Jobs at Healthfirst
9,756 open positions
Senior Cyber Security Engineer - Governance Risk and Compliance
Company: Healthfirst
Location: Remote
Posted Dec 03, 2024
The Sr Cyber Security Engineer is responsible for ensuring the security and compliance of Healthfirst's infrastructure. They apply expertise in IT Infrastructure and Application Development, and lead multiple security capabilities and programs. The role involves working closely with stakeholders, leading technical teams, and developing security procedures. Minimum qualifications include a technical degree in Computer Science or Cyber Security, prior work experience in Cyber Security, and skills in security engineering, vulnerability assessment, threat hunting, and incident response.
Bilingual Spanish Field Care Coordinator (Queens)
Company: Healthfirst
Location: New York, NY
Posted Dec 04, 2024
The Field Care Coordinator (FCC) at Healthfirst is responsible for conducting home visits for members, assessing home environments, administering health questionnaires, and facilitating video visits with care managers. They also support clinical teams with translation services. Key duties include scheduling multiple visits, collaborating with clinical teams, documenting findings, and collecting necessary documents. Minimum qualifications include a high school diploma, bilingual English-Spanish, experience with health information systems, and proficient computer skills. Preferred qualifications include prior field-based healthcare experience, interpreter/translator experience, and familiarity with NYC, Long Island, and lower Westchester areas.
Manager, Network Account Management
Company: Healthfirst
Location: New York, NY
Posted Dec 04, 2024
The Manager, Network Account Management will lead an interdepartmental Account Team, applying in-depth account knowledge to strategize and implement integrated strategies with high priority providers. This role involves developing deep provider relationships, driving profitable growth, and aligning resources across various departments. The ideal candidate will have experience in leading teams, provider network management, and negotiating provider contracts. Healthfirst offers a competitive compensation package and considers all applicants equally without discrimination.
Senior Manager, Migrations (ETL)
Company: Healthfirst
Location: New York, NY
Posted Dec 03, 2024
The Senior Manager for the Migration team is tasked with overseeing all aspects of migration initiatives, including planning, execution, and delivery. This role involves leading a team of technical professionals, managing project timelines, and ensuring efficient, secure, and disruption-free migrations. Key responsibilities include developing migration strategies, defining project scope, overseeing technical aspects, troubleshooting issues, and conducting post-migration reviews. The ideal candidate should possess a Bachelor's degree in a relevant field, extensive Agile methodology experience, strong technical background, and proven ability to manage complex initiatives. Preferred qualifications include problem-solving skills, relevant certifications, analytical mindset, and excellent communication skills.
Sr Mgr, Marketing Implementation
Company: Healthfirst, Inc
Location: New York City, NY
Posted Dec 04, 2024
The Senior Manager Marketing Implementation Technical Project Management role involves leading Marketing Strategy teams, collaborating with technical stakeholders, and managing complex project lifecycles. The ideal candidate should have 7+ years of project management experience in a technical environment within Marketing or a media agency, and proven experience with project management methodologies like Agile and Scrum. The role requires excellent organizational leadership, problem-solving abilities, and working knowledge of Marketing workflows including analytics, SEO, and media planning.
Complex Care Care Manager-High Risk Diabetes (Remote)
Company: Healthfirst
Location: Remote
Posted Dec 04, 2024
The 'Complex Care' DM Care Manager role is a 100% remote position that takes a holistic approach to managing high-risk diabetic members' care. The Care Manager advocates, educates, and develops care plans aligned with physician treatment plans. They coordinate with various healthcare providers and community resources to ensure appropriate access to care, adherence to treatment plans, and improvement in outcomes. The role involves addressing social risk factors, reducing health inequities, and managing large caseloads in a fast-paced environment.
