Most Recent Healthfirst Job Listings (Page 6)

Displaying results 76 - 90 of 104
Healthfirst

Claims Examiner

Healthfirst - New York, NY
Responsibilities: Review, investigate and adjudicate claims and encounters for medical services through contractual provisions in accordance with provider contracts and authorizations. Process new claim suspensions and reprocess (as needed) for discrepancies; as well as review other documentation for edits and consistency. All errors must be documented according to Healthfi...
Application Deadline: None
Healthfirst

Enterprise Systems Manager

Healthfirst - New York, NY
Responsibilities: Manages the performance of direct reports, oversees and leads the team by providing, feedback and coaching. Responsible for planning and maintaining work systems, procedures, and policies that enable and encourage the optimum performance of the team. Provide resources for the right training, team building, foster innovative thinking and empowers the team to deliv...
Application Deadline: None
Healthfirst

Manager, Finance Analysis

Healthfirst - New York, NY
Responsibilities: Manages the day-to-day project schedule for EIM (Enterprise Information Management) program Manages the interdependencies with other projects that have an impact to or a dependency on the EIM program Contributes to the Data Governance portal. Attend the Data Governance Council and Steering Committee agenda and materials Support ...
Application Deadline: None
Healthfirst

Manager, Clinical Claims Auditing

Healthfirst - New York, NY
Responsibilities: Identifies events that do not match claims based on daily reports and corrects events in the Care Management system. Utilizes healthcare experience to perform audit procedures that include identifying and defining issues, developing criteria, reviewing and analyzing Care Management system authorizations. Identifies and validates over and under payments of claims. Upd...
Application Deadline: None
Healthfirst

Sr. Biztalk Developer

Healthfirst - Lake Mary, FL
Responsibilities: Responsible for working with Project Manager, Architect and lead the design, development and implementation of EAI framework, infrastructure components and application integration solutions based on the requirements and the overall technical architecture. Design and develop integration solutions using service oriented architecture (SOA) based, industry sta...
Application Deadline: None
Healthfirst

Senior Healthcare Analyst - Hospital Reporting

Healthfirst - New York, NY
Responsibilities: Produce and manage annual hospital performance review packets. The packets will include membership, revenue, and cost analysis for the hospital and overall Healthfirst. The person will be required to work with other departments to gather all relevant information on the hospital's performance. Monitor costs and revenue trends for hospitals and identify rout...
Application Deadline: None
Healthfirst

AVP, Creative Services

Healthfirst - New York, NY
Responsibilities: This executive will lead the current team of 20, providing strategic direction for all aspects of branding,art direction, copywriting, media production, planning and buying. Partnering with the Digital Marketing team, they will also consult with leaders on how to better manage internal and external messaging as well as develop plans for communicating company vision, values...
Application Deadline: None
Healthfirst

Senior Application Support Analyst

Healthfirst - New York, NY
Responsibilities: Provide support for mission critical enterprise applications. At times extended support hours are required outside of a normal work day. These instances are rare however they do occur and the Sr. Business Analyst is responsible for maintaining and restoring their applications to Production Ready levels. Work on enhancements and system upgrades for CRM appl...
Application Deadline: None
Healthfirst

EAI-Solution Integration Architect & Delivery

Healthfirst - New York, NY
Responsibilities: Responsible for working with Project Manager, Solution Architect to design, develop and implement application integration solutions based on the requirements and the overall technical architecture. Responsible for designing integration solutions using service oriented architecture (SOA) based, industry standard integration frameworks, patterns and...
Application Deadline: None
Healthfirst

Relationship Coordinator, Sales - Russian

Healthfirst - New York, NY
Responsibilities: Working under the direction of the Relationship Manager, maneuvers multiple tasks independently with a fast-paced proactive vs. reactive approach to changing priorities, call volume and telemarketing call and appointment goals. Attention to managing many details and remaining focused in an environment with distractions. Receives and screens all ...
Application Deadline: None
Healthfirst

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
Healthfirst

Senior QA Automation Analyst

Healthfirst - New York, NY
Responsibilities: Participate in designing , developing, implementing and maintaining a cost effective, long-term testing strategy and framework promoting reusable components, low maintenance costs, high efficiency and scalability. Facilitate in the integration opportunities for the manual and automated test tools. Effectively employ effective test to reduce testing cycles ...
Application Deadline: None
Healthfirst

Assistant Director, Physician Relations

Healthfirst - New York, NY
Responsibilities: Responsible for the daily operational processes within the Physician Relations department which include reviewing and revising said processes. Identifies areas of improvement and works with internal departments to streamline processes. Trains, coaches and mentors staff based on these processes, manages performance, and identifies areas of improvement for further trai...
Application Deadline: None
Healthfirst

Associate General Counsel

Healthfirst - New York, NY
Responsibilities: Maintains familiarity with all requirements of law and regulation affecting the operation of a managed care company. Provides legal support to business and strategic initiatives of the company and answers inquiries from staff regarding legal issues. Advises General Counsel and other managers regarding legal, regulatory and business options avail...
Application Deadline: None
Healthfirst

Senior QA Analyst

Healthfirst - New York, NY
Responsibilities: Ensure all strategic projects and operational projects meet the highest quality possible by following industry recognized QA methodologies and best practices. The candidate must have experience in structured testing methodology, with a proven ability to breakdown business requirements/functional/non-functional requirements into high and detailed test cases and test s...
Application Deadline: None
Displaying results 76 - 90 of 104