Most Recent Healthfirst Job Listings (Page 3)

Displaying results 31 - 45 of 69
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
Healthfirst

Regulatory Complaint Analyst

Healthfirst - New York, NY
The Regulatory Complaint Analyst is responsible for responding to complaints initiated by regulatory agencies, and oversees the complaint response process to facilitate timely resolutions and responses. Responsibilities: Records all provider and member complaints and inquiries initiated by local, state and federal regulatory agencies as well as governmental contracted entitie...
Posted Mar 26, 2014   —   Application Deadline: None
Healthfirst

Process Improvement (Business Analyst)

Healthfirst - New York, NY
The Process Improvement Business Analyst (BA) will be considered the subject matter expert for all member billing and enrollment processes. The Process Improvement, BA will be responsible for investigating process or system failures within enrollment and member billing. The incumbent will need to identify root causes (addressing inefficient or broken areas), calculate organizational impact ...
Posted Mar 26, 2014   —   Application Deadline: None
Healthfirst

Medical Management Specialist - Document Management

Healthfirst - New York, NY
With minimal supervision, the Medical Management Specialist - Document Management organizes, maintains and manages all departmental correspondence that is vital to achieving regulatory compliance, department objectives and operations. The incumbent is responsible for overseeing and coordinating the creation, storage, protection, retrieval and retirement of letters to enrollees, providers an...
Posted Mar 26, 2014   —   Application Deadline: None
Healthfirst

System Administrator

Healthfirst - Lake Mary, FL
The Systems Administrator will be part of the server group which is responsible for the supporting the organizations physical and virtual windows servers. This position will provision, support, and maintain windows servers as well as conduct server maintenance such as windows patching, software upgrades, configuration changes and data center operations. Responsibilities: Comp...
Posted Mar 26, 2014   —   Application Deadline: None
Healthfirst

Health Provider Network Data Analyst

Healthfirst - New York, NY
The Health Provider Network Data Analyst is responsible for data analysis and electronic quarterly submission of Healthfirsts Health Provider Network (HPN) and Primary Care Physician (PCP) Panel File in accordance with established data submission schedule and regulatory requirements. Analyze weekly pre-edit reports regarding provider data inaccuracies; submit necessary provider profile revi...
Posted Mar 26, 2014   —   Application Deadline: None
Healthfirst

Documentation & Coding Audit Manager

Healthfirst - New York, NY
The Documentation Coding Audit Manager supervises staff and processes associated with auditing clinical documentation that supports Healthfirst diagnoses submitted to CMS (Centers for Medicare and Medicaid Services), New York State, and other entities in support of appropriate risk scores of Healthfirst members. This position will oversee direct review of provider documentation, as well as ...
Posted Mar 26, 2014   —   Application Deadline: None
Healthfirst

Manager Member Experience

Healthfirst - New York, NY
The Member Experience Manager will lead member satisfaction efforts across the organization and for all Healthfirst lines of business. This would include designing the channels for member feedback (i.e. surveys) related to our members' care experience, reporting those results to key stakeholders within the organization, analyzing the results to identify trends and areas of improvement, and ...
Posted Mar 25, 2014   —   Application Deadline: None
Healthfirst

Hospital Contract Manager

Healthfirst - New York, NY
The Hospital Contract Manager shall serve as the primary point of contact between Healthfirst and participating hospitals and hospital affiliated providers ("Hospital Providers"), as assigned, to represent and advance Healthfirst interests in the hospital provider market as the preferred and ultimately pre-eminent plan through superior customer service and flawless execution of provider eng...
Posted Mar 25, 2014   —   Application Deadline: None
Healthfirst

Information Security Engineer

Healthfirst - New York, NY
The Security Engineer is responsible for planning, designing, implementing and monitoring security measures which safeguard access to information technology assets. This position requires a strong background and operational experience in information technology security across a broad organizational range. Responsibilities: Administers security products for system...
Posted Mar 21, 2014   —   Application Deadline: None
Healthfirst

Director, Actuarial Services

Healthfirst - New York, NY
The Director of Actuarial Services position is responsible for all actuarial activities related to Healthfirst commercial business. In addition, provide actuarial support and analyses for all Lines of business. The Director of Actuarial Services is directly responsible for determining premiums, developing rating structures, and evaluating rating systems and methodologies. Responsibilit...
Posted Mar 21, 2014   —   Application Deadline: None
Healthfirst

Staff Accountant

Healthfirst - New York, NY
The Staff Accountant in Healthfirst's Finance department is primarily responsible for preparing monthly journal entries in Prepaid Health Services Plan (PHSP) (Medicaid, Family Health Plans and Child Health Plan) for all Accrued Medical expenses. The Staff Accountant will also be responsible for Accrued Medical accounts related PHSP expenses on a monthly basis. Responsibilities:
Posted Mar 20, 2014   —   Application Deadline: None
Healthfirst

Registered Dietician

Healthfirst - Ny, Telecommuter
The Registered Dietician (RD) reports to the Nutrition Team Manager to conduct nutritional assessments and determine dietary needs for a frail adult population to achieve an optimal level of independent functioning. The RD provides necessary consultation and teaching to members, families/caregivers, and the care teams of Senior Health Partners (SHP) teams and Healthfirst Complete Care, and ...
Posted Mar 14, 2014   —   Application Deadline: None
Healthfirst

Organizational Development Specialist

Healthfirst - New York, NY
Exciting new role on the Center of Excellence team to help support Talent/Organizational Development/Learning initiatives which will in turn enhance leadership and individual capability across the organization. The role will actively focus on the culture of the organization by actively researching, creating and helping implement processes and initiatives that are in support of our business ...
Posted Mar 12, 2014   —   Application Deadline: None
Healthfirst

Director of Facilitated Enrollment, Bronx Division

Healthfirst - New York, NY
The Director of Facilitated Enrollment is responsible for directing the Certified Application Counselors (CAC) and field retention staff while identifying best practices for sales and maintaining the highest standard of quality. Responsibilities: Directs the sales and retention efforts of the Certified Application Counselor (CAC) staff for a specific geographic area. The dire...
Posted Mar 07, 2014   —   Application Deadline: None
Displaying results 31 - 45 of 69