Most Recent Healthfirst Job Listings (Page 2)

Displaying results 16 - 30 of 103
Healthfirst

Senior Application Support Analyst

Healthfirst - New York, NY
Responsibilities: Provide Production Support of Third Party Applications. At times extended support hours are required outside of a normal work day. Work on Project Support, Application Analysis and system upgrades for Care Management application. This will include analysis, design, unit testing, and configuration/database changes. Provide research and ad-hoc rep...
Application Deadline: None
Healthfirst

Regulatory Complaint Analyst

Healthfirst - New York, NY
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 operational departments to implement an appropriate resolution such as Finance, Enroll...
Application Deadline: None
Healthfirst

Call Center Trainer

Healthfirst - Lake Mary, FL
Responsibilities: Perform trainings for member services representatives for all lines of business, including PHSP, Medicare, commercial, verification, retention, systems and refresher training. Also responsible for all Member Services new hires training. Assist with maintaining and partnering with the Policy Administration team to assist with updating all training materials...
Application Deadline: None
Healthfirst

Nurse Care Manager Welcome & Transition Team

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

Business Relationship Manager

Healthfirst - New York, NY
Responsibilities: Develop and manage the relationship between Information Services (IS) and internal and external partners (business units, IS Service Delivery teams) to drive customer satisfaction for assigned Business unit. Accountable for overseeing all IT services to the customer and supports focusing these services to the critical business needs. Respons...
Application Deadline: None
Healthfirst

Healthcare Translator - Bilingual Russian

Healthfirst - New York, NY
Responsibilities: Translation services: Support the Healthfirst staff by interpreting the staff-to-member and member-to-staff conversation. Facilitate cross-cultural communication within allotted time for staff member and client. Provide care management support to members and their family. Respond to member questions and resolve minor problems as directed. Remain accessible...
Application Deadline: None
Healthfirst

Assessment Nurse Manager

Healthfirst - New York, NY
Responsibilities: Manage departmental operations such as oversight of scheduling, clinical consultations and staffing. Supervise and monitor productivity and accountability of nursing staff including assessment visits and management of service plans and home care hours. A subject matter expert (SME) to field Assessment RNs (Registered Nurse) providing guidance, support, professional c...
Application Deadline: None
Healthfirst

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
Healthfirst

Medicare Enrollment Operations Analyst

Healthfirst - Lake Mary, FL
Responsibilities: Responsible for monthly analysis and summary of membership, productivity, and quality data that are reported to the department Manager and VP. Reconciliation and maintenance of all Medicare Enrollment letters. As needed, open Helpstars for any letter updates and User Acceptance Testing (UAT) of all Medicare Enrollment letters. On a monthly and yearly ...
Application Deadline: None
Healthfirst

Claims Operation Analyst (Network Analyst/Provider Data Analyst)

Healthfirst - New York, NY
Responsibilities: Analysis, Reporting and Performance Improvement : Analyze provider setups and network data processes. Review technical specifications to ensure the Department business requirements are adequately reflected in technical planning documents. Prepare routine reports as needed (network, financial, quality, productio...
Application Deadline: None
Healthfirst

Network Management Representative (5 Boroughs)

Healthfirst - New York, NY
Responsibilities: Serve as plan liaison for physician/physician groups as assigned. Point of contact for all plan-related issues. Complete audit of new provider set up for appropriateness (demographics, fee schedules, Lines of Business, etc.). Ensure accuracy of Provider set up in order to resolve any complaints and/or issues. Maintain record of all new Providers. An agenda w...
Application Deadline: None
Healthfirst

Nurse Care Manager - Russian Language

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

Data Analyst

Healthfirst - New York, NY
Responsibilities: Performs data analysis and quality checks for each data source system. Ensures the quality, completeness and accuracy of data definitions. Records the business use for defined data. Identifies opportunities to share and re-use data. Oversees data quality and information life-cycle strategy and remedial measures. Monitors the progressand tuning o...
Application Deadline: None
Healthfirst

Enrollment Ops Analyst Supervisor

Healthfirst - Lake Mary, FL
Responsibilities: Supervise unit of operations analysts to ensure that departmental productivity and quality goals are met and/or exceeded. Communicate expectations and manage employee performance. Identify and manage the process of developing accurate reporting based on regulatory, employer group and/or organizational requirements. Establishes key metrics to be used in eva...
Application Deadline: None
Healthfirst

Solution Delivery Manager

Healthfirst - Lake Mary, FL
Responsibilities: Defines and implements the methodology adopted for the project. Liaises with the Project Sponsor and Business Project Manager. Communicates project progress to Project Sponsor(s). Manages project resources within the project scope, time-line and budget. Ensures all business requirements are accurate. Is responsible for ensu...
Application Deadline: None
Displaying results 16 - 30 of 103