Healthfirst

PM Compliance and Regulatory Initiatives

NY  |  Req ID: R021145  |  Hybrid

Duties//Responsibilities:Organizes and leads  assigned process  improvement projects using methods of team building, data gathering and analysis, process mapping, and problem solvingWorks with appropriate stakeholders to develop and document key processes (like what) within DSEManages...

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Product Strategy Analyst

NY  |  Req ID: R021146  |  Hybrid

Duties & Responsibilities:· Work collaboratively with finance analysis, sales, population health, operations, marketing, and other departments as necessary to support strategic plans to achieve market growth, quality and financial objectives· Compile information from multiple sources to...

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Sales Support Associate

NY  |  Req ID: R021039  |  On-site

Responsible for coordinating events, presentations and enrollment opportunities, as directed by the Sales Managers, in order to execute, plan, and coordinate resources so that they can ensure a successful event.Live Healthfirst’s mission, our members are our North Star and our mission is guided...

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Sr. Retention Advocate

Req ID: R021246  |  Hybrid

Duties & Responsibilities:·        Contact member or primary caregiver by phone or letter to arrange a telephonic or in person interview to assess Medicaid//Medicare//Medicare Savings Program eligibility. Ensures all calls are in accordance to approved Healthfirst scripts·        Has full and...

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Sales Support Specialist (Mandarin//Cantonese)

NY  |  Req ID: R021223  |  On-site

Job DescriptionResponsible for coordinating events, presentations and enrollment opportunities, as directed by the Sales Managers, in order to execute, plan, and coordinate resources so that they can ensure a successful event.Live Healthfirst’s mission, our members are our North Star and our...

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Medicare Product Implementation & Optimization (MPIO) Project Coordinator

NY  |  Req ID: R021197  |  Hybrid

Duties//Responsibilities:Assist with designing, testing, implementing, documenting and managing work flows, processes and policies pertaining to MPIO..Participate in relevant trainings and meetings. Contribute creative solutions for seamless communication and systematic completion of routine and...

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Facilities Support Specialist - Lake Mary, FL

FL  |  Req ID: R021099  |  On-site

On-site work schedule consists of reporting to our Lake Mary, FL office 5 days per week.Scope of Responsibilities:Inspect facilities and review inspection reports to determine repairs or improvements required to both facility and security related systems.Support, help develop, implement, and...

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Hospital Claims Relationship Specialist

NY  |  Req ID: R020883  |  Hybrid

Responsibilities:Managing day to day operational issues and concerns from hospital partners including but not limited to roster maintenance and claim issue root cause analysisManaging education/training regarding company-wide initiatives including but not limited to new product implementation,...

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Bilingual Call Center Rep (Relationship Coordinator)-- Bilingual Spanish

NY  |  Req ID: R021018  |  Remote

Duties and ResponsibilitiesHandling inbound and outbound calls to and from customers to address their needs while adhering to internal Service Levels standards.Creates and//or follow ups for up to 90 days on Long-Term Care (LTC) Leads and Opportunities entered in Salesforce.Create and//or follow...

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Field Assessment RN, Bronx, NY - $10,000 Sign-On Bonus

NY  |  Req ID: R020984  |  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 RN, Bronx, NY - $10,000 Sign-On Bonus (Spanish)

NY  |  Req ID: R021040  |  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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Senior Cybersecurity Engineer, Security Awareness

NY  |  Req ID: R021196  |  Remote

Responsibilities:Develop learning and awareness programs to cultivate a culture of security awareness.Ensure Healthfirst’s security awareness program meets industry regulations, standards, and compliance requirements, as well as, communicates our security polices and requirements, so that...

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Product Owner-Technical

NY  |  Req ID: R020264  |  Hybrid

Define & communicate the overall vision, objectives and goals of the business. Articulate the minimum viable product needs. Create, refine, socialize and prioritize the Product backlog.Enable delivery of Product Backlog by presenting backlog to team; creating, owning and refining well-formed...

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Data Platform Architect

NY  |  Req ID: R020718  |  Remote

Key Responsibilities:Architect and Design the Data Lakehouse: Lead the design and implementation of a scalable and secure Data Lakehouse on AWS, including data storage and compute layers.Storage Solutions: Design and implement storage solutions using AWS services like S3, Iceberg,Integrate...

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Hybrid Assessment RN, Brooklyn, NY, - $7,500 Sign-On Bonus (Spanish)

NY  |  Req ID: R021044  |  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 RN, Brooklyn, NY - $10,000 Sign-On Bonus (Spanish)

NY  |  Req ID: R021046  |  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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Hybrid Assessment RN, Bronx, NY - $7,500 Sign-On Bonus (Spanish)

NY  |  Req ID: R021042  |  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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Product Owner, HealthEdge Implementation

NY  |  Req ID: R021014  |  Hybrid

Define & communicate the overall vision, objectives and goals of the business. Articulate the minimum viable product needs. Create, refine, socialize and prioritize the Product backlog.Enable delivery of Product Backlog by presenting backlog to team; creating, owning and refining well-formed...

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Hyphen - Technical Business Process Analyst

CT  |  Req ID: R021092  |  Hybrid

Duties//Responsibilities:Independently perform, analyze and document data profiling, source to target mapping, transformation logic specifications and process design for Hyphen product capabilitiesDevelop test cases and perform user and system testingWork with business stakeholders to understand...

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Senior Technical Analyst, Care Management

NY  |  Req ID: R021052  |  Remote

Leverage leading analytical tools to generate insights that facilitate key decisions by department LeadershipDevelop repeatable analytics aimed at department and Executive Leadership that provide insights into the health and performance of the department.Leverage available data to develop...

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