Most Recent Healthfirst Job Listings (Page 3)

Displaying results 31 - 45 of 103
Healthfirst

Manager, Behavioral Health Care/Utilization Mgmt. (HARP)

Healthfirst - Telecommuter
The Manager assumes a leadership role within Healthfirst's Behavioral Health Department and acts as a senior resource for team members in all areas of work. Is responsible for clinical supervision and maintains an in-depth knowledge of strength based, person centered, recovery oriented behavioral health principles, practices, standards and techniques and applies this knowledge in accordance...
Application Deadline: None
Healthfirst

Behavioral Health Care Manager/UM HARP

Healthfirst - Telecommuter
The Behavioral Health Care Manager reviews, evaluates and determines the appropriateness, medical necessity and efficiency of a full continuum of behavioral health treatments and recovery oriented services proposed or provided across all levels of care in accordance with evidenced based practices and consistent with established guidelines and plan benefits to improve health outcomes and eff...
Application Deadline: None
Healthfirst

Behavioral Health Case Manager

Healthfirst - Telecommuter
Clinically responsive and provides case management and care coordination services for members who have significant problems with a mental health or substance use disorder (MHSUD). The Behavioral Health Case Manager encourages lifestyle changes to support recovery and provides one-on-one support, disease education and monitoring, care coordination and management to improve health literacy, a...
Application Deadline: None
Healthfirst

Senior Finance Operations Analyst

Healthfirst - New York, NY
Senior Finance Operations Analyst will take the lead in performing monthly reconciliations, creating vendor reporting and participating in special projects. Responsibilities: Perform monthly vendor reconciliations to insure all data received from vendor is aligned with payments. Creating monthly vendor reporting, operations calendars and statistical reporting relev...
Application Deadline: None
Healthfirst

Intake Coordinator, Medical Management

Healthfirst - Telecommuter
The Intake Coordinator is responsible for answering all calls that come into Healthfirst via the Medical Management telephone queue. Responsibilities: Answers calls in a high-volume call center environment. These calls may be related to, but not limited to, authorization requests from providers, benefit questions and issues from members, emergency and crisis member calls and ...
Application Deadline: None
Healthfirst

Business Analyst, Network Operations

Healthfirst - New York, NY
The Provider Services Business Analyst is responsible for business process review and data analysis as relates to activities which ensure operational effectiveness. Incumbents will assist management by analyzing data, identifying useful information, recommending and supporting decision-making with the goal of departmental improvement. The Business Analyst owns project goal...
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

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

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

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

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

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
Displaying results 31 - 45 of 103