurance (QA) and Development environments. Responsibilities include database installation, upgrade, patching, troubleshooting, object creation and alterations, backup/recovery, database restores to test environments, monitoring and performance tuning, wr...
Application Deadline: None
Healthfirst

Senior Application Support Analyst

Healthfirst - New York, NY
The Senior Application Support Analyst at Healthfirst provides application system analysis and support for up to 10 applications used by Sales and Enrollment departments. The ideal candidate will posses a unique blend of technical, business and people skills to play a key role as subject matter expert and technical consultant throughout the life cycle (Build and Run) of their assigned appli...
Application Deadline: None
Healthfirst

Business Analyst (Claims Analytics)

Healthfirst - New York, NY
The Claims Business Analyst is responsible for business process review and data analysis relating to activities ensuring operational effectiveness. The Claims Business Analyst will assist management by analyzing data, identifying root causes, recommending and supporting decision making. The Claims Business Analyst owns project goals by developing project plans, establishing deadlines, monit...
Application Deadline: None
Healthfirst

A/R Business Analyst

Healthfirst - New York, NY
The Business Analyst will be responsible for State revenue reconciliation and reporting of all revenue products. The incumbent of this position is responsible for analyzing premium revenue, remittance data and aging receivable balances. Including the tracking of rate changes across all product lines. The individual must have the ability to analyze and create detail documentation supporting ...
Application Deadline: None
Displaying results 1 - 15 of 107