Most Recent Healthfirst Job Listings (Page 6)

Displaying results 61 - 75 of 100
Healthfirst

Regulatory Associate, Commercial Insurance

Healthfirst - New York, NY
Under the guidance of the Director of Regulatory Affairs for Commercial Insurance, the Regulatory Associate will work collaboratively with key internal staff on the development, review and submission of regulatory filings, reports and other material as required. The incumbent will provide support to the Director by ensuring, cultivating and advancing an environment that not only enhances an...
Application Deadline: None
Healthfirst

Service Coordinator - Bilingual English-Spanish

Healthfirst - Telecommuter
The Service Coordinator at Senior Health Partners (SHP) a Managed Long-Term Care (MLTCP) reporting to the Service Coordinator Supervisor is responsible for supporting the Care Management Teams (CMT), which includes a Nurse Care Manager and Social Worker. The care management services and plans are linked by the Service Coordinator who administers stability by providing customer service telep...
Application Deadline: None
Healthfirst

Human Resources Business Partner

Healthfirst - New York, NY
Healthfirst's HR Business Partners are the organizations 'culture architects' delivering human capital solutions to enable our business. An HRBP leads and manages the full suite of talent lifecycle activity by partnering with assigned business leaders to deliver solutions developed in concert with colleagues throughout HR. The HRBP leads change management and manages HR related internal and...
Application Deadline: None
Healthfirst

Senior Systems Engineer - Performance

Healthfirst - New York, NY
The Senior Systems Engineer will be responsible for system performance monitoring capacity management across several infrastructure platforms. The platforms include Microsoft Server, Microsoft SQL, Microsoft Exchange, Citrix, VMware, EMC Storage 3rd party applications. This position will be critical in identifying/resolving performance bottlenecks and improving system performance, reliabili...
Application Deadline: None
Healthfirst

Clinical Outreach Specialist

Healthfirst - New York, NY
The Clinical Outreach Specialist will provide clinical guidance and support to the Clinical Outreach team; specifically assisting with those members with multiple co-morbidities and complex health status. The Clinical Outreach Specialist will also assist with development of telephone scripts for barrier analyses and conduct barrier analysis calls as indicated. The incumbent will also assist...
Application Deadline: None
Healthfirst

Hospital Contract Manager

Healthfirst - New York, NY
The Hospital Contract Manager shall serve as the primary point of contact between Healthfirst and participating hospitals and hospital affiliated providers ("Hospital Providers"), as assigned, to represent and advance Healthfirst interests in the hospital provider market as the preferred and ultimately pre-eminent plan through superior customer service and flawless execution of provider eng...
Application Deadline: None
Healthfirst

Quality Improvement Specialist

Healthfirst - New York, NY
The Quality Improvement Specialist is a valuable member in leading workgroups aimed at improving Healthfirst's external incentive measures. External incentives include: Medicare Stars, Medicaid Department of Health (DOH) incentive program and the Managed Long Term Care (MLTC) Stars and incentive program. The primary purpose of the Quality Management department to achieve measurable improvem...
Application Deadline: None
Healthfirst

Managed Service Organization Manager

Healthfirst - New York, NY
Healthfirst has Managed Service Organization contracts with two of its owner hospitals to provide assistance with creating and launching its Managed Long-Term Care Plans and Fully Integrated Dual Advantage demonstration program. Healthfirst will serve as a Consultant to both entities providing all necessary administrative and operational guidance during the infrastructure set-up, launch and...
Application Deadline: None
Healthfirst

Pharmacy Data Analyst

Healthfirst - New York, NY
The Pharmacy Data Analyst is responsible for overseeing reporting and documentation of our Pharmacy Benefit Manager (PBM) in order to identify cost-savings trends and patterns. This includes, but is not limited to: research, analysis, reporting of pharmacy claims utilization, cost containment and other key operational indicators. Responsibilities: Analyzes data and creates re...
Application Deadline: None
Healthfirst

Reassessment Nurse

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

Manager Complete Care

Healthfirst - Telecommuter
Healthfirst CompleteCare (HMO SNP) is a Fully Integrated Dual Eligible Medicaid Advantage Plus Special Needs Plan (SNP) that combines Medicare and Medicaid benefits with added long-term care services, specifically designed for those who require nursing home level of care. The Manager, CompleteCare assumes a leadership role for Healthfirst's Medicare/Medicaid members and provid...
Application Deadline: None
Healthfirst

Clinical Auditor (PH)

Healthfirst - Telecommuter
Perform audit functions for Care Management Teams and delegated vendors and partners to determine operational efficiency, adherence to regulatory requirements and achievement of quality standards. Frequently communicates information and interacts through electronic documentation and tools. This is a paperless work environment requiring daily hands-on administration of mult...
Application Deadline: None
Healthfirst

Pharmacy Programmer Analyst

Healthfirst - New York, NY
The Pharmacy Programmer Analyst is responsible for overseeing reporting and documentation of our Pharmacy Benefit Manager (PBM) in order to identify cost-savings trends and patterns. This includes, but is not limited to: research, analysis, reporting of pharmacy claims utilization, cost containment and other key operational indicators. Responsibilities: Analyzes data and crea...
Application Deadline: None
Healthfirst

RN Case Manager (Integrated Special Needs Plan)

Healthfirst - New York, NY
Coordinate covered benefits to effectively address acute, sub-acute, intermediate and long term care needs of Members in the Integrated Special Needs Plan (I-SNP). Provides proactive and comprehensive care management and outreach to Members diagnosed with high-risk conditions, illnesses, special situations and needs. This position will work closely with the Nurse Practioner and other interd...
Application Deadline: None
Healthfirst

Enterprise Integration Delivery Center Leader

Healthfirst - New York, NY
The Leader of Enterprise Application Integration Services will provide leadership, direction and management of the overall integration architecture, delivery and implementation of Application Integration Services through tight coordination with cross-functional teams to ensure the acquired and internally developed applications and processes meet, or exceed, the integration requirements of H...
Application Deadline: None
Displaying results 61 - 75 of 100