Jobs at Healthfirst
9,756 open positions
Field Care Coordinator (Bilingual Spanish)
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
Senior Recruiter, Nursing, Hybrid NY
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
Peer Support Specialist NYC (Hybrid)
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
The Peer Support Specialist (PSS) plays a crucial role in Behavioral Health Care Management, utilizing lived experience to support Healthfirst members dealing with mental health and/or substance use disorders. The PSS works directly with members in various settings, facilitating a person-centered approach to care. This includes identifying resources, linking to care, and collaborating with the member's support system and treatment team. The PSS also manages a caseload, conducts field visits, completes assessments, generates referrals, and documents all encounters. The role requires proficient computer skills, effective communication, and the ability to travel extensively around downstate New York.
Bilingual Spanish Field Care Coordinator (Westchester)
Company: Healthfirst
Location: New York, NY
Posted Jan 22, 2025
The Field Care Coordinator (FCC) role at Healthfirst involves conducting home visits for members, assessing home environments, administering health questionnaires, and facilitating video visits with care managers. The FCC also supports clinical teams with translation services. The position requires a high school diploma, bilingual English-Spanish fluency, proficiency in health information systems, and strong computer skills. Preferred qualifications include prior field-based healthcare experience, experience as an interpreter/translator, and familiarity with NYC, Long Island, and lower Westchester. The role involves a flexible schedule, Monday-Friday, 9AM-5:30PM, with travel within Westchester. Healthfirst offers competitive compensation and benefits.
Claims Configuration Analyst
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
The Claims Configuration Analyst is a crucial role responsible for assisting in the evaluation, design, testing, and configuration of claims business rules. The 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 high school diploma or GED, previous managed care/health plan experience, and proficiency in medical terminology, coding, and claims processing practices.
Network Account Manager (Contracting Specialist)
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
Sr Program Mgr Claims and Provider Payment Modernization
Company: Healthfirst
Location: New York, NY
Posted Jan 23, 2025
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 into new standard configurations and systems, generating new operational processes, and managing project scope, budget, timeliness, and stakeholder communication. The ideal candidate should have a strong understanding of program and project management best practices, experience driving business automation projects, and change management skills. A Masters degree and exposure to workflow orchestration systems, Agile methodologies, and healthcare payor operations are preferred. The role offers a competitive salary and benefits package.