Most Recent Healthfirst Job Listings (Page 5)

Displaying results 46 - 60 of 109
Healthfirst

Director, Business Operations

Healthfirst - New York, NY
The Director, Business Operations is responsible for managing the strategic and day-to-day operational aspects of Network Management, Claims Operations, Product Management, Data Analysis and Information Technology for the Behavioral Health Department. The Director will develop and implement processes to support and improve operations and quality by conducting a thorough analysis of operatio...
Application Deadline: None
Healthfirst

Manager, Clinical Claims Auditing

Healthfirst - New York, NY
Senior Health Partners (SHP) is a Managed Long-Term Care Plan (MLTCP) and a Healthfirst Company. The Manager of Clinical Claims Auditing will review, track and quantify the timeliness and accuracy of clinical data by creating, analyzing, reporting and maintaining metrics and processes in support of SHP's Care Management Department. The manager will also determine, recommend and present corr...
Application Deadline: None
Healthfirst

Supervisor - Server Group

Healthfirst - New York, NY
The Supervisor oversees the engineers in the Network Server Group of the Informations Services Department. The Network Server group is responsible for the operations of Healthfirst server and storage infrastructure which includes planning, installing, and supporting the enterprise infrastructure which runs the Microsoft windows platform and related storage. It is critical to the success of ...
Application Deadline: None
Healthfirst

Supervisor Utilization Management

Healthfirst - Telecommuter
The Supervisor, Utilization Management is responsible for hands-on leadership of a specific care team in order to provide direct oversight to both clinical and non-clinical staff, and to contain medical costs. This is accomplished through active involvement and leadership of the team's day-to-day operations; ensuring that staff is consistent with Healthfirsts policies and procedures; and ar...
Application Deadline: None
Healthfirst

Care Manager, Utiliz. Mngt. (HomeCare/DME/Rehab)

Healthfirst - Telecommuter
The Care Manager conducts pre-certification of selected services in accordance with regulatory and departmental guidelines. The individual is responsible for efficient utilization of health services and optimal health outcomes for members, as well as meeting designated metrics. Responsibilities: Evaluates and pre-authorizes request for inpatient/outpatient, specialty care, ho...
Application Deadline: None
Healthfirst

Network Management Representative (5 Boroughs)

Healthfirst - New York, NY
The Network Management Representative represents and advances Healthfirst interests in the Provider market as the preferred and ultimately pre-eminent plan through superior customer service and execution of Provider engagement strategies. Healthfirst is seeking Network Representatives committed to developing and managing a high performance network and to engaging in variou...
Application Deadline: None
Healthfirst

Digital Producer

Healthfirst - New York, NY
The Digital Producer is the person primarily focused on ensuring the department creative adheres to established processes, style guides, and budget while delivering at the highest possible standard from inception to completion. The Digital Producer will review new project requests, assign resources, prepare and maintain project schedules and run weekly team status meetings. The Digital Prod...
Application Deadline: None
Healthfirst

Behavioral Health Care Manager - Utilization Review

Healthfirst - Telecommuter
The Behavioral Health Care Manager-UM reviews, evaluates and determines the appropriateness, medical necessity and efficiency of health care services proposed or provided, according to established criteria and plan benefits to improve clinical outcomes and reduce costs. Plans and manages discharge planning, concurrent planning and clinical reviews, pre-certification and clinical case appeal...
Application Deadline: None
Healthfirst

Healthcare Translator - Bilingual Cantonese/Mandarin

Healthfirst - New York, NY
The bilingual Cantonese/Mandarin-English Interpreter at Healthfirst will work in a managed long-term care plan (MLTCP) division who is responsible for supporting the Reassessment, Intake Enrollment and Care Management Teams by providing translation services during home visits primarily within the five boroughs, but also including Long Island and Westchester. The position also provides assis...
Application Deadline: None
Healthfirst

Registered Dietitian

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 ...
Application Deadline: None
Healthfirst

EIM Data Analyst - Finance Analysis

Healthfirst - New York, NY
The EIM Data Analyst (Enterprise Information Management) is responsible for supporting the day to day management of Healthfirst data entities across as well as the specific data assets that are critical to the Finance Analysis and Finance portion of the enterprise. In this role, the EIM Data Analyst will support the maintenance of high levels of data quality, integrity, av...
Application Deadline: None
Healthfirst

Program Coordinator, Clinical Partnerships

Healthfirst - New York, NY
Healthfirst is a provider-sponsored, not-for-profit Managed Care Organization. Our Clinical Partnerships Group enables our member hospitals and community primary care practices to exchange information in the areas of clinical leadership, care management, quality improvement and financial incentives. The Program Coordinator is responsible for the concurrent coordination of ...
Application Deadline: None
Healthfirst

Microsoft Project Server Analyst

Healthfirst - New York, NY
Healthfirst is the 4th largest health insurer in New York City, providing government sponsored as well as commercial health plans to the greater New York City area. The last two and a half years have seen rapid growth and we are looking for a Microsoft Project Server who can effectively integrate the company's mission, vision and values to best support the business needs of our Portfolio Pr...
Application Deadline: None
Healthfirst

Reassessment Nurse - Bilingual Korean

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

Business Systems Analyst

Healthfirst - New York, NY
The Business Systems Analyst works with internal and external clients and the development and testing teams to ensure that requests for the development and enhancement of internally developed software applications and systems meet the needs and expectations of the business users. The Business Systems Analyst is the seam between the software users and the software developer...
Application Deadline: None
Displaying results 46 - 60 of 109