Most Recent Healthfirst Job Listings

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 - 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: 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: 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: Support Coordinators are responsible for assisting the care/case managers with non-clinical activities such as creating cases and events; providing telephonic outreach to members, providers and community-based organizations; handling member mailings; faxing clinical requests and Individual Health Care Plans on behalf of the care/case managers. May also provide assis...

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...

Overview: The Clinical Business Analyst will support Clinical Performance Managementprojects and applications,including the generation, on-going maintenance, management and execution of test scenarios and test cases. The Clinical Business Analyst will work in tandem with IS business analysts and QA analysts and CPM staff to ensure new applications and updates to applicati...

Overview: To improve the quality of care and services provided to our members, with a focus on HEDIS, QARR and Medicare Advantage Star measures. The position primarily works with network providers, but will also complete member outreach and education as needed to ensure members receive appropriate services. This position telecommutes 2 days/week. Responsibil...

Overview: This is a field based position for a Reassessment Nurse at Senior Health Partners (SHP) who 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 effectiv...

Overview: Act as a liaison between HealthFirst, Inc and its 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 member complaints, client education, retention of membership and disenro...

Overview: The Performance Improvement Specialist will lead performance improvement teams in applying Six Sigma methodologies to achieve a specific business result. He/she is responsible for project teams, project plans, project deliverables, timelines, budgets and results. Responsibilities: Complete performance improvement projects to mee...

Overview: The Digital Marketing Coordinator is the person primarily responsible for monitoring and assisting with the daily departmental processes, workflow, and resources. This person will review and accept all new project requests, prepare schedules for them and arrange necessary internal and external resources to complete the assignments; assist with contract routing, ...