Healthfirst

Clinical Quality Manager

NY  |  Req ID: R021694  |  Hybrid

Interacts with hospitals, providers, and members to improve quality of care, monitor progress, and recommend changesReviews billing codes, medical records, and claims submission process to ensure accuracyAttends and facilitates any initiative meetings (studies, partnerships) that involve targeted...

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Hybrid Assessment Registered Nurse, Manhattan, NY - $7,500 Sign-On Bonus (Spanish)

NY  |  Req ID: R021741  |  Hybrid

Duties and Responsibilities: ·       Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and...

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Field Assessment Registered Nurse, Manhattan, NY - $10,000 Sign-On Bonus (Spanish)

NY  |  Req ID: R021742  |  Hybrid

Duties and Responsibilities: ·       Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and...

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Technical Product Owner, Extracts, Information Management

FL  |  Req ID: R021624  |  Hybrid

Key Responsibilitieso    Lead delivery execution for assigned data capabilities, ensuring alignment to priorities, timelines, and quality expectations set by product and platform leadership.o    Manage and mentor a multidisciplinary team (onshore/nearshore/offshore as applicable), fostering...

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Sr Data Engineer

FL  |  Req ID: R021770  |  Remote

Minimum Qualifications:•              8+ Years overall IT experience•              Enterprise experience in scripting languages primarily Python and Pyspark building enterprise frameworks•              Enterprise experience in data ingestion methodologies using different etl tools(Glue,DBT or...

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Peer Support Specialist

NY  |  Req ID: R021779  |  Hybrid

Duties/Responsibilities:Manages designated caseload of members who could benefit from Peer Support services, care coordination, and health navigationSchedules and conducts multiple field-based visits per day (clustered by geographic areas)Completes assessments and questionnaires to identify...

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Care Manager - Maternity

NY  |  Req ID: R021749  |  Remote

- Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.- Conducts assessments to identify barriers and opportunities for intervention.- Develops care plans that align with the physician’s treatment plans and recommends interventions that...

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Behavioral Health Care Manager, HARP (Fluent English/Spanish)

NY  |  Req ID: R021719  |  Remote

Duties/Responsibilities:Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.Conducts assessments to identify barriers and opportunities for intervention.Develops care plans that align with the physician’s treatment plans and recommends...

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Manager, HR Technology and Data Architecture - Hybrid NY

NY  |  Req ID: R021578  |  Hybrid

Scope of Responsibilities:Lead and oversee the daily operations and activities of the teamEnsure timely support and resolution on system requests/inquiries raised by employeesManage the reporting catalog in close partnership with HRSS and People AnalyticsPartner with People Analytics, CBT and...

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Healthcare Analyst - Hybrid NY

NY  |  Req ID: R021709  |  Hybrid

Work ScheduleThis is a hybrid position which consists of reporting to our 100 Church Street, NYC office on Tuesdays, Wednesdays & Thursdays.Duties & Responsibilities:Analyze the financial performance of all Healthfirst products, identify favorable and unfavorable trends, develop...

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Senior Manager, HR Shared Services - Hybrid NY

NY  |  Req ID: R021577  |  Hybrid

Work ScheduleThis role is hybrid which requires you to report to 100 Church Street, New York, NY three days per week (Tuesday/Wednesday/Thursday).Scope of ResponsibilitiesStrategic Transformation & Modernization MandateStabilize and elevate a high-volume HR service environment.Transform HR...

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Director, HR Technology Programs - Hybrid NY

NY  |  Req ID: R021580  |  On-site

Work ScheduleThis role is required to be at 100 Church Street, New York, NY three days per week (Tuesday/Wednesday/Thursday).Scope of Responsibilities:Technology Transformation & OperationsIn partnership with Program Management, IT, and HR Centers of Excellence (COEs), lead HR technology...

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Manager, Total Cost of Care

NY  |  Req ID: R021526  |  Hybrid

This role requires working onsite at 100 Church Street, New York, NY 10007 on Tuesdays, Wednesdays and Thursdays.Scope of Responsibilities:Monitor medical cost and utilization trends, provide concise actionable insight into the root cause drivers, and develop potential remediation opportunities....

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Senior Analyst, Total Cost of Care - Hybrid NY

NY  |  Req ID: R021527  |  Hybrid

This role will be onsite at 100 Church Street, New York, NY 10007 on Tuesdays, Wednesdays, and Thursdays.Scope of Responsibilities:Develop actionable analytic tools to help monitor medical cost and utilization trends, provide concise insight into the root cause drivers, and work with the team to...

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HR Administrative Assistant - Hybrid NY

NY  |  Req ID: R021479  |  Hybrid

This is a hybrid position which consists of reporting to our 100 Church Street, NYC office 3 days per week (Tuesdays, Wednesdays & Thursdays).Scope of Responsibilities:Schedules and organizes complex activities such as meetings, travel, conferences, and department activities for the HR...

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