Healthfirst

Bilingual Spanish Field Care Coordinator (travel NYC area)

NY  |  Req ID: R019131  |  Hybrid

The schedule is Mon-Fri 9AM-5:30PM and requires travel to the boroughs, Westchester and Long Island. Please note you will only be scheduled for the in-home appointments in 1-2 zip codes close to each other on the same day.Duties/Responsibilities:Schedules and conducts multiple home visits per day...

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Bilingual Spanish Field Care Coordinator (Manhattan)

NY  |  Req ID: R019137  |  Hybrid

The schedule is Mon-Fri 9AM-5:30PM and requires travel within Manhattan. We are looking for candidates who reside in Manhattan.Duties/Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members, including...

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Field Care Coordinator, Fluent in Russian and Ukranian (travel NYC area)

NY  |  Req ID: R019138  |  Hybrid

The schedule is Mon-Fri 9AM-5:30PM and requires travel to the boroughs, Westchester and Long Island. Please note you will only be scheduled for the in-home appointments in 1-2 zip codes close to each other on the same day. This position requires full fluency in English, Russian and...

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Bilingual Spanish Field Care Coordinator (Bronx)

NY  |  Req ID: R019139  |  Hybrid

The schedule is Mon-Fri 9AM-5:30PM and requires travel within the Bronx. We are looking for candidates who reside in the Bronx. Duties/Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members,...

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Bilingual Albanian Field Care Coordinator (travel NYC area)

NY  |  Req ID: R019146  |  Hybrid

The schedule is Mon-Fri 9AM-5:30PM and requires travel to the boroughs, Westchester and Long Island. Please note you will only be scheduled for the in-home appointments in 1-2 zip codes close to each other on the same day.Duties/Responsibilities:Schedules and conducts multiple home visits per day...

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Field Care Coordinator - Mandarin & Cantonese Fluency (Travel NYC Area)

NY  |  Req ID: R019150  |  Hybrid

The schedule is Monday-Friday 9AM-5:30PM. This position requires travel to our members' homes in the various boroughs, Westchester and Long Island. You will only be scheduled for 1-2 zip codes in a concentrated area on the same day to make it more efficient. Full fluency in English, Mandarin...

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Field, Assessment RN, $10,000, Sign-On Bonus, Bilingual Spanish/English, Bronx, NY

NY  |  Req ID: R017229  |  Hybrid

Duties and Responsibilities:RN Conducts assessments for prospective members and re-assessments of current members as well as identify enrollment and or eligibility by utilizing clinical expertise and critical thinking skills. As needed, conducts assessments in settings other than home e.g....

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Part-Time Assessment RN (UAS) Bronx, NY

NY  |  Req ID: R018423  |  Hybrid

Duties and Responsibilities:  Conducts in-person (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 critical...

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Hybrid Assessment RN, Bronx NY $7500 Sign-On Bonus

NY  |  Req ID: R018845  |  Hybrid

Duties and Responsibilities: Conduct home assessments 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 critical thinking skills.  As needed,...

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Director, Clinical Performance Optimization

NY  |  Req ID: R018962  |  Hybrid

Responsibilities include:·       Drive initiatives and activities to enhance performance of the department with an emphasis on efficiency and effectiveness.·       Develops and leads a team to drive optimization across the Clinical Operations Landscape (including UM, CM, behavioral health,...

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Support Coordinator

NJ  |  Req ID: R018999  |  Remote

Duties and Responsibilities: Handles calls to and from members to assist with benefit questions/issues, schedule appointments, and screen assessments to identify risk factors which need closer intervention.Handles calls to and from providers regarding authorizations, referrals, visits, tests, and...

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Sr Business Analyst

NY  |  Req ID: R018976  |  Hybrid

Duties and Responsibilities:Identify defects and improve departmental performance by supporting quality, operation efficiency, and production goalsCommunicate departmentally and interdepartmentally to recommend and request new concepts and/or modifications to existing workflow, system set up,...

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Senior Manager, Field Care Coordinator (Hybrid)

NY  |  Req ID: R018992  |  Hybrid

**This is a hybrid role and will have a mix of remote and in-office presence.Oversees the execution and delivery of departmental productivity and quality metrics; and customer-service standardsWorks to meet and exceed business objectives ensuring consistent achievement of all financial and...

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Support Coord-3

FL  |  Req ID: R019080  |  Remote

Duties and Responsibilities: Handles calls to and from members to assist with benefit questions/issues, schedule appointments, and screen assessments to identify risk factors which need closer intervention.Handles calls to and from providers regarding authorizations, referrals, visits, tests, and...

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Bilingual Punjabi Field Care Coordinator (travel NYC area)

NY  |  Req ID: R019128  |  Hybrid

The schedule is Mon-Fri 9AM-5:30PM and requires travel to the boroughs, Westchester and Long Island. Please note you will only be scheduled for the in-home appointments in 1-2 zip codes close to each other on the same day.Duties/Responsibilities:Schedules and conducts multiple home visits per day...

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Bilingual Spanish Field Care Coordinator (Brooklyn)

NY  |  Req ID: R019132  |  Hybrid

The schedule is Mon-Fri 9AM-5:30PM and requires travel within Brooklyn. We are looking for candidates who reside in Brooklyn.Duties/Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members, including...

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Director, Organizational Design

NY  |  Req ID: R017823  |  Hybrid

Duties and ResponsibilitiesPrimary designer and lead on a variety of enterprise OD and OE initiatives with focused on organizational design.Develop the enterprise approach, frameworks, and tools informed by proven, science-based methods, with a bias for efficient, simple, user-friendly output and...

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Sr. Manager, Network Optimization

NY  |  Req ID: R019069  |  Hybrid

Job DescriptionResponsibilities:Own tools and processes for efficient operational and reimbursement management of hospital and physician partners.  A DSE leader to all analytic teams with focus on Revenue increase and Med Cost Savings opportunities.Lead the DSE effort, in collaboration with...

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Broker Account Manager

NY  |  Req ID: R018972  |  On-site

Duties & Responsibilities:Maintains a customer-centric approach to service that anticipates broker’s needs.Build strong downline partner relationships that enable growth and improve satisfaction with Healthfirst,Ensures routine partner needs are met and potential problems are averted.Acts as...

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Senior Retention Advocate

NY  |  Req ID: R018086  |  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 scriptsHas full and complete access to...

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