Jobs at Healthfirst
9,756 open positions
Field-Based Pediatric Assessment Nurse - Bronx
Company: Healthfirst
Location: New York, NY
Posted Jan 24, 2025
Field-Based Pediatric Assessment Nurse - Brooklyn
Company: Healthfirst
Location: New York, NY
Posted Jan 24, 2025
The Assessment Nurse role involves conducting home and virtual assessments for members or prospective members in downstate New York, determining enrollment, service needs, and continued plan eligibility. This position coordinates with the Care Management Team to maintain efficient operations of Healthfirst's long term care plans. Duties include using the Uniform Assessment System, reviewing previous nursing assessments, conducting in-person Care Management visits, liaising between members and the CMT, providing community-based training, and ensuring members understand enrollment in managed long-term care plans. Minimum qualifications include a New York State RN license, valid ID, and ability to travel around downstate New York. Preferred qualifications include field-based experience, knowledge of health insurance, and experience with frail adult or elderly populations.
Data Analyst, Healthcare Analytics, Hybrid NY
Company: Healthfirst
Location: New York, NY
Posted Jan 24, 2025
The Data Analyst, Healthcare Analytics, is responsible for collaborating with business partners to solve problems through data-driven solutions. This role requires a self-directed individual with strong healthcare data analysis skills and proficiency in data visualization tools. The ideal candidate should be able to generate actionable insights, create accurate reports, and deliver high-impact presentations to key stakeholders. This is a hybrid opportunity with a work schedule of 3 days per week at the NYC office. The role involves leveraging analytical tools, identifying cost and utilization trends, and utilizing statistical tools to analyze complex data sets. Minimum qualifications include a Bachelor's degree, familiarity with SQL, Python or R, and advanced knowledge of MS Office. Preferred qualifications include a degree in a relevant field, experience in data analytics or consulting, and familiarity with the AWS ecosystem.
Senior Data Analyst, Medical Economics and Medical Cost, Hybrid NY
Company: Healthfirst
Location: New York, NY
Posted Jan 24, 2025
The Medical Cost team in the Medical Economics department seeks a Senior Data Analyst to value, implement, and track cost-saving initiatives. The role involves constructing detailed analyses, interfacing with stakeholders, and delivering impactful business recommendations. The ideal candidate should have 2+ years of data analytics experience, proficiency in SQL, R, or Python, and strong communication skills. They will manage projects from analysis to implementation, simplify complex scenarios, and thrive in a collaborative environment. This is a hybrid role based in NYC, with a competitive salary and benefits package.
Director, Organizational Design and Strategic Workforce Planning
Company: Healthfirst
Location: New York, NY
Posted Jan 24, 2025
Claims Configuration Analyst
Company: Healthfirst
Location: Sebring, FL
Posted Jan 24, 2025
The Claims Configuration Analyst is a crucial role responsible for assisting in the evaluation, design, testing, and configuration of claims business rules. This position requires strong analytical skills and the ability to perform complex analysis in a fast-paced environment. The analyst serves as a subject matter expert on corporate projects and departmental initiatives, focusing on claims configuration modifications within the claims processing system. Key duties include assisting in the evaluation of configuration for new and existing claims business rules, analyzing explanation of coverage documents, setting up code sets, and defining pre-authorization guidelines. The role involves liaising with departments, collecting and analyzing data, and developing explanatory information for other departments. The ideal candidate should possess proficiency in medical terminology, coding, and claims processing practices, along with experience in managed care, operations, and utilizing analysis tools. A high school diploma or equivalent is required, with a bachelor's degree preferred. Healthfirst offers a competitive compensation package and benefits.