Jobs at Healthfirst
9,756 open positions
Hospital Claims Specialist
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
The Hospital Specialist role at Healthfirst involves managing day-to-day operational issues with hospital partners, educating on company-wide initiatives, and advocating for hospital providers. The position requires direct experience in managed care operations, claims experience, strong communication skills, and the ability to work collaboratively with various levels of staff and clients. Preferred qualifications include a Bachelor's degree and proficiency in Microsoft suite. The hiring range is competitive, with benefits including medical, dental, vision coverage, and 401k contributions. Healthfirst is an equal opportunity employer.
Sr Healthcare Analyst - Medical Economics
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
The Senior Medical Economics Analyst role within the Medical Cost team involves mapping out detailed analyses, interfacing with stakeholders, and delivering impactful business recommendations. The ideal candidate should have analytical work experience in healthcare, proficiency in SQL and MS Excel, and a strong understanding of healthcare financial terms. They will value new medical cost initiatives, provide data-driven analysis, and manage projects from analysis to implementation. The role offers opportunities for growth, learning, and making independent decisions. It's a hybrid position based in NYC, with a competitive salary and benefits package.
Healthcare Financial Analyst | Hybrid NY
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
The Healthcare Analyst role involves supporting the Network and Risk Model department, collaborating with various divisions, and contributing to multiple projects. Key responsibilities include providing support for performance improvement work groups, monitoring costs and revenue trends, analyzing impacts of new program changes, and creating analysis for Hospital Provider Organizations. The role requires a self-motivated individual with strong analytical skills, proficiency in SQL, Excel, and data visualization tools like Tableau/PowerBI. A Bachelor's degree in Finance, Accounting, Business, or Healthcare Administration is required, with a preferred background in healthcare analysis and project management. The position is hybrid, requiring 3 days/week in office, and is based in the Greater New York City Area. Healthfirst offers a competitive compensation package and benefits.
Change Manager - Modernization (PayDoc)
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
Healthcare Analyst (Provider Reporting)
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
Field Care Coordinator - American Sign Language Fluency & other language fluency besides English
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
Actuarial Analyst
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
The Actuarial Analyst for Medicare position involves working with a team of actuaries to handle various tasks related to Healthfirst's Medicare products. Duties include managing data for government and regulatory entities, performing risk score and pricing analytics, assisting in the bid process, monitoring product performance, and conducting ad-hoc analyses. Required qualifications include a degree in Actuarial Science, strong Excel skills, data analysis abilities, strategic thinking, and excellent communication skills. Preferred qualifications include passing 1-2 Actuarial Exams, experience with programming languages like SAS, SQL, or Python, and work experience in Managed Care or Medicare/Commercial Healthcare. The role offers a competitive salary and benefits package.
Episodic Utilization Case Manager - 100% Remote
Company: Healthfirst
Location: Remote
Posted Jan 24, 2025
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 identify medical, psychological, and social issues, coordinate treatments with PCP and other providers, and develop care plans aligned with physician's treatment plans. The role involves advocating for beneficiaries, meeting performance metrics, and facilitating alternative care options. Minimum qualifications include a license in nursing, social work, or related fields. Preferred qualifications include a master's degree, managed care experience, and knowledge of CMS or NYSDOH regulations.