Most Recent Healthfirst Job Listings (Page 2)

Displaying results 16 - 30 of 109
Healthfirst

Ancillary Services Contractor

Healthfirst - New York, NY
Responsibilities: Recruit, contract and manage a network of Ancillary Providers for all lines of Healthfirst's business (such as Medicaid, Child Health Plus, Medicare, and Commercial). Monitor and audit contracted ancillary providers to ensure that accurate demographic, payment and fee schedules are loaded into the Healthfirst Provider System correctly. Resolve c...
Application Deadline: None
Healthfirst

Support Coordinator - Complete Care

Healthfirst - Telecommuter
Responsibilities: Communicate with service providers regarding authorizations including, but not limited to, outreach calls and mailings to members and providers, telephonic calls to community-based organizations, calling providers with the pre-certification number, entering cases in CCMS (CareEnhance Clinical Management Software), education material mailings, benefit questions and is...
Application Deadline: None
Healthfirst

Provider Outreach Specialist

Healthfirst - Lake Mary, FL
Responsibilities: Make outbound calls to Healthfirst network providers to validate member access to services and existing demographic information currently contained in the Healthfirst Provider Database in accordance with Access and Availability surveys and Provider Spot checks. Record responses and initiate database updates accordingly. Compile survey results for distribution to Netw...
Application Deadline: None
Healthfirst

Member Services Supervisor

Healthfirst - Lake Mary, FL
Responsibilities: Review and monitor reports: Review all daily reports to manage team productions, workloads and trends. Prepares, maintains, and submits reports and records, such as Quarterly reports and Staffs attendance records. Maintain appropriate policies, procedures, and workflow and ensure that staff is properly trained and monitored to me...
Application Deadline: None
Healthfirst

Nurse Care Mngr CompleteCare, Bilingual Spanish

Healthfirst - Telecommuter
Responsibilities: Contributes to the development of patient-focused care and initiates the process in accordance with established guidelines. Conducts assessments, develops treatment plans, performs defined interventions, and generates referrals to providers, community-based resources and appropriate social services. Assesses member's physical, psychosocial and d...
Application Deadline: None
Healthfirst

Manager of Billing Operations

Healthfirst - New York, NY
Responsibilities: Manager will implement and communicate departmental standards that employees will be accountable for and will manage employee performance through monitoring productivity reports, efficiency and the quality of the team's work. Responsible for managing and developing Supervisors to be effective leaders. Work with Supervisors to establish and implement depart...
Application Deadline: None
Healthfirst

Information Analyst

Healthfirst - Telecommuter
Responsibilities: Supports the implementation of structures and processes to ensure the successful and timely delivery of regulatory and contractual data requirements for State of New York (DOH) and Medicare(CMS). Develops, maintains and communicates time lines to meet assigned project goals using adopted project standards. Provides prospective, concurrent and re...
Application Deadline: None
Healthfirst

Human Resources Business Partner

Healthfirst - New York, NY
Responsibilities: Proactively supports the delivery of all HR and Change Management initiatives and processes. Builds a strong business relationship with the internal client and serves as a key advisor and confidante, enabling strong management and leadership for the Department. Facilitates the design and implementation of "best solutions" that fuel engagement; faster, bett...
Application Deadline: None
Healthfirst

Operations Analyst (Billing and Reconciliation)

Healthfirst - New York, NY
Responsibilities: Responsible for reconciliation of billing, invoicing, member premium payments for all Healthfirst PHSP (Private Health Services Plan)and Commercial products. Will analyze and generate monthly reports for product performance. Generate the correspondence letters for members for premium notification status. Generate member billing files to confirm ...
Application Deadline: None
Healthfirst

Member Services Representative - Cantonese/Mandarin

Healthfirst - New York, NY
Responsibilities: Interacts with customers to provide information in response to inquiries about products and services. Transfer customer calls to appropriate staff. Identify, research, and resolve customer issues using the computer system. Follow-up on customer inquiries not immediately resolved. Research memb...
Application Deadline: None
Healthfirst

Member Services Representative - Russian

Healthfirst - New York, NY
Responsibilities: Interacts with customers to provide information in response to inquiries about products and services. Transfer customer calls to appropriate staff. Identify, research, and resolve customer issues using the computer system. Follow-up on customer inquiries not immediately resolved Research membe...
Application Deadline: None
Healthfirst

Care Manager, Medical Mngt

Healthfirst - Telecommuter
Responsibilities: Provides case management services for assigned case load of members, including: Screening - Engages member to conduct intake and provide risk identification. Assessment - Identifies medical, psychological and social issues that need intervention. Coordination - Partners with Primary Care Physicians (PCP) and...
Application Deadline: None
Healthfirst

Nurse Care Manager

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...
Application Deadline: None
Healthfirst

Senior iSeries Administrator

Healthfirst - New York, NY
Responsibilities: Perform IBM iSeries Administration - system installs, PTF deployment, software installation, configuration, application deployments, and security administration. Create dashboard of system resource utilization for both real-time and historic views using the performance navigator /IBM iDoctor and other native tools. Automate the day to day operat...
Application Deadline: None
Healthfirst

Manager, Information Systems

Healthfirst - New York, NY
Responsibilities: Utilize existing functional expertise of tier 1 and tier 2 Enterprise Resource Manager (ERP) systems to provide strategic leadership and technical solutions to Corporate Finance and Human Resources Departments. Utilize proven project management skills to lead and manage cross team activities for larger projects. Responsible for project status communication...
Application Deadline: None
Displaying results 16 - 30 of 109