Healthfirst

Hybrid Assessment RN, Manhattan, NY - $7,500 Sign-On Bonus

NY  |  Req ID: R020550  |  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, Manhattan, NY - $10,000 Sign-On Bonus

NY  |  Req ID: R020009  |  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 Pediatric Assessment RN, Manhattan/Bronx - $10,000 Sign On Bonus

NY  |  Req ID: R020082  |  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, Manhattan, NY - $7,500 Sign-On-Bonus (Mandarin & Cantonese Fluency)

NY  |  Req ID: R020092  |  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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Manager, Utilization Management

NY  |  Req ID: R020493  |  Remote

Duties/Responsibilities:Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review, referrals, and other plan servicesDevelops and monitors goals for staff; provides ongoing feedback and coaching; conducts annual performance...

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Change Manager - Modernization (PayDoc)

NY  |  Req ID: R019440  |  Hybrid

Duties & Responsibilities:Manages assigned initiatives, including workplan development, stakeholder management, change management, implementation, success measurement, and communication of project status to business stakeholders.Partners with IT and Delivery teams in the delivery of technical...

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Business Process Analyst – Hyphen

CT  |  Req ID: R020362  |  Hybrid

Duties/Responsibilities:Work closely with all levels of end users to quickly document business processes and workflowsGather, analyze and document user requirementsAssist in reporting and presenting requirements and possible approaches to clientTranslate business and user requirements into...

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Senior Master Data Management Developer

NY  |  Req ID: R020520  |  Remote

Duties & Responsibilities:Lead in architecting, designing, and configuring solutions with Informatica MDM Multi- Domain edition including Entity 360 and ActiveVOS.Perform systems/data analysis to implement MDM match and merge rules and stored proceduresApplies data analysis, data cleansing,...

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Care Manager, Bilingual Spanish - 100% Remote

NY  |  Req ID: R020528  |  Remote

Duties and 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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Care Manager, Bilingual Fujianese - 100% Remote

NY  |  Req ID: R020529  |  Remote

Duties and 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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Care Manager, Mandarin Fluency - 100% Remote

NY  |  Req ID: R020338  |  Remote

Duties and 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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Financial Reporting Analyst - Hybrid NY

NY  |  Req ID: R020606  |  Hybrid

Hybrid Work ScheduleThis consists of reporting to our 100 Church Street, NYC office 3 days per weekDuties & Responsibilities:Prepare, review, and deliver Healthfirst reporting of financial statements using Statutory Accounting Principles.Ensure all reporting submissions are filed on time,...

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Senior Manager, Actuarial

NY  |  Req ID: R020479  |  Hybrid

Our hybrid work schedule consists of reporting to our 100 Church Street, NYC office on a consistent basis every quarter.Duties and Responsibilities:Monitor experience under Healthfirst's Medicare line of businessProvide support for annual Medicare bids for all Healthfirst's Medicare...

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Regulatory Analyst, Medicare - Hybrid NY

NY  |  Req ID: R020593  |  Remote

Hybrid Work ScheduleYou are expected to report to our NY office located at 100 Church Street 3 days a week.Duties/ResponsibilitiesCoordinates and manages marketing, educational, and ad hoc material reviews including assisting the Regulatory Affairs Manager by reviewing, finalizing, submitting,...

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