Most Recent Healthfirst Job Listings (Page 2)

Displaying results 16 - 30 of 66
Healthfirst

Assistant Vice President Care Management

Healthfirst - New York, NY
The Assistant Vice President of Care Management for Senior Health Partners (SHP),Healthfirstprovides leadership and direction to maximize the quality of member care and effectively manage available medical resources. Maintains high-level day-to-day operations of the care management division. Responsibilities: Supervises directors, assistant directors and all other direct repo...
Posted Apr 09, 2014   —   Application Deadline: None
Healthfirst

Network Management Representative (CAIPA - Mandarin & Cantonese)

Healthfirst - New York, NY
The Network Management Representative serves as the key contact for all assigned Providers to maintain effective communication and effectively manage assigned Providers to foster and maintain sound working relationships and to ensure mutual goals are met. The position requires monitoring, tracking and reporting on set network initiatives and provider issues. It also involves input related t...
Posted Apr 09, 2014   —   Application Deadline: None
Healthfirst

Network Management Representative (Queens)

Healthfirst - New York, NY
The Network Management Representative represents and advances Healthfirst interests in the Provider market as the preferred and ultimately preeminent plan through superior customer service and execution of Provider engagement strategies. Healthfirst is seeking Network Representatives committed to developing and managing a high performance network and to engaging in various...
Posted Apr 09, 2014   —   Application Deadline: None
Healthfirst

Sr. Payroll Tax Analyst

Healthfirst - New York, NY
The Senior Payroll Analyst prepares and review payroll tax files and reports on a biweekly,quarterly, annual basis to ensure the company is in compliance with all Federal, State and Local payroll regulatory requirements. Respond to tax notices along with the resolving of issues. Analyze funding and charges to the payroll account by Ceridian and reconcile differences. Assume full responsibil...
Posted Apr 09, 2014   —   Application Deadline: None
Healthfirst

Member Service Representative - Spanish

Healthfirst - Manhattan, NY
The Member Service Representative acts as a liaison between Healthfirst and its members or potential members. The individual is responsible for assisting members or potential members with issues and inquiries they may have about their insurance and applications. The Member Service Representative is also responsible for receiving and addressing member inquiries, resolution of member complain...
Posted Apr 08, 2014   —   Application Deadline: None
Healthfirst

Member Service Representative - Cantonese/Mandarin

Healthfirst - New York, NY
The Member Service Representative acts as a liaison between Healthfirst and its members or potential members. The individual is responsible for assisting members or potential members with issues and/or inquiries they may have about their insurance and applications. The Member Service Representative is also responsible for receiving and addressing member inquiries, resolution of member compl...
Posted Apr 08, 2014   —   Application Deadline: None
Healthfirst

Network Management Representative (Manhattan)

Healthfirst - New York, NY
The Network Management Representative will represent and advance Healthfirst interests in the Provider market as the preferred and ultimately preeminent plan through superior customer service and execution of Provider engagement strategies. Healthfirst is seeking Network Representatives committed to developing and managing a high performance network and to engaging in vari...
Posted Apr 08, 2014   —   Application Deadline: None
Healthfirst

Claims Manager

Healthfirst - Greater Ny Area, NY
The Claims Manager will be responsible for overseeing the daily operation of 50+ examiners handling new claims inventory, mail correspondence, appeals, special handling and web portal requests. This includes managing staff performance (e.g. production and accuracy), resource allocation, and staff training to ensure all claims are processed accurately and timely in accordance with regulatory...
Posted Apr 08, 2014   —   Application Deadline: None
Healthfirst

Director, Business Operations

Healthfirst - New York, NY
The Director, Business Operations is responsible for managing the strategic and day-to-day operational aspects of Network Management, Claims Operations, Product Management, Data Analysis and Information Technology for the Behavioral Health Department. The Director will develop and implement processes to support and improve operations and quality by conducting a thorough analysis of operatio...
Posted Apr 08, 2014   —   Application Deadline: None
Healthfirst

Senior Pharmacy Manager

Healthfirst - New York, NY
The Senior Pharmacy Manager is responsible for leading an initiative to build a care management model that integrates with Nurse Care Managers to provide clinical oversight for medication therapy-related issues for Healthfirst's Medicare and Medicaid dual-eligible population who are high risk and/or have multiple chronic conditions. Responsibilities: Performs medication couns...
Posted Apr 08, 2014   —   Application Deadline: None
Healthfirst

Business Relationship Manager

Healthfirst - New York, NY
The Business Relationship Management function has the mandate to establish a relationship between Information Technology and the business, and to increase the value realized from Information Technology assets, investments, and capabilities. The Business Relationship Manager (BRM) is responsible for understanding the business need, accountable for prioritizing the demand (Information Technol...
Posted Apr 03, 2014   —   Application Deadline: None
Healthfirst

Data Analyst

Healthfirst - New York, NY
The Data Analyst will be responsible for State revenue reconciliation and reporting of all revenue products. Utilizing SAS (Statistical Analysis System) as the main mechanism to query an enterprise wide data warehouse; the incumbent of this position is responsible for analyzing premium revenue, remittance data and aging receivable balances. Including the tracking of rate changes across all ...
Posted Apr 01, 2014   —   Application Deadline: None
Healthfirst

Accounts Receivable Operations Analyst

Healthfirst - New York, NY
The Account Receivable Analyst is responsible for generating all State premium revenue across all product lines. The incumbents of this position requires the review and data analysis as related to all State premium outbound 837 and inbound 835 remittance files. The individual will ensure operational effectiveness, coordinating completion of submission to the New York State Department of Hea...
Posted Apr 01, 2014   —   Application Deadline: None
Healthfirst

Manager, Clinical Quality Improvement

Healthfirst - New York, NY
The purpose of the Clinical Quality Improvement unit is to achieve measurable improvement in key areas through identification and resolution of clinical issues negatively impacting the experience and/or delivery of care; and to promote positive health outcomes for our members through partnering with various internal Healthfirst stakeholders, providers and hospitals to create and foster win-...
Posted Apr 01, 2014   —   Application Deadline: None
Healthfirst

Member Service Representative - Bilingual Spanish

Healthfirst - Lake Mary, FL
The Member Service Representative act as a liaison between Healthfirst and its members or potential members. The Member Service Representative is r esponsible for assisting members or potential members with issues and/or inquiries they may have about their insurance and applications.The Member Service Representativeis also responsible for receiving and addressing member inquiries, resolutio...
Posted Mar 31, 2014   —   Application Deadline: None
Displaying results 16 - 30 of 66