Jobs at Healthfirst - Page 6

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Program Manager

Healthfirst - New York, NY

Responsibilities: Planning, directing and coordinating project activities through the entire project life cycle (from initiation to close). This includes setting clear project milestones and deliverables, communicating goals, objectives and responsibilities, keeping the project focused in terms of scope, schedule, communication and risk. Creating and executing project plans...

Application Deadline: None

Senior Analyst, Internal Controls

Healthfirst - New York, NY

Responsibilities: Participate in the identification and rationalization of key controls. Such activities may include: Reviewing existing documentation, including MS Word-based Process Narrative, and Excel-based Risk and Control Matrix (RCM). Reviewing prior-year testing to determine if some controls should be combined or eliminated. Discussing key...

Application Deadline: None

Network Management Representative, Bilingual Spanish

Healthfirst - New York, NY

Responsibilities: Developing Maintaining positive relationships with physicians, providers, and practice managers within the provider network Providing high quality service to physicians, providers, and practice managers Ensuring Providers' issues and needs are responded to in a timely and accurate fashion. Ability to review a Provider issue, identify root cause,...

Application Deadline: None

Performance Improvement Specialist

Healthfirst - New York,Us, NY

Responsibilities: Completing performance improvement projects to meet deadlines and expected goals/ deliverables (i.e. facilitating team meetings, completing root cause analyses, compiling improvement opportunities, presenting project findings to the executive steering committee, as well as the project sponsors/owners). Developing and maintainingvarious required performance...

Application Deadline: None

Healthcare Analyst - SAS Progammer

Healthfirst - New York, NY

Responsibilities: Create, maintain and optimize SAS programs to support Finance Analysis data process. Document all coding, methodology and assumptions, data issues and report results for each analysis. Utilize research methods to analyze various data sets to support material financial adjustments for all Healthfirst products. Gather data and conduct a...

Application Deadline: None

Registered Nurse, Medical Management - Regulatory

Healthfirst - Telecommuter

Responsibilities: Meets with Regulatory to organize pre-survey deliverables and conducts pre-survey reviews of materials. Interacts with and represents the Medical Management department and external auditors. Responds to auditor requests and audits outcome results. Prepares and coordinates on-site and electronic audits conducted by external regulatory entities. Coordinates ...

Application Deadline: None

Enrollment Ops Analyst Supervisor

Healthfirst - Lake Mary, FL

Responsibilities: Supervise unit of operations analysts to ensure that departmental productivity and quality goals are met and/or exceeded. Communicate expectations and manage employee performance. Identify and manage the process of developing accurate reporting based on regulatory, employer group and/or organizational requirements. Establishes key metrics to be used in eva...

Application Deadline: None

SAS Developer

Healthfirst - New York, NY

Responsibilities: ARCHITECTURE Defines best practices for program design and development Evaluates data sources, interactions, and interdependencies between systems to design appropriate programming solutions PROGRAM ANALYSIS Consults with clients to analyze and understand functions to be automated, client needs, objectives, desired fe...

Application Deadline: None

Talent Acquisition Partner

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

Manager Actuarial (Medicare)

Healthfirst - New York, NY

Responsibilities: Perform initial analysisof all monthly claim reserves for review and participate in year-end audits Manage data incorporated into high level corporate reporting and monitor experience of all lines of business. Provide annual rate filing assistance and analysis, as appropriate. Provide other dataanalysis as required by management.

Application Deadline: None

Project Manager

Healthfirst - New York, NY

Responsibilities: Working independently assuming primary responsibility for planning, directing and coordinating project activities through the entire project life cycle (from initiation to hand off to customer). This includes setting clear project milestones and deliverables, clearly communicating goals, objectives and responsibilities, keeping the project focused in terms of scope a...

Application Deadline: None

Business Relationship Manager

Healthfirst - New York, NY

Responsibilities: Develop and manage the relationship between Information Services (IS) and internal and external partners (business units, IS Service Delivery teams) to drive customer satisfaction for assigned Business unit. Accountable for overseeing all IT services to the customer and supports focusing these services to the critical business needs. Respons...

Application Deadline: None

Data Analyst

Healthfirst - New York, NY

Responsibilities: Performs data analysis and quality checks for each data source system. Ensures the quality, completeness and accuracy of data definitions. Records the business use for defined data. Identifies opportunities to share and re-use data. Oversees data quality and information life-cycle strategy and remedial measures. Monitors the progressand tuning o...

Application Deadline: None

IT Director, Transformation, Core Admin

Healthfirst - New York, NY

Responsibilities: Business Transformation Responsible for leading IS transformation initiatives, lead changes effectively and business process re-engineering efforts. Business Interaction Builds partnerships with assigned business units, Enterprise PMO and IS Management to manage stakeholder expectations and ensure alignment. Planning - Dream big, plan wisely thr...

Application Deadline: None

ETL Developer

Healthfirst - Lake Mary, FL

Responsibilities: Understand business requirements and translate them to technical specifications. Develop 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 informatica co...

Application Deadline: None