HF Management Services Jobs in United States

+The Healthcare Analyst will support the Provider Risk team to monitor provider performance and respond to varied requests from internal and external stakeholders requiring analysis of business, policy, · and/or reimbursement changes. The Healthcare Analyst will work in a highly ...

The HR Administrative Assistant provides essential operational and organizational support to the Human Resources Team ensuring seamless execution of daily activities and departmental priorities. · Serving as a reliable point of contact for employees candidates and external partne ...

The Sr Retention Advocate enables Healthfirst members to maintain independence by educating them on financial entitlements. · This role requires education within Medicare and MSP to assist members in applying for eligibility. The advocate will work under direction from Entitlemen ...

The Certified Peer Support Specialist works with Behavioral Health Care Management Team to support members in mental health and substance use disorders through lived experience recovery model. · ...

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 costs, improving the quality of care, and increasing member an ...

We are seeking a Field Care Coordinator who is bilingual in English and Korean to join our team at Healthfirst. · Schedules and conducts multiple home visits per day (clustered in small geographic areas) · Supports the Healthfirst clinical team members by facilitating cross-cultu ...

The Director of Performance Improvement is responsible for the development of PI initiatives and change related to projects and initiatives to improve Healthfirst's business processes, · performance and productivity measures. · Partners closely with operations and the business to ...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. · ...

The Claims Coding Analyst's primary responsibilities require independent judgement in making coding-based decisions on claims and appeals to maintain and enhance Healthfirst's claims editing systems in ensuring proper claims payments. · Conducts independent assessments of current ...

The Field Care Coordinator is responsible for conducting local home visits for Healthfirst members. They perform home environment assessments, administer health questionnaires, retrieve necessary documentation and facilitate video visits with a Healthfirst Care Manager or Clinica ...

This is an immersive and interactive learning experience that lays a foundation for continued leadership development. Interns do impactful work collaborating with other interns employees and business leaders to solve current business problems and deliver solutions. · ...

A vital role of the CMO Administration team, the Medical Peer Reviewer plays a critical role in consulting on medical necessity in the context of utilization management and ensuring adherence to internal Healthfirst and external regulations. The Medical Peer Reviewer will assess/ ...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. · Flexible work schedule (4x10s or M-F ) · No weekends, holidays or night shifts · Full benefits; Medical, Dental, Vision, Retirement,Em ...

The Senior Specialist leads special initiatives and ad-hoc activities including collaboration with internal business partners to ensure content is complete and accurate.Duties & Responsibilities: · Participates in product driven workgroups. · Works closely with cross functional t ...

The Facilities Support Specialist will report to the Director, Facilities and work as part of a team to coordinate and be responsible for the development and ongoing maintenance and safety of all facilities operations. · Inspect facilities and review inspection reportsSupport dev ...

We are looking for a UAS Nurse Assessor to help ensure our members receive the care and services they need to lead healthier lives. · Conduct home assessments for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment ...

The Enterprise AI Architect proactively works with enterprise delivery program leaders to define and maintain architectural runway for business initiatives enabled by emerging AI technologies. · This role leads technical integration design supporting implementation of agentic AI ...

The Technology Associate is a role intended to create meaningful experiences for recent college graduates who have a passion for a future in technology through the Healthfirst Technology Early Career Development Program. · Design and build solutions for complex technical issues a ...

The HIV/AIDS 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. · Advocates, informs, and educates beneficiar ...

The Senior Machine Learning Engineer will help design data science systems. · Coordinate with enterprise analytics leadership. · Inform system design and implement complex solutions. · ...