Jobs at Healthfirst - Page 5

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Displaying results 61 - 75 of 103

Programmer Analyst, Pharmacy

Healthfirst - New York, NY

Responsibilities: Analyzes data and creates reporting from appropriate systems. Designs complex algorithms/programs to mine through data within Healthfirst's Enterprise 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 t...

Application Deadline: None

Assistant Vice President (AVP) Hospital Relations

Healthfirst - New York, NY

Responsibilities: Accountable leader for hospital network development and management through customer focused leadership and team development. Collaborate with vice president of network management and with senior leaders to represent the department, propose solutions and make decisions in the best interests of the department and Healthfirst's overall as it relates to corpor...

Application Deadline: None

Senior QA Automation Engineer IT Quality Assurance

Healthfirst - New York, NY

Responsibilities: Design, develop, implement and maintain a cost effective, long-term automation strategy and framework to increase regression testing accuracy, coverage and reduce regression timelines Enhance HF Test Automation Framework using advanced techniques such as hybrid, key-word, and data driven methodologies Review functional specifications an...

Application Deadline: None

Customer Service Representative

Healthfirst - Lake Mary, FL

Responsibilities: Interacts with customers to provide information in response to inquiries about products and services. Transfer customer calls to appropriate departments. Identify, research, and resolve customer issues using the computer system. Follow-up on customer inquiries not immediately resolved. Researc...

Application Deadline: None

Customer Service Representative - Bilingual Spanish

Healthfirst - Lake Mary, FL

Responsibilities: Interacts with customers to provide information in response to inquiries about products and services. Transfer customer calls to appropriate departments. Identify, research, and resolve customer issues using the computer system. Follow-up on customer inquiries not immediately resolved. Researc...

Application Deadline: None

ETL Developer

Healthfirst - Lake Mary, FL

Responsibilities: Understand business requirements and translate them to technical specifications. Develop SAS and Informatica mappings and workflows to meet the data migration, cleansing and integratipon needs, using Informatica Powercenter. Develop error handling, data cleansing and exception reporting processes. Modify and/or enhance existing inform...

Application Deadline: None

Nurse Care Manager

Healthfirst - Telecommuter

Responsibilities: Maintains ongoing telephonic communication with members and their caregivers to ensure a safe and appropriate care plan. Member family education re: health management and community resources. Appropriately manages member care including but not limited to; coordination of benefits (Medicare Medicaid), coordinating monitoring all skilled services,...

Application Deadline: None

Master Data Management Developer

Healthfirst - New York, NY

Responsibilities: Delivers high quality solutions in adherence to Informatica/Siperian methodology Assists with developing logical and physical database schemas, stored procedures, interfaces, and extensions to large enterprise proprietary solutions, primarily focused on the MDM initiative. Provides design, architecture and development suppo...

Application Deadline: None

Business Analyst

Healthfirst - Lake Mary, FL

Responsibilities: PositionSummary: The Business Analyst will be responsible for all Member Services business systems and analysis as it relates to enhancements to existingMember Servicesnew product lines and/or clients. Act as the liaison between own business unit and IS/Third Party team. Work closely with Project Managers, IS, Product...

Application Deadline: None

Reinsurance Reconciliation Analyst

Healthfirst - New York, NY

Responsibilities: Compile data related to claims to determine reinsurance eligibility. Review previously billed and denied data to correcterrors and rebill to maximize collections. Apply cash to outstanding receivables when applicable. Work with claims to determine eligibility, incorrectprocessing and correction strategy....

Application Deadline: None

Director, Population Health Outreach Programs

Healthfirst - New York, NY

Responsibilities: Team Leadership Drives strategy for Spectrum of Health Program, HEDIS Analytics and Reward Card Program Sets team and individual goals aligned to organizational strategy and goals regarding engagement and quality Monitors group and individual performance/progress Evaluates progress and ada...

Application Deadline: None

Talent Acquisition Partner - Information Technology

Healthfirst - New York, NY

Responsibilities: Build relationships with hiring managers and HRBPs to understand current line of business needs and objectives. Define job descriptions, and develop and implement recruiting strategies that fit business needs and budget considerations through a deep understanding of return on investment. Identify and implement appropriate recruiting processes such as setti...

Application Deadline: None

Scheduling Liaison - Cantonese

Healthfirst - New York, NY

Responsibilities: Review and organize CCMS (CareEnhance Clinical Management Software), Electronic Medical Records (EMR) pre-enrollment database system, schedule reports for field staff (Nurses and/or Enrollment 50+) to ensure daily goals for SHP, CC and PHSP are being achieved. Section the report by language needs and County for maximum efficiency in assigning active and pr...

Application Deadline: None

Healthcare Translator - Cantonese and Mandarin

Healthfirst - New York, NY

Responsibilities: Translation services: Support the Healthfirst staff by interpreting the staff-to-member and member-to-staff conversation. Facilitate cross-cultural communication within allotted time for staff member and client Provide Care Management support to members and their families. Respond to member questions and resolve minor problems as directed. Remain accessibl...

Application Deadline: None

Manager, Actuarial Services

Healthfirst - New York, NY

Responsibilities: Monitoring performance on all lines of business and update forecasts as appropriate Compare actual monthly results to latest forecasts as well as budget Build and maintain Healthfirsts quarterly forecast models. Co-ordinate input from Product and Finance for each of our quarterly forecast process. Co-ordinate with Budget to...

Application Deadline: None