Jobs at Healthfirst
9,756 open positions
Team Lead, A&G Non Clinical Specialist
Company: Healthfirst
Location: Sebring, FL
Posted Jan 21, 2025
The Appeals & Grievances (A&G) team at Healthfirst manages member complaints, grievances, and appeals, collaborating with various divisions to resolve issues efficiently. Non-clinical team leaders oversee specialists, guiding them in gathering facts, applying sound decision-making, and drafting clear, accurate letters. The role involves managing a team, delivering training, ensuring timely requests for information, understanding internal health plans policies, interpreting regulations, and making critical business decisions. The position requires excellent communication skills, proficiency in Microsoft applications, strong organizational abilities, and commitment to following through on tasks. Preferred qualifications include experience in coaching staff, fostering continuous improvement, and familiarity with Healthfirst's operations and systems.
Mail Operations Clerk
Company: Healthfirst
Location: New York, NY
Posted Jan 13, 2025
The Mail Operations Clerk is responsible for performing various tasks such as routing, distributing, printing and mailing correspondence, shipping & receiving parcels, and working with third party vendors to process incoming and outgoing correspondence. The clerk adheres to all departmental processes and procedures on a day-to-day basis to meet Service Level Agreements (SLAs).
Clinical Operational Rightfax Expert - Remote
Company: Healthfirst
Location: Remote
Posted Jan 21, 2025
Support coordinators in this role utilize their analytical skills to manage authorization requests, documentation, and electronic health information exchange (HIE). They collaborate with multiple departments to resolve documentation issues and ensure efficient transition of authorization information. Responsibilities include electronic logging of documentation, data entry of authorization requests, telephonic outreach to providers, and cross-departmental collaboration to solve operational issues. Minimum qualifications include 3 years of healthcare experience, data entry skills, and administrative experience. Preferred qualifications include an associates degree, attention to detail, and cross-functional team experience. The position is 100% remote with a competitive salary and benefits package.
Associate Medicare Retention Programs
Company: Healthfirst
Location: New York, NY
Posted Jan 21, 2025
Healthfirst is hiring a Medicare Retention Strategy Manager to oversee and measure customer retention initiatives, analyze outcomes of new member welcome events, and strategize with internal stakeholders to improve member experience and reduce voluntary disenrollment.
Analyst, Sales & Customer Analytics
Company: Healthfirst
Location: New York, NY
Posted Jan 21, 2025
Healthfirst, a 30-year-old healthcare provider, seeks a self-directed Analyst, Enterprise Analytics (EA) to join their innovative team. The role involves working with legacy and new datasets, collaborating with client managers, and delivering accurate reports. Minimum qualifications include a bachelor's degree, strong analytical skills, and Excel proficiency. Preferred qualifications include analytics experience, familiarity with SQL, and tools like Alteryx, Tableau, and Python. Healthfirst offers competitive compensation and benefits, adhering to equal opportunity employment principles.
Associate Medicare Retention Programs
Company: Healthfirst
Location: New York, NY
Posted Jan 21, 2025
The job description is for a role focused on member migration and Medicare retention programs. The position involves managing existing outreach programs, strategizing with internal stakeholders, and monitoring initiative outcomes. The role requires a bachelor's degree, program management experience, and strong interpersonal skills. Preferred qualifications include experience in business process management and healthcare projects. The hiring range is specified for the Greater New York City Area and other locations. Healthfirst is an equal opportunity employer.
Sales Support Administrator
Company: Healthfirst
Location: New York, NY
Posted Jan 21, 2025
The Sales Support Administrator role at PHSP involves providing administrative support to the Facilitated Enrollment Sales department, managing VPs' phone lines and calendars, assisting with conference room bookings, preparing reports and presentations, onboarding new hires, coordinating equipment repairs, managing office supplies, processing paperwork, and handling data entry. The position requires a high school diploma or equivalent, at least 2 years of experience in a corporate environment, proficiency in Microsoft Office, and a customer-centric approach. Preferred qualifications include a Bachelor's degree, healthcare industry knowledge, and experience with Workday, ServiceNow, and Excel. The hiring range is competitive, with additional benefits including medical, dental, vision coverage, and 401k contributions. Healthfirst is an equal opportunity employer.
Clinical Pharmacist, Provider Engagement - Hybrid NY
Company: Healthfirst
Location: New York, NY
Posted Jan 13, 2025
The Clinical Pharmacist role at Healthfirst involves collaborating with various teams to manage drug spend, reduce medical costs, and improve quality measures. Key responsibilities include establishing relationships with partner hospitals and providers, providing strategic recommendations to decrease pharmacy costs, and communicating formulary changes. The role requires strong communication skills, proficiency in Microsoft Office, and the ability to travel throughout New York City and Long Island. Minimum qualifications include a registered pharmacist license, strong communication skills, and proficiency in Microsoft Office. Preferred qualifications include a PharmD degree, managed care pharmacy experience, and Medicare Stars or HEDIS experience.
Sr. Informatica MDM Developer
Company: Healthfirst
Location: Remote
Posted Jan 21, 2025
Healthfirst is seeking a Senior Informatica MDM Developer with strong AWS cloud technologies and MDM SaaS solutions experience. The ideal candidate will design, develop, and maintain scalable MDM solutions, ensuring data accuracy and consistency. They will collaborate with cross-functional teams to integrate MDM systems with cloud-based platforms.