Jobs at Healthfirst - Page 2

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Displaying results 16 - 30 of 104

Workforce Analyst

Healthfirst - Lake Mary, FL

Responsibilities: Create, update and adjust monthly, weekly, daily and half-hourly forecast of staffing requirements based on historical call trends, seasonal variations and business growth objectives. Partner with other internal teams (marketing, finance, business leadership) to understand the key drivers of call volume and incorporate into forecasting and scheduling.

Application Deadline: None

Clinical Manager, Care Management SHP

Healthfirst - New York, NY

Responsibilities: Supervises, directs, and evaluates approximately 10-12 staff members per virtual CMT (Social Worker and RN). Conducts prospective new hire interviews, conflict resolution, and performance evaluations for each CMT. Provides instruction(s), continued system(s) training, and supervision to CMT direct reports while ensuring all CMT staff are contributing to the Members C...

Application Deadline: None

Regulatory Complaint Analyst

Healthfirst - New York, NY

Responsibilities: Duties Responsibilities: Records all provider and member complaints and inquires initiated by local, state and federal regulatory agencies as well as governmental contracted entities into a company workflow management system. Identifies the root causes of complaints and works with the applicable operat...

Application Deadline: None

VP Network Management

Healthfirst - New York, NY

Responsibilities: The new Vice President, Network Management will focus on the following objectives during his/her first year: Establishing credibility with key stakeholders including the Healthfirst executive team, the provider community and the network management staff. Leading the network management team in its continuous expansion through increased provider c...

Application Deadline: None

Marketing Specialist II - Bilingual Spanish

Healthfirst - New York, NY

Responsibilities: Continuously manage a broad base of agencies, services and professionals as referral sources. Responsible for scouting new providers and referral sources, while meeting departmental guidelines. Must meet monthly referral goal per department guidelines. This includes: Obtaining weekly designated Licensed Home Care Services Agencies (LHCS...

Application Deadline: None

Operations Analyst

Healthfirst - Lake Mary, FL

Responsibilities: Reporting Analyzes and reports on developments and changes that have been reported.Ensures issue description is accurate and actionable by engaging users for more information where necessary. Generates, adjusts and maintains existing business analytic reports using SQL and/or MS Access. Supports simple ad-hoc reporting requests from the...

Application Deadline: None

Clinical Quality Assurance Auditor RN

Healthfirst - New York, NY

Responsibilities: Review clinical documentation in order to ensure that all components of the Member's medical record are completed with quality standards and accuracy following the Company's policies and State regulations. Assist the Clinical Educator, as needed, to determine areas that require immediate remediation andassist Healthfirst's employees to stay ah...

Application Deadline: None

Assistant Director Care Management RN or MSW

Healthfirst - New York, NY

Responsibilities: Participate in all aspects of personnel management to ensure appropriate staffing, orientation, support, discipline and timely performance appraisals. Ensure annual performance appraisals are completed in an objective manner; that employees are encouraged to complete their self-evaluation and that appraisals are completed in a timely manner. In ...

Application Deadline: None

Assistant Director, Ancillary Services

Healthfirst - New York, NY

Responsibilities: Develop and manage high performance team through weekly / monthy meeting, providing coaching and effective leadership. With the Director's direction, team performance should be focused on developing and managing a high performance network that is focused on cost and utilization, and ensuring that the network and team remain aligned with key corporate goals. Reviewing...

Application Deadline: None

Business Analyst with Provider Data or Network Analytics exp

Healthfirst - New York, NY

Responsibilities: Analysis, Reporting and Performance Improvement: Analyze provider data processes and present findings. Work cross-functionally to recommend and request modifications to existing system processes addressing deficiencies and/or further improving and streamlining performance. Review technical specifications to ensure Dep...

Application Deadline: None

ETL Developer

Healthfirst - Lake Mary, FL

Responsibilities: Understand business requirements and translate them to technical specifications. Develop SAS and Informatica mappings and workflows to meet the data migration, cleansing and integratipon needs, using Informatica Powercenter. Develop error handling, data cleansing and exception reporting processes. Modify and/or enhance existing inform...

Application Deadline: None

Pharmacy Operations Analyst

Healthfirst - New York, NY

Responsibilities: Identifies opportunities for improvement and participates in the development of new pharmacy reporting capabilities in support of customer needs. Documents policies and procedures, reporting and project specifications, job aids and workflows within the department. Participates in the setup of pharmacy benefits via our Pharmacy Benefit Manager (P...

Application Deadline: None

Project Analyst (Reporting, UAT, Project Management)

Healthfirst - New York, NY

Responsibilities: Analysis, Reporting and Performance Improvement: Perform research, complex analysis and interpretation of statistical data, processes and other project assignments. Manipulate data to understand root cause, trends and patterns, and then summarizes data, presents findings and offers recommendations to leadership in a professional manner. Provides ...

Application Deadline: None

Hospital Contract Manager

Healthfirst - New York, NY

Responsibilities: Act as primary point of contact for the Hospital Providers. This includes addressing operational or contractual issues in a timely manner; identifying proactive ways to improve processes and ensure a mutually beneficial relationship; having a thorough understanding of each Hospital Provider's contract, physician network, business goals and issues as they relate to He...

Application Deadline: None

Manager Member Experience

Healthfirst - New York, NY

Responsibilities: Duties Responsibilities: Organize forums and committees for member feedback. This involves setting agendas using MS Word, creating PowerPoint presentations, engaging relevant internal and external stakeholders, working with Community Events department to organize events and manage logistics, ensuring that regulatory standards and organizat...

Application Deadline: None