Most Recent Healthfirst Job Listings

Overview: The Intake Coordinator Supervisor provides administrative support to the Enrollment, Entitlement and Clinical Eligibility units by coordinating the intake process guaranteeing continuity and quality service internally and to prospective members with Senior Health Partners (SHP) a Managed Long-Term Care Plan (MLTCP). This position helps to ensure that referrals, ...

Overview: The Manager Appeals Grievances ("MAG") serves as the advanced level subject matter expert for determination of non-clinical and clinical matters. The MAG supervises day-to-day departmental activities including, but not limited to, oversight for four or more staff and the AG processes. This position will work from 100 Church Street with a flexible work arrangemen...

Overview: The Senior Healthcare Analyst is responsible for conducting analysis to support the monthly financial reporting cycle and to ensure the accuracy of the data in the data warehouse. Responsibilities: Responsible for conducting medical cost and revenue analyses using claims and other data sources Responsible for using da...

Overview: 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, benefi...

Overview: This Training Manager position will support all of the Center for Employee Excellence (CEE) as a learning technology expert. Key requirements for this role are; Steeped in e-learning, blended learning and best practices related to these. High skill level in instructional design and program facilitation. Strong expertise in ne...

Overview: The Clinical Analyst is responsible for the delivery of informatics and adhering to regulatory and departmental data integrity standards and requirements to support contractual obligations with the NYSDOH, CDOH, and CMS. Works in concert with the Manager of Clinical Analysis and with clinical departments, information services, operational units and external orga...

Overview: The Manager, Delegated Ancillary reports directly to the Director ,Ancillary Clinical Programs and manages all aspects of ancillary delegated relationships and other assigned vendors, including implementation, ongoing issue resolution and ongoing performance monitoring and auditing. Responsibilities: Manages and resolves all iss...

Overview: The Member Services Representative (bilingual English - Korean) will act as a liaison between HealthFirst, Inc and it's members or potential members. Responsible for assisting members or potential members with issues and/or inquiries they may have about their insurance/applications. Also responsible for receiving and addressing member inquiries, resolution of me...

Overview: The Member Services Representative (bilingual English - Cantonese/Mandarin) will act as a liaison between HealthFirst, Inc and it's members or potential members. Responsible for assisting members or potential members with issues and/or inquiries they may have about their insurance/applications. Also responsible for receiving and addressing member inquiries, reso...

Overview: The Member Services Representative (bilingual English - Russian) will act as a liaison between HealthFirst, Inc and it's members or potential members. Responsible for assisting members or potential members with issues and/or inquiries they may have about their insurance/applications. Also responsible for receiving and addressing member inquiries, resolution of m...

Overview: Reporting to the Clinical Manager, theSocial Worker at Senior Health Partners (SHP) a Managed Long-Term Care (MLTCP) advocates for enrolled members by sustaining their mental and social health. Working with a Care Management Team (CMT), which includes a Nurse Care Manager and Service Coordinator the care management services and plans are achieved telephonically ...

Overview: The Director of Sales is responsible for directing commercial sales staff while utilizing the best practices for marketing and maintaining the highest standard of quality. Responsibilities: Directs the marketing, acquisition, and retention efforts of the commercial sales staff for a specific geographic area. Director oversees in...

Overview: TheEnterprise Architect SharePoint Architect must have experience on multiple hardware and software environments and be comfortable with complex heterogeneous systems environments. The Enterprise Architect SharePoint analyzes client objectives and site user needs to assist the team in validating and refining strategic business initiatives. The Technical Arc...

Overview: The Enterprise Mobility Architect will take a lead role in creating an overall mobile application technology roadmap and mobile application architecture in regards to delivering our new and innovative tablet-based product. This job will entail leading the identification of new technologies and best practices in the development of mobile applications.

Overview: The Field Supervisor will be responsible for supporting a team of Network Representatives. Primary responsibilities include the supervision and training of Network Management Representatives and the management of provider relations maintenance. The position requires monitoring, tracking and reporting on set network initiatives and provider issues. It also involv...