Healthfirst

Analyst, Sales & Customer Analytics

NY  |  Req ID: R019743

Duties and ResponsibilitiesLearn and interact with both legacy data systems and newly curated datasets hosted on Amazon Web ServicesCollaborate closely with client Relationship Managers who will hand off projects, set the priorities and inspect the output of the final analysisEffectively blend...

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Claims Configuration Analyst

FL  |  Req ID: R019579

Duties & Responsibilities:Assist in the on-going evaluation of configuration for new and existing claims business rules including member benefits, claims editing, reference data and system functionality within the claims processing system.Analyze explanation of coverage documents to assist...

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Claims Configuration Analyst

NY  |  Req ID: R019285

Duties & Responsibilities:Assist in the on-going evaluation of configuration for new and existing claims business rules including member benefits, claims editing, reference data and system functionality within the claims processing system.Analyze explanation of coverage documents to assist...

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Data Analyst, Healthcare Analytics, Hybrid NY

NY  |  Req ID: R019034

This is a hybrid opportunity with a work schedule consisting of reporting to our office 3 days per week located at 100 Church Street, NYC.Duties and ResponsibilitiesLeverage leading analytical tools to generate insights that facilitate key decisions by department leadershipCreate accurate reports...

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Director, Clinical Performance Optimization

NY  |  Req ID: R018962

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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Healthcare Analyst

NY  |  Req ID: R019364

Analyze the financial performance of all Healthfirst products, identify favorable and unfavorable trends, develop recommendations to improve trends, communicate recommendations to management.Create financial models to evaluate the impact of provider reimbursement changes.Gather data and conduct...

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Healthcare Analyst (Provider Reporting)

NY  |  Req ID: R019266

Duties/Responsibilities:Monitor costs and revenue trends for Provider Organizations.Work cross-departmentally to determine provider performance results, package data into key points and visuals, and communicate to internal leadership and external stakeholders. Support contract analytics and fee...

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Healthcare Financial Analyst | Hybrid NY

NY  |  Req ID: R019516

Duties/Responsibilities:Provide support for the Hospital Organizations performance improvement work groups.Monitor costs and revenue trends for Hospital Organizations and assist in understanding trendsUnderstand and analyze impacts of new program changes.Responsible for creating, modifying, and...

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Program Liaison IT Early Career Development

NY  |  Req ID: R019486

Duties & Responsibilities:Create template to share with Managers to solicit quarterly feedback on AssociatesCreate Visio diagrams on program performanceCreate Intake Forms, Organize Data and ensure thorough data to streamline processesCreate system to track associate participation,...

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Senior Data Analyst, Medical Economics and Medical Cost, Hybrid NY

NY  |  Req ID: R019033

Duties and ResponsibilitiesValue new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best methods and approaches to calculate accurate estimates of program savings.Provide data driven analysis to Finance, Claims, Medical Management,...

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Senior Manager, Migrations (ETL)

NY  |  Req ID: R019039

Job Description:Lead, mentor, and manage a team of technical professionals working on migration initiatives supporting technologies SAS, Informatica, Tableau, Alteryx, Redshift, etc.Provide guidance on technical issues, career development; foster a collaborative and high-performance work...

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Senior Manager, Performance Improvement

NY  |  Req ID: R019587

Duties & Responsibilities:Identify and/or direct process improvement opportunities and provide preliminary benefit/financial valuation for project prioritizationLead cross functional teams in successful completion of assigned projects; generate solutions to complex problems through...

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ServiceNow - Principal Engineer

FL  |  Req ID: R018193

Chief technical designer for ServiceNow code and architecture, responsible for overall ServiceNow code qualityProvide day-to-day administrative ServiceNow support, including advanced support via troubleshooting, implementing bug fixes and root cause analysisMonitor health, usage, and overall...

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Sr Claims Configuration Analyst

FL  |  Req ID: R019580

Duties & Responsibilities:Lead and deliver projects related to the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims configuration improvements, compliance and systems enhancements.Follow the...

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Sr Healthcare Analyst

NY  |  Req ID: R017672

Job Description:Produce and manage annual hospital performance review packets.Monitor costs and revenue trends for hospitals and identify route cause of developing trends.Understand and analyze impacts of new program changes such as new benefits or new populations.Prepare monthly analysis for...

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Sr Healthcare Analyst

NY  |  Req ID: R019049

~Hybrid Work Schedule consists of reporting to our 100 Church Street, NYC office 3 days per week~Scope of ResponsibilitiesLeverage leading analytical tools to generate insights that facilitate key decisions by department leadership.Create accurate reports or insightful and user-friendly...

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Sr Healthcare Analyst - Medical Economics

NY  |  Req ID: R018888

Duties & Responsibilities:Value new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best methods and approaches to calculate accurate estimates of program savings.Provide data driven analysis to Finance, Claims, Medical...

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Sr Mulesoft Application Developer

NY  |  Req ID: R019586

Duties & Responsibilities:Collaborates within the Agile framework, fosters a team approach to software development (review code) and delivery (release activities and postproduction validations)Apply API-led connectivity concepts to business initiatives to help program achieve their...

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Sr. Informatica MDM Developer

NY  |  Req ID: R019523

Duties & Responsibilities:Design, implement, and manage MDM solutions using Informatica MDM SaaS platforms Develop data models, workflows, and hierarchies for master data entities (e.g., customers, products, suppliers).Optimize and maintain data governance and stewardship processes within the...

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Sr. PDM Business Analyst

NY  |  Req ID: R019630

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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