Most Recent Healthfirst Job Listings (Page 3)

Displaying results 16 - 30 of 100
Healthfirst

Director of Enrollment

Healthfirst - New York, NY
The Director will lead the Enrollment team to ensure timely and accurate completion of all required eligibility documents, accurate recording of assessments, and guarantee productivity standards of responsiveness. Additionally, the Director will oversee the strategic and future planning of the enrollment function by establishing and maintaining production and quality standards that ensure c...
Application Deadline: None
Healthfirst

Business Relationship Manager

Healthfirst - New York, NY
The Business Relationship Management function has the mandate to establish a relationship between IT and the business, and to increase the value realized from IT assets, investments, and capabilities. The Business Relationship Manager (BRM) is responsible for understanding the business need, accountable for prioritizing the demand (IT service requests for production, maintenance, enhancemen...
Application Deadline: None
Healthfirst

Reassessment Nurse - Custodial Care UAS Assessor

Healthfirst - New York, NY
This is a field based position for a Reassessment Nurse at Senior Health Partners (SHP) at Healthfirst. The Reassessment Nurse takes independent ownership for self-scheduling reassessment visits at intervals required by the Department of Health (DOH) to determine service needs and continued eligibility; coordinates with Care Management Team (CMT) to maintain a high level of efficient and ef...
Application Deadline: None
Healthfirst

Senior QA Analyst

Healthfirst - New York, NY
The Senior Quality Assurance (QA) Analyst position will conduct software testing and planning and analyzes results to insure they comply with specifications and Information Services (IS) standards. Prepares reports on the same and confers with programmers, business analysts, and upper management. The Senior QA Analyst ensures that standardized methods and procedures are used for efficient a...
Application Deadline: None
Healthfirst

Healthcare Translator - Bilingual Mandarin/Fujianese

Healthfirst - New York, NY
The bilingual Mandarin/Fujianese-English Interpreter at Healthfirst will work in a managed long-term care plan (MLTCP) division who is responsible for supporting the Reassessment, Intake Enrollment and Care Management Teams by providing translation services during home visits primarily within the five boroughs, but also including Long Island and Westchester. The position also provides assis...
Application Deadline: None
Healthfirst

Accounts Receivable Analyst (Billing and Reconciliation)

Healthfirst - New York, NY
The Accounts Receivable Analyst (ARA) will respond to member inquiries through our business process and customer relationship management systems. The ARA will perform all account analysis timely and load all payment information into the Healthfirst Managed Healthcare System. The ARA evaluate active member status to ensure payments are received and processed into the individual member accoun...
Application Deadline: None
Healthfirst

Care Coordinator

Healthfirst - Telecommuter
Care Coordinators support several different functions within the department of theCare Coordination Unit which supports planning and problem resolution for members relative to getting care and service,County Care Coordination which supports health navigation and discharge planning,Admissions which supports the short stay programs, andPersonal Care Services.Care Coordinatorsare responsible f...
Application Deadline: None
Healthfirst

Manager, Analysis (Encounter Reporting)

Healthfirst - New York, NY
The Manager, Analysis (Encounter reporting) will lead a team of analyst as well as maintain the Encounter reporting for the State. The Manager is responsible for oversight, monitoring, reconciliation and issue resolution for the processes that supports encounter submissions. Encounter is a regulatory process required by state and federal agencies that issue capitated revenue for members enr...
Application Deadline: None
Healthfirst

Senior Healthcare Analyst

Healthfirst - New York, NY
The Senior Healthcare Analyst in Finance Analysis will support the Finance Analysis department in performing functions that enable key business processes and practices. The incumbent of this position will interact with divisional subject matter experts, finance, and IT and other areas of the organization to provide support in various tasks related to achieving business objectives. The Senio...
Application Deadline: None
Healthfirst

Sr. Release Management Engineer

Healthfirst - New York, NY
The Senior Release Engineer will own the Release Management lifecycle which includes scheduling, coordinating and the management of releases across the enterprise for multiple applications across various Portfolios The releases can be inclusive of application updates, operating system patches, security improvements, hardware upgrades, Projects and Programs. Where necessary, this position pr...
Application Deadline: None
Healthfirst

Appeals & Grievance Non Clinical Coordinator

Healthfirst - Telecommuter
The Appeals and Grievances Non-Clinical Coordinator is responsible for receiving, investigating and responding in writing, to all member appeals and grievances, and Healthfirst participating and non-participating provider claims appeals that are not related to clinical issues. Provider Claims appeals are related to Medicare Out of Network, Retro Reviews, and Dual Provider Appeals about deni...
Application Deadline: None
Healthfirst

Medical Records Coordinator

Healthfirst - New York, NY
The Medical Records Clerk is responsible for performing quality checks on automated reports, received scans and guaranteeing electronic filing for assigned products and the corresponding members. The Medical Records Clerk c ollaborates with multiple departments to obtain and confirm necessary documents are in place and properly set-up in the Electronic Medical System (EMS) database.
Application Deadline: None
Healthfirst

Facilities Support Specialist I

Healthfirst - New York, NY
The Facilities Support Specialist is responsible for the proper operation, maintenance and safety of all the Healthfirst occupied space including the safety of all Healthfirst staff members. NOTE: This position requires flexibility to work after hours, weekends and holidays on a rotating on-call schedule. Responsibilities: Perform building maintenance, inclu...
Application Deadline: None
Healthfirst

Relationship Coord., Sales - bilingual Mandarin/Cantonese

Healthfirst - New York, NY
The Relationship Coordinator Inbound solicits and provides information via telephonic efforts in support of Healthfirst's Medicare Advantage Plan (MAP) and Senior Health Partners' (SHP) Managed Long-Term care Plan (MLTCP).This position ensures that referral sources, prospective enrollees and/or significant others are courteously, appropriately and effectively processed through communication...
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...
Application Deadline: None
Displaying results 16 - 30 of 100