Most Recent Healthfirst Job Listings (Page 7)

Displaying results 76 - 90 of 106
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

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

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

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
Healthfirst

Senior Programmer Analyst

Healthfirst - New York, NY
The Senior Programmer Analyst within the Applications and Systems division of the Informations Services Department is responsible for designing and developing high performance data integration and work-flow solutions. The candidate will adhere to programming standards by following production, productivity, quality, and customer service standards; identifies work process improvements and imp...
Application Deadline: None
Healthfirst

Manager: Environment and Process Governance

Healthfirst - New York, NY
The Environment and Process Governance Manager is responsible for environment planning to ensure a plan exists and is being actively worked on to setup development, quality assurance (QA) and pre-production regions. The manager acts as a liaison subject matter expert (SME) that aligns to the business strategy and ISQA service delivery. Provides guidelines for test processes, procedures and ...
Application Deadline: None
Healthfirst

Supervisor Utilization Management (DME)

Healthfirst - New York, NY
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

Solutions Data Architect

Healthfirst - New York, NY
The Solutions Data Architect is responsible for the delivery of a scalable data architecture that meets the business goals of Healthfirst. The Data Architect develops and maintains domain data models for operational data stores as well as solutions for Enterprise Reporting Tools that read data from Healthfirst's data warehouse. A primary responsibility of the Data Architect is to work along...
Application Deadline: None
Healthfirst

Information Security Administrator

Healthfirst - New York, NY
The Security Administrator is responsible for planning, designing, implementing and monitoring security measures which safeguard access to information technology assets. Duties involve access and identity management, identifying security issues, risk management, developing and documenting security policy, and performing security audits. Responsible for access controls, identity managem...
Application Deadline: None
Healthfirst

Programmer Analyst

Healthfirst - New York, NY
The Senior Programmer Analyst within the Applications and Systems division of the Informations Services Department is responsible for designing and developing high performance data integration and work-flow solutions. The candidate will adhere to programming standards by following production, productivity, quality, and customer service standards; identifies work process improvements and imp...
Application Deadline: None
Healthfirst

Data Analyst

Healthfirst - New York, NY
The Data Analyst is responsible for strategically managing assigned data entities across a specified portion of the enterprise and ensuring high levels of data analysis, quality, integrity, availability, trustworthiness and data security. This role is responsible for establishing consistent data definitions, maintaining business and technical rules, and monitoring and auditing data quality....
Application Deadline: None
Displaying results 76 - 90 of 106