Enrollment Specialist
Company: Healthfirst
Location: Remote
Posted Dec 04, 2024
The Enrollment & Billing Specialist (EBS) role involves enrolling new and existing Healthfirst members into the Healthfirst Managed Healthcare System, processing payment information, responding to member inquiries, and performing account analysis. The position requires maintaining daily production and quality requirements, processing and quality controlling enrollment and billing transactions, and partnering with other departments to resolve member issues. Preferred qualifications include a Bachelor's degree, problem-solving skills, effective communication, and experience with healthcare billing or commercial insurance environments. The hiring range is competitive, with benefits including medical, dental, vision coverage, and 401k contributions. Healthfirst is an equal opportunity employer.
Sr Mgr., Claims Modernization, Reporting & Analytics
Company: Healthfirst
Location: New York, NY
Posted Dec 04, 2024
The Senior Manager, Claims Modernization, Reporting & Analytics is tasked with leading a large team of Business and Project Analysts. This role involves strategic initiative implementation, process improvement, project support, budget development, and reforecasting. The manager will prioritize competing objectives, manage team progress, and ensure optimal performance using technology and cross-training. They will collaborate with various stakeholders to implement reporting tools, develop annual budgets, and gather business requirements. The role requires strong leadership, analytical skills, and experience in database reporting and automation.
Bilingual Spanish Field Care Coordinator (Brooklyn)
Company: Healthfirst
Location: New York, NY
Posted Dec 04, 2024
The Field Care Coordinator (FCC) role at Healthfirst involves conducting local home visits for members, performing assessments, facilitating video visits, and providing translation services. The position requires bilingualism in English and Spanish, proficiency in health information systems, and the ability to travel within Brooklyn and downstate New York. Preferred qualifications include prior experience in field-based health care, experience as an interpreter/translator, and familiarity with NYC, Long Island, and lower Westchester. The hiring range is competitive, with benefits including medical, dental, and vision coverage, life insurance, and 401k contributions. Healthfirst is an equal opportunity employer.
Senior Learning and Delivery Specialist
Company: Healthfirst
Location: New York, NY
Posted Dec 03, 2024
The Senior Learning Delivery Specialist will serve as a culture ambassador, supporting the implementation and delivery of content for enterprise initiatives and the new PayDoc initiative. Key responsibilities include facilitating learning events, serving as a subject matter expert in content strategy, maintaining and updating learning materials, partnering with internal organizations for training plans, and managing learning environments. The role requires extensive experience in training, proficiency in Microsoft Office, and the ability to work independently and manage time effectively. A Bachelor's degree, preferably in Education, Healthcare Administration, Learning and Development, or a related field, is preferred. The hiring range is $71,600 - $106,505 for locations outside the Greater New York City Area, and $81,100 - $117,470 for NY, NJ, CT residents.
Behavioral Health Utilization Management Case Manager
Company: Healthfirst
Location: Remote
Posted Dec 03, 2024
The Case Manager, Utilization Management is responsible for coordinating care plans, conducting pre-certification, concurrent review, discharge planning, and ensuring efficient utilization of health services. They assess medical, psychological, and social issues, coordinate treatments with PCP and other providers, and document all interventions. The role involves meeting performance metrics, functioning as a clinical resource, and identifying alternative care options. Minimum qualifications include RN, LPN, LMSW, LMHC, LMFT, or LCSW. Preferred qualifications include a master's degree, managed care experience, and knowledge of CMS or NYSDOH regulations.
Bilingual Albanian Field Care Coordinator (travel NYC area)
Company: Healthfirst
Location: New York, NY
Posted Dec 03, 2024
The Field Care Coordinator (FCC) at Healthfirst is responsible for conducting home visits for members, performing assessments, administering questionnaires, and facilitating video visits with clinical teams. The role involves travel to boroughs, Westchester, and Long Island, with a focus on small geographic areas. The FCC supports clinical team members by providing translation services and ensuring proper documentation. Additional duties include collecting member documents and collaborating with other clinical team members. The position requires a high school diploma, bilingual skills in English and Albanian, proficiency in health information systems, and strong computer skills. Preferred qualifications include prior experience in field-based healthcare roles, experience as an interpreter/translator, and familiarity with NYC, Long Island, and lower Westchester areas.