Jobs at Healthfirst - Page 6

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Displaying results 76 - 90 of 103

Reassessment Nurse-Bi-lingual Spanish

Healthfirst - New York, NY

Responsibilities: Conducts UAS (Uniform Assessment System) for active members every six months to determine service needs and continued eligibility. Completes reassessment of service needs at the request of the Care Team, Member's Family/Caregiver to determine if service level(s) need to be adjusted. Completes Patient Review Instruments/Screens and all required n...

Application Deadline: None

Healthcare Translator - Bilingual Korean

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

Driver, Community Outreach Vehicle

Healthfirst - New York, NY

Responsibilities: Maintains a clean and organized COV/cargo van on a daily basis. Checks the interior and exterior of the vehicle for cosmetic and operational concerns. For example, checking for loose cabinet handles, hanging wall paper, torn rugs/ floors, dents and cracks, broken glass and rest room malfunctions. Performs minor maintenance tasks on the vehicle when necessary, this wi...

Application Deadline: None

VP Network Management

Healthfirst - New York, NY

Responsibilities: The new Vice President, Network Management will focus on the following objectives during his/her first year: Establishing credibility with key stakeholders including the Healthfirst executive team, the provider community and the network management staff. Leading the network management team in its continuous expansion through increased provider c...

Application Deadline: None

Clinical Quality Assurance Auditor RN

Healthfirst - New York, NY

Responsibilities: Review clinical documentation in order to ensure that all components of the Member's medical record are completed with quality standards and accuracy following the Company's policies and State regulations. Assist the Clinical Educator, as needed, to determine areas that require immediate remediation andassist Healthfirst's employees to stay ah...

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

Pharmacy Operations Analyst

Healthfirst - New York, NY

Responsibilities: Identifies opportunities for improvement and participates in the development of new pharmacy reporting capabilities in support of customer needs. Documents policies and procedures, reporting and project specifications, job aids and workflows within the department. Participates in the setup of pharmacy benefits via our Pharmacy Benefit Manager (P...

Application Deadline: None

Hospital Contract Manager

Healthfirst - New York, NY

Responsibilities: Act as primary point of contact for the Hospital Providers. This includes addressing operational or contractual issues in a timely manner; identifying proactive ways to improve processes and ensure a mutually beneficial relationship; having a thorough understanding of each Hospital Provider's contract, physician network, business goals and issues as they relate to He...

Application Deadline: None

Specialist, Medical Management Regulatory

Healthfirst - New York, NY

Responsibilities: Meets with Regulatory to organize pre-survey deliverables and conduct 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 enti...

Application Deadline: None

Director, Business Development

Healthfirst - New York, NY

Responsibilities: Participates in developing, prospecting and recruiting potential M A and joint venture targets, including in-person meetings, information gathering sessions and negotiating sessions Collaborates with cross functional teams as well as external consultants to conduct market research, perform evaluations, identify specific business launch approaches (organic ...

Application Deadline: None

Writer/Editor, Correspondence Unit

Healthfirst - New York, NY

Responsibilities: Performs daily reviews of manual letters produced from CCMS to member and providers to ensure adherence to Article 44 and 49 of the NY State Public Health Law and Appendix F, Medicare Managed Care Manual Chapter 13 and commercial contracts and others as necessary. Ensure compliance to Healthfirst corporate branding requirements. Conducts quality...

Application Deadline: None

HR Concierge

Healthfirst - New York, NY

Responsibilities: Employee Assistance serve as a primary interface and first line resource for employee questions, inquiries, walk-ins or general information on many topics regarding the employee life cycle. Assist employees through triage, research, resolution, education or redirect to appropriate Healthfirst areas. Some areas of focus include, but not limited to:

Application Deadline: None

Manager, Analysis (Data Governance)

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 the Data Governanc...

Application Deadline: None

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

Senior Healthcare Analyst

Healthfirst - New York, NY

Responsibilities: Utilize research methods to analyze various data sets. Provide analysis support for Claims, Ancillary, Medical Management, etc. departments. Support analysis projects related to medical cost savings initiatives. Assist with project management responsibilities related to the medical cost savings meetings. Assist in drill down analyses to identify...

Application Deadline: None