Jobs at Healthfirst - Page 2

110 job openings

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Displaying results 16 - 30 of 110

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

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

Medicare Marketing Representative - Bilingual Cantonese/Mandarin

Healthfirst - New York, NY

Responsibilities: Performance Requirement Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. Ensures individual enrollment quotas are met based on tenure. Attends all Sales Meetings and gatherings. Submitsdaily Plan of Action, Mid...

Application Deadline: None

Clinical Quality Assurance Auditor LPN

Healthfirst - New York, NY

Responsibilities: Review clinical eligibility documentation guaranteeing outlined components of the Member's medical record are complete and accurate following state regulations and company policies. Analyze various types of data and processes in a versatile manner and present findings and recommendations. Identify defects and improve departmental performance by supporting ...

Application Deadline: None

Technical Writer

Healthfirst - New York, NY

Responsibilities: Creates and maintains SDLC Templates used for change requests, specifications, Technical Design Documents Creates and maintains Policy and Procedure Manuals and related Job Aid documents Captures and Documents Disaster Recovery procedures for mission critical business systems Ensures that documents follow the style laid out i...

Application Deadline: None

VP of Compliance and Audit, Chief Compliance Officer

Healthfirst - New York, NY

Responsibilities: Implement and maintain a compliance program that meets the expectations of State and Federal regulators. Collaborate with other Healthfirst departments and the Corporate Risk Management and Compliance Committee to ensure the effectiveness of Healthfirsts compliance efforts. Identify areas of compliance risk for Healthfirst. Ensure int...

Application Deadline: None

Medicare Marketing Representative

Healthfirst - New York, NY

Responsibilities: Performance Requirement Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. Ensures individual enrollment quotas are met based on tenure. Attends all Sales Meetings and gatherings. Submitsdaily Plan of Action, Mid...

Application Deadline: None

Medicare Marketing Representative - Bilingual Korean

Healthfirst - New York, NY

Responsibilities: Performance Requirement Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. Ensures individual enrollment quotas are met based on tenure. Attends all Sales Meetings and gatherings. Submitsdaily Plan of Action, Mid...

Application Deadline: None