Jobs at Healthfirst
9,756 open positions
Episodic Utilization Case Manager - 100% Remote
Company: Healthfirst, Inc
Location: New York City, NY
Posted Nov 23, 2024
The job description outlines the responsibilities and qualifications for a Case Manager Utilization Management position at Healthfirst Management Services. The role involves providing case management services, conducting precertification and concurrent reviews, and coordinating healthcare services to achieve optimal health outcomes.
Field, Assessment RN, $10,000, Sign-On Bonus, Bilingual Spanish\/English, Bronx, NY
Company: Healthfirst
Location: New York, NY
Posted Nov 21, 2024
Healthfirst is offering a field-based role for RNs, including recent graduates and experienced nurses. The position involves visiting members in their homes, conducting assessments, and completing necessary documentation. Key benefits include a $10,000 sign-on bonus, competitive salary, extensive training, and a supportive team. The role involves no weekends, holidays, or night shifts, with a 4-day or 5-day work schedule. Additional perks include 24 days of PTO, comprehensive benefits, and opportunities for career growth in community-based nursing.
Out of Network Negotiator
Company: Healthfirst, Inc
Location: New York City, NY
Posted Nov 27, 2024
The job description is for an Out of Network Negotiator at Healthfirst Management Services. The role involves negotiating single case agreements with out-of-network providers, resolving claims issues, and identifying recruitment opportunities. The job requires a high school diploma or equivalent, understanding of payment methodologies, and strong communication skills.
Sr. Product Specialist
Company: Healthfirst, Inc
Location: New York City, NY
Posted Nov 21, 2024
The job posting is for a Senior Specialist of Product Shared Services Product Optimization. The role involves leading special initiatives, collaborating with internal partners, and supporting product initiative planning and execution. The job requires excellent communication skills, strong analytical ability, and ability to work cross-functionally.
Sr. Manager Provider Operations
Company: Healthfirst, Inc
Location: New York City, NY
Posted Nov 27, 2024
The job description is for a Sr Manager of Strategic Operations at Healthfirst Management Services. The role involves leading strategic initiatives, managing teams, and ensuring compliance with regulations. The job requires a strong background in managed care operations, strategic planning, and project management.
TL Workforce Systems and Reporting Analyst
Company: Healthfirst
Location: Sebring, FL
Posted Nov 20, 2024
The Team Lead, Workforce Systems & Reporting is a pivotal role responsible for leading a team of analysts, coordinating workflows, and analyzing data for operational effectiveness. This role involves assisting management in decision-making, improving Contact Center Operations, and ensuring regulatory compliance. The Team Lead is also expected to develop project plans, resolve conflicts, and provide timely reporting. The ideal candidate should have a high school diploma or equivalent, demonstrated analytical skills, experience with Workforce Management software, proficiency in SQL, SAS, and Excel, and a Bachelor's degree is preferred.
Lead Engineer - Agile Methodology
Company: Healthfirst, Inc
Location: Other US Location
Posted Nov 20, 2024
The job posting is for a highly experienced handson EngineerAgile specializing in SAFe Agile delivery methodology. The ideal candidate will possess extensive expertise in Agile Application Lifecycle Management Platform and will be responsible for designing and implementing complex dynamic healthcare solutions.
Field Service Agent - Queens (Bilingual Bengali, Urdu, Punjabi, Hindi)
Company: Healthfirst
Location: New York, NY
Posted Nov 21, 2024
The Field Service Agent role at Healthfirst involves acting as a liaison between the company and its customers, addressing inquiries and complaints, and promoting member retention. Duties include providing high-quality customer service, managing face-to-face encounters, de-escalating dissatisfied situations, and maintaining HIPAA compliance. The role requires experience in customer service, handling escalated issues, and working in a fast-paced environment. Preferred qualifications include a degree, bilingual skills, and healthcare industry knowledge. Healthfirst offers competitive compensation and benefits.
Communications Manager, PayDoc
Company: Healthfirst, Inc
Location: New York City, NY
Posted Nov 28, 2024
The job posting is for a Communications Manager PayDoc role at Healthfirst Management Services. The role involves developing and implementing strategic communication programs, creating content, and managing communications data. The job requires a bachelor's degree in communications or a related field, 4+ years of experience in employee communications, and excellent writing, editing, and proofreading skills.
Workforce Systems & Reporting Analyst
Company: Healthfirst, Inc
Location: Remote
Posted Nov 19, 2024
The job posting is for a Workforce Management System and Reporting Analyst position at Healthfirst Management Services. The role involves identifying root causes, making recommendations, and providing daily, weekly, and monthly status reports. The job requires experience with Microsoft Excel, call center software, and analytical skills. The company offers a competitive compensation and benefits package.
Sr Program Mgr Claims & Provider Payment Modernization
Company: Healthfirst
Location: New York, NY
Posted Nov 19, 2024
The Senior Manager, Claims and Provider Payment Modernization at Healthfirst Operations is responsible for overseeing claims-related and provider payment modernization efforts. This role involves transitioning from legacy models and systems to new standard configurations and systems, generating new operational processes, and managing a portfolio of initiatives. The ideal candidate should have a strong understanding of program and project management best practices, including scope, budget, timeliness, issue resolution, risk mitigation, communications, and stakeholder management. Key responsibilities include workplan development, stakeholder management, change management, implementation, success measurement, and communication of project status. The role requires experience in driving business automation projects, change management, and leading cross-functional, transformational projects. A Bachelor's degree or equivalent work experience is required, along with experience in health plan operations and IT. Healthfirst offers a competitive compensation package and benefits.
VP, Data Product Librarian
Company: Healthfirst, Inc
Location: New York City, NY
Posted Nov 21, 2024
The job description is for a VP Data Product Librarian at Healthfirst, responsible for Data Architecture, Data Governance, and Data Product Definition. The role requires leadership experience, technical expertise, and strong business acumen.