Jobs at Healthfirst
9,756 open positions
Sr. PDM Business Analyst
Company: Healthfirst
Location: New York, NY
Posted Jan 22, 2025
The Senior PDM Business Analyst role involves business process review, data analysis, and reporting to ensure operational effectiveness. Responsibilities include coordinating workflow, guiding junior analysts, maintaining reporting, and recommending decision-making. The role requires a high school diploma or equivalent, with experience as a Business Analyst. Proficiency in MS Excel and potentially SAS, SQL, or Visual Basic is necessary. Excellent communication and problem-solving skills are preferred. The position offers a competitive salary and benefits package within the Greater New York City Area or other approved locations.
Program Liaison IT Early Career Development
Company: Healthfirst
Location: New York, NY
Posted Jan 22, 2025
The job posting is for a Tech Early Career Program liaison role. The successful candidate will serve as a key liaison between the Head Mentor, stakeholders, and early career associates. Key responsibilities include creating templates for feedback, Visio diagrams, intake forms, and tracking associate participation. The role also involves building rapport with associates, suggesting engagement activities, and managing a risk log. Minimum qualifications include a Bachelor's degree, 2-5 years of early career development experience, and proficiency in technology and report building. Preferred qualifications include strong communication, organizational, and project management skills.
Support Specialist
Company: Healthfirst
Location: Remote
Posted Jan 22, 2025
The Support Specialist role involves assisting primary care/case managers with non-clinical tasks such as telephonic outreaches, handling member mailings, and managing a caseload. Key responsibilities include conducting outreaches for newly enrolled members, reviewing intake documents, and initiating authorizations in Trucare. The role requires strong communication skills, experience in customer service, and proficiency in Microsoft Office Suite. Preferred qualifications include a related degree, knowledge of medical terminology, and fluency in multiple languages. The position offers competitive compensation and benefits, including medical, dental, and vision coverage, and 401k contributions.
Pediatric Care Manager
Company: Healthfirst
Location: Remote
Posted Jan 22, 2025
The Pediatric Care Manager role involves planning and managing pediatric medical and behavioral care, adhering to standards for various populations. This remote position requires a licensed professional with pediatric experience, responsible for developing a member-centric care plan, coordinating with healthcare teams, and conducting assessments. The role involves documenting encounters, educating beneficiaries, and managing caseloads in a fast-paced environment. Healthfirst offers competitive compensation and benefits, emphasizing equal opportunity employment.
Field Service Agent - Queens\/Bilingual Spanish
Company: Healthfirst
Location: New York, NY
Posted Jan 22, 2025
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.
Financial Reporting Analyst - Hybrid NY
Company: Healthfirst
Location: New York, NY
Posted Jan 22, 2025
Hybrid Assessment RN, Brooklyn NY $7500 Sign-On Bonus
Company: Healthfirst
Location: New York, NY
Posted Jan 22, 2025
Healthfirst is offering a Hybrid RN position with 2 days remote and 3 days in the field. The role is suitable for both recent nursing grads and experienced nurses. Key features include no weekends, holidays, or night shifts, a comprehensive 4-6 week training program, and community-based nursing. The Assessment RN will conduct home assessments, coordinate with the Care Management Team, and provide grass roots, community-based training. The company is focused on making a difference in people's lives and offers competitive compensation and benefits.
Billing Operations Analyst - Hybrid NY
Company: Healthfirst
Location: New York, NY
Posted Jan 22, 2025
The Billing Operations Analyst is responsible for generating State premium revenue and ensuring operational effectiveness. The role involves coordinating with the IT department, reviewing billing files, and analyzing General Ledger reports. The ideal candidate has experience in billing and accounts receivable functions, as well as excellent communication skills.
Director, Reimbursement Configuration
Company: Healthfirst
Location: New York, NY
Posted Jan 22, 2025
The Director of Reimbursement Configuration at Healthfirst is a pivotal role responsible for developing and coordinating claim reimbursement patterns across various technology platforms. This role involves leading cross-functional teams, analyzing complex configuration defects, and ensuring accurate, complete, and timely configuration of contractual terms. The Director also serves as an authoritative source for all claim reimbursement patterns and payment logic, promoting Healthfirst's culture and aligning strategic initiatives with organizational outcomes. Key responsibilities include driving flexible claims configuration processes, managing team performance, and ensuring compliance with regulatory requirements.
Community Engagement Specialist (Queens\/Nassau) or (Nassau\/Suffolk)
Company: Healthfirst
Location: New York, NY
Posted Jan 22, 2025
Healthfirst is seeking a Community Relations Specialist to improve New Yorkers' lives by connecting them to health-insurance resources. The role involves creating and managing relationships with community organizations, driving positive impact, and fostering community engagement. The ideal candidate should be a strategic thinker, comfortable with data-driven decisions, and have strong interpersonal skills. They must have proven experience in community outreach, relationship-building, and project management. The position requires travel, nights, and weekend work, and a commitment to diversity, equity, and inclusion. Healthfirst offers a competitive compensation package and benefits.