Jobs at Healthfirst - Page 4

103 job openings

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Displaying results 46 - 60 of 103

Director, Commercial Sales

Healthfirst - New York, NY

Responsibilities: Directs the marketing, acquisition, and retention efforts of the commercial sales staff both internal and external for a specific geographic area. Oversees assigned territory small businesses, small business associations, business improvement districts, community based organizations, faith based organizations and city agencies that would provide partn...

Application Deadline: None

Reassessment Field Performance Supervisor Bilingual Spanish

Healthfirst - New York, NY

Qualifications: Minimum Qualifications: Associate's Degree in Nursing and New York State (NYS) Registered Nurse(RN) License U.S. based field work experience in any ofthe following areas: Geriatrics, Home Care, Discharge Planning, Case Management or Medical Surgical Nursing. Experience usingthe Mini Mental State Exam (MMSE and Uniform A...

Application Deadline: None

RN Onsite Case Manager- Discharge Planner

Healthfirst - New York, NY

Responsibilities: Duties and Responsibilities: Performs onsite discharge planning screenings by reviewing patient medical records to identify readiness for discharge and discharge planning opportunities; then formulates discharge plans as early within the admission as possible. Supports members post-discharge to prevent a re-admission. ...

Application Deadline: None

Director, Clinical Performance

Healthfirst - New York, NY

Responsibilities: Oversees management of performance dashboards and projections and regularly communicate key performance notes and issues to stakeholders. Leads collaborations with stakeholders across Healthfirst departments to develop evidence-based interventions to improve performance on quality ratings. Provides oversight for the implementation, tracking, and evaluation...

Application Deadline: None

Nurse Care Manager, Complete Care

Healthfirst - Telecommuter

Responsibilities: Contributes to the development of patient-focused care and initiates the process in accordance with established guidelines. Conducts assessments, develops treatment plans, performs defined interventions, and generates referrals to providers, community-based resources and appropriate social services. Assesses member's physical, psychosocial and d...

Application Deadline: None

Intake Supervisor - Medical Management

Healthfirst - New York, NY

Responsibilities: Duties Responsibilities: Supervises the timeliness of staff and even distribution of work. Insuresthe Intake Coordinators comply with all regulatory mandates as well as adhere to the policies and procedures set forth by the department and Federal/State agencies. Reviews work of Intake Coordinatorsdaily guaranteeingcas...

Application Deadline: None

Program Analyst-Clinical Partnerships

Healthfirst - New York, NY

Responsibilities: Collaborate with various Healthfirst departments to create reports on Healthfirst members and providers participating in Healthfirst initiatives; ensure that reports are regularly refreshed in order to accurately track program progress. Use research methods to analyze various data sets; summarize findings and make recommendations for changes to programs, a...

Application Deadline: None

Education Manager

Healthfirst - Telecommuter

Responsibilities: Oversees the training of newly hired 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

Junior Healthcare Analyst

Healthfirst - New York, NY

Responsibilities: Research and Data analysis utilize research methods to analyze various data sets. Gather data and conduct analyses as directed by Senior Analysts, Managers, or Directors and assist with the development of reports. Assist in the analysis of trend mitigation opportunities. Support analysis projects related to cost of care savin...

Application Deadline: None

CPM Analyst

Healthfirst - New York, NY

Responsibilities: Duties and Responsibilities: Works with other CPM staff to contribute to core departmental activities Compiles information from multiple sources to generate timely, organized and accurate reporting for internal and external audiences Preparesand distributes recurring reports Uses Business Intelligence tools...

Application Deadline: None

Senior Directory Production Data Analyst

Healthfirst - New York, NY

Responsibilities: Duties and Responsibilities: The Sr. Directory Production Data Analyst coordinates the completion of all directory related projects between internal Healthfirst Departments and the Directory Vendor. Oversees all aspects of directory-related projects and supervises the Directory Production Project Specialists.

Application Deadline: None

Administrative Assistant

Healthfirst - New York, NY

Responsibilities: Duties and Responsibilities: Being responsible for varied administrative duties within the Medical Management department. Composing Typing correspondence, relaying confidential information, gathering and interpreting information to develop reports and maintain departmental files, assisting in monitoring departmental budgets, scr...

Application Deadline: None

Non-Clinical Coordinator, Appeals and Grievances (Telecommuter)

Healthfirst - Ny, Telecommuter

Responsibilities: Ensures appeals and grievances are categorized and processed within New York State and Federal time frames. Enters all appeals and grievances in the Units software tracking system. Identifies potential quality issues and initiates referrals to the Quality Improvement Department. Requests waivers from providers for non-clinical Medicar...

Application Deadline: None

Supervisor Utilization Management

Healthfirst - Telecommuter

Responsibilities: Oversees the provision of Utilization Management functions which include: Pre-Certification, Concurrent Review, as well as Discharge Planning for Admissions and Outpatient Services. Continuously evaluates work-flow issues while seeking to improve processes that impact the Department. Supervises, analyzes and coordinates the daily activities of the unit to ...

Application Deadline: None

Healthcare Analyst

Healthfirst - New York, NY

Responsibilities: Monitorand understand costs and revenue trends for Provider Organizations. Responsiblefor creating, modifying and updating financial reports and analysis for Provider Organizations. Documentall coding, methodology and assumptions, data issues and report resultsfor each analysis. Prepareperiodic financial performance review presentatio...

Application Deadline: None