Most Recent Healthfirst Job Listings (Page 3)

Displaying results 31 - 45 of 100
Healthfirst

Director - Business Analysis

Healthfirst - New York, NY
Responsibilities: Provide leadership, direction, and mentoring for the Business Systems Analyst management team in the execution of the solution delivery process across the enterprise project portfolio. Plan, execute, monitor and control the road map for the Business Systems Analyst team. Evangelize the analysis function across the organization, through esta...
Application Deadline: None
Healthfirst

Director Actuary, Valuations

Healthfirst - New York, NY
Responsibilities: Monthly valuation of all Healthfirst lines of business.Review results within Finance group as well as Senior Management Responsible for maintaining and updating of the valuation tools and reports Work with Finance Reporting to assure that the correct valuation results are reported in monthly close, our quarterly and annual Statutory filings for ...
Application Deadline: None
Healthfirst

Staff Accountant

Healthfirst - New York, NY
Responsibilities: Prepare various journal entries, account reconciliations and account analysis and participate in other ad-hoc activities Assist in the preparation of the Monthly Financial Reporting Package and provide analysis around reporting variances Responsible for Vendor maintenance in our general ledger system, which consists of: Setting up new vendor...
Application Deadline: None
Healthfirst

Intake Coordinator

Healthfirst - Telecommuter
Responsibilities: Under general supervision, this position performs administrative functions associated with the disease management program. Activities may include coordinating monthly patient referral reports, patient and physician letters/mailings, provider faxes, data entry and patient follow-up calls. Assigns client to appropriate staff member or behavio...
Application Deadline: None
Healthfirst

Reassessment Nurse - Bronx, Manhattan and Westchester County

Healthfirst - New York, NY
Responsibilities: Conducts UAS (Uniform Assessment System) for active members every six months to determine service needs and continued eligibility. Completes reassessment of service needs at the request of the Care Team, Member's Family/Caregiver to determine if service level(s) need to be adjusted. Completes Patient Review Instruments/Scre...
Application Deadline: None
Healthfirst

Copywriter

Healthfirst - New York, NY
Responsibilities: Write and edit a wide range of promotional materials -- including letters, brochures, flyers, outdoor advertising, blog and website posts, email blasts, radio and TV scripts and other collateral -- that support effective member and provider communication and customer engagement. Candidate should be able to rapidly produce creative, professional, and persuasive materi...
Application Deadline: None
Healthfirst

Manager Utilization Management

Healthfirst - New York, NY
Responsibilities: Reviews and assesses work flow redundancies and works with Assistant Vice President, Director, Assistant Director to develop, implement and manage effective changes and procedures. Helps ensure that the resources necessary to achieve organizational and departmental objectives are available as needed. Works with Supervisors to assure achievement of daily de...
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

Assistant Director, Behavioral Health Quality Improvement

Healthfirst - New York, NY
Responsibilities: Responsible for developing and maintaining requirement solutions for planned behavioral health programs including Health and Recovery Plan (HARP), to ensure compliance with all regulatory requirements. Responsible for all studies and performance improvement projects related to behavioral health subjects, including all of those required for HARP implementation and mai...
Application Deadline: None
Healthfirst

QA Manager

Healthfirst - New York, NY
Responsibilities: Effectively manages non-production environments for testing purposes. Participates in designing, developing, implementing and maintaining testing governance that aligns to effective testing. Co-manages test data coordination and assigns to Test Analyst for migration. Develops and maintains an environment management plan and effectively maintains test envir...
Application Deadline: None
Healthfirst

Director Ancillary Contracting

Healthfirst - New York, NY
Responsibilities: Serve as the development and implementation lead on all projects related to Ancillary networks, including planning, execution, and monitoring performance of the network and staff. Key contact for regulatory, clinical and customer satisfaction initiatives related to ancillary networks, as well as oversee issue resolution as it relates to Claims, Medical Man...
Application Deadline: None
Healthfirst

Business Intelligence Solution Architect

Healthfirst - New York, NY
Responsibilities: Design, build and support the Enterprise Reporting solutions: Qlikview, Microsoft SSRS/SSIS, SAS, Crystal Reports. Architect data structures and processes to standardize, distribute and provide access to information across the organization. Lead the data architecture planning in support of enterprise data Reporting objectives. Provide t...
Application Deadline: None
Healthfirst

Manager Financial Reporting

Healthfirst - New York, NY
Responsibilities: Manage the monthly GAAP-TO-STAT (Generally Accepted Accounting Principles to Statutory) conversion adjustment process and review the monthly financial data, analyses and reconciliations. Supervise the preparation process and review of the quarterly and annual Statutory financial reports to ensure data accuracy, integrity, completeness and timely filing...
Application Deadline: None
Healthfirst

Education Manager (Medical Management)

Healthfirst - Telecommuter
Responsibilities: Oversees the training of new hire staff related to the provision of the basic departmental functions which include: pre-certification, concurrent review, discharge planning, case management, disease management, appeals processing and referrals, Healthfirst and SHP standards and the rules/regulations set forth by the Company, the Department of Health and state and...
Application Deadline: None
Healthfirst

Claims Examiner

Healthfirst - New York, NY
Responsibilities: Review, investigate and adjudicate claims and encounters for medical services through contractual provisions in accordance with provider contracts and authorizations. Process new claim suspensions and reprocess (as needed) for discrepancies; as well as review other documentation for edits and consistency. All errors must be documented according to Healthfi...
Application Deadline: None
Displaying results 31 - 45 of 100