Most Recent Healthfirst Job Listings (Page 3)

Displaying results 31 - 45 of 108
Healthfirst

Director, Customer Relationship Management (CRM)

Healthfirst - New York, NY
Responsibilities: Develop, present and implement CRM (Customer Relationship Management) strategies including tools, technologies and procedures to manage and improve member engagement and profitable growth. Accountable for initial project analysis, planning and implementation across multiple functions (e.g. Member Services, Provider Services, IS, Sales, Marketing, Claims, etc.). The CRM str...
Application Deadline: None
Healthfirst

Senior Pharmacy Manager, Behavioral Health

Healthfirst - New York, NY
Responsibilities: Partner with the entire Behavioral Health team (Medical Directors, Case Managers, etc.) to ensure members increased adherence to evidence-based practices for pharmacotherapy of substance use, mood anxiety and psychotic disorders, and general medical conditions .(Break down the walls.) Identify situations to reduce avoidable behavioral he...
Application Deadline: None
Healthfirst

Managed Service Organization (MSO) Account Representative

Healthfirst - New York, NY
Responsibilities: Review and maintain MSO requests ensuring quality standards and expectations are met. This includes, but is not limited to, responsibilities for MSO communication, conflict resolution and compliance. This will be managed by the MSO Manager through weekly and monthly planning meetings with expectation of collaboratively achieving structure and consistent communication inter...
Application Deadline: None
Healthfirst

Pharmacy Data Analyst

Healthfirst - New York, NY
Responsibilities: Analyzes data and creates reporting from appropriate systems. Designs complex algorithms/programs to mine through data within Healthfirst'sEnterprise Data Warehouse (EDW) and ad-hoc data sets. Seeks out and adopts best practices in data reporting. Documents policies and procedures; handles reporting, project specifications, job aids and workflows within th...
Application Deadline: None
Healthfirst

Asstant Director, Product Marketing

Healthfirst - New York, NY
Responsibilities: Leverages consumer insights and past experience with commercial, Medicare, and/or Medicaid health insurance plans to develop and drive product marketing strategies encompassing multi-channel acquisition, engagement, and retention initiatives. In collaboration with internal partners, (i.e.: product management, member services, sales teams, etc.) builds integrated mark...
Application Deadline: None
Healthfirst

Business Analyst (Provider Data/Network Analyst)

Healthfirst - New York, NY
Responsibilities: Analysis, Reporting and Performance Improvement: Analyze provider data processes and present findings. Work cross-functionally to recommend and request modifications to existing system processes addressing deficiencies and/or further improving and streamlining performance. Review technical specifications to ensure Dep...
Application Deadline: None
Healthfirst

Health Care Claims Analyst (Benefits Design Analyst)

Healthfirst - New York, NY
Responsibilities: Benefits Design Analysis: Assist in the on-going evaluation of benefits configuration for new and existing benefit plans within PowerMHS. Analyze explanation of coverage documents to assist with determining best approach for loading benefits offered including member cost share and out-of-pocket maximums. Assist in the setup of co...
Application Deadline: None
Healthfirst

Relationship Coordinator, Sales - Spanish

Healthfirst - New York, NY
Responsibilities: Calls prospective SHP clients according to approved scripts within 24 hours. Searches ePACEs for Medicaid eligibility, exclusion and exemption codes. Documents all client calls and outcomes in pre-enrollment database system. Achieves daily, weekly and monthly goals for outbound telemarketing calls and booking appointments. ...
Application Deadline: None
Healthfirst

Ancillary Services Contractor

Healthfirst - New York, NY
Responsibilities: Recruit, contract and manage a network of Ancillary Providers for all lines of Healthfirst's business (such as Medicaid, Child Health Plus, Medicare, and Commercial). Monitor and audit contracted ancillary providers to ensure that accurate demographic, payment and fee schedules are loaded into the Healthfirst Provider System correctly. Resolve c...
Application Deadline: None
Healthfirst

Member Services Supervisor

Healthfirst - Lake Mary, FL
Responsibilities: Review and monitor reports: Review all daily reports to manage team productions, workloads and trends. Prepares, maintains, and submits reports and records, such as Quarterly reports and Staffs attendance records. Maintain appropriate policies, procedures, and workflow and ensure that staff is properly trained and monitored to me...
Application Deadline: None
Healthfirst

Manager of Billing Operations

Healthfirst - New York, NY
Responsibilities: Manager will implement and communicate departmental standards that employees will be accountable for and will manage employee performance through monitoring productivity reports, efficiency and the quality of the team's work. Responsible for managing and developing Supervisors to be effective leaders. Work with Supervisors to establish and implement depart...
Application Deadline: None
Healthfirst

Human Resources Business Partner

Healthfirst - New York, NY
Responsibilities: Proactively supports the delivery of all HR and Change Management initiatives and processes. Builds a strong business relationship with the internal client and serves as a key advisor and confidante, enabling strong management and leadership for the Department. Facilitates the design and implementation of "best solutions" that fuel engagement; faster, bett...
Application Deadline: None
Healthfirst

Operations Analyst (Billing and Reconciliation)

Healthfirst - New York, NY
Responsibilities: Responsible for reconciliation of billing, invoicing, member premium payments for all Healthfirst PHSP (Private Health Services Plan)and Commercial products. Will analyze and generate monthly reports for product performance. Generate the correspondence letters for members for premium notification status. Generate member billing files to confirm ...
Application Deadline: None
Healthfirst

Member Services Representative - Cantonese/Mandarin

Healthfirst - New York, NY
Responsibilities: Interacts with customers to provide information in response to inquiries about products and services. Transfer customer calls to appropriate staff. Identify, research, and resolve customer issues using the computer system. Follow-up on customer inquiries not immediately resolved. Research memb...
Application Deadline: None
Healthfirst

Member Services Representative - Russian

Healthfirst - New York, NY
Responsibilities: Interacts with customers to provide information in response to inquiries about products and services. Transfer customer calls to appropriate staff. Identify, research, and resolve customer issues using the computer system. Follow-up on customer inquiries not immediately resolved Research membe...
Application Deadline: None
Displaying results 31 - 45 of 108