Healthfirst Jobs in United States

As a UAS Nurse Assessor, you will help ensure our members receive the care and services they need to lead healthier, more independent lives. · This role is perfect for RNs who are passionate about making a positive impact in the lives of patients/families and appreciates a job wi ...

The Senior Data Engineer leads and implements best-in-class data management strategies. · Designs and implements standardized data management procedures around data staging, data ingestion, data preparation. · Ensures quality of technical solutions as data moves across multiple z ...

The Care Manager plans and manages behavioral and/or physical care with members and their beneficiaries. The Care Manager facilitates care and medical attention addresses identified member needs across the continuum of care. · The Care Manager will provide care management service ...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency. Re ...

We are seeking a Field Assessment RN to join our team in Brooklyn, NY. As a Field Assessment RN, you will be responsible for conducting home assessments and re-assessments of current members using the Uniform Assessment System (UAS). You will also be required to make enrollment a ...

Healthfirst is New York City's largest not-for-profit health insurer dedicated to improving health through community-driven value-based care. · Conducts home assessments for prospective members using the Uniform Assessment System UAS make enrollment eligibility determinations by ...

Under the direction of the Manager of Ancillary Services, the Ancillary Services Network Account Manager I develops and maintains an Ancillary provider network that ensures Healthfirst members have superior access to the highest quality by focusing efforts on lowering claims cost ...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency. Re ...

The Pharmacy Technician is responsible for providing member medication counseling and assistance in minimizing gaps in treatment by collaborating with various members of the healthcare team within Healthfirst and with our community partners (pharmacists and providers). · ...

The Quality Assurance Auditor is responsible for performing Internal Quality Assurance Audits of Operational processes for internal employees and outsourced vendors to ensure compliance with policies, procedures and quality standards. · Conduct quality audits of A&G items includ ...

The Project Manager will manage enterprise-level projects that have department or enterprise-level importance. They support projects of major complexity as part of a program team in support of higher-level project or program managers. · Bachelors degree from an accredited institu ...

We are an equal opportunity employer with a diverse team of professionals. · ...

The Senior Instructional Designer is responsible for designing and developing holistic, multi-modal best-in-class programs that align to the Healthfirst culture with an emphasis in digital transformation. · ...

The Relationship Coordinator solicits and provides information via telephonic efforts in support of Healthfirst Medicare Advantage Plan, Complete Care (MAP), Managed Long Term Care Plan (MLTC) Senior Health Partners (SHP) and Mainstream/Health and Recovery Plan (HARP) population ...

The Release Train Engineer (RTE) enables program delivery across the entire Infrastructure and Operations Program. · The RTE partners across the enterprise for intake, business commitments, and IT delivery. · ...

The Senior Account Manager is committed to the development and supervision of a high performance provider network through various provider engagement strategies which follow four core principles: Quality, Clinical Efficiency, Administrative Efficiency, and Population Health. · Ed ...

The Quality Assurance Auditor is responsible for performing Internal Quality Assurance Audits of Operational processes for internal employees and outsourced vendors to ensure compliance with policies, procedures and quality standards. · ...

A leading health insurance provider is seeking a Manager for Total Cost of Care to monitor financial performance and provide analytic insights. This role will focus on medical trend analysis, cost savings initiatives, and optimizing reimbursement strategies. The ideal candidate w ...

The Hospital Specialist is the point person responsible for ensuring maximization of operational efficiency between Healthfirst and our network hospitals. · High school diploma or GED equivalent · Direct experience working with managed care operations and/or health plans · ...

The Senior Credentialing Specialist is responsible for credentialing and recredentialing of Healthfirst non-delegated providers.Perform primary source verifications. · Prepare committee summaries. · ...