Healthfirst Jobs

This position is Remote Perform routine random/target audits of operational processes (e.g., call centers, enrollment/terminations, invoicing/dunning, member/provider... Read More

Duties and Responsibilities: RN Conducts assessments for prospective members and re-assessments of current members as well as identify enrollment and or eligibility by... Read More

Duties Responsibilities: Prepare and plan the weekend staffs assignments and volume to ensure compliance Triage and assign expedited appeals while helping standardize and... Read More

Duties Responsibilities: Prepare and plan the weekend staffs assignments and volume to ensure compliance Triage and assign expedited appeals while helping standardize and... Read More

This is a hybrid opportunity - work schedule consists of reporting to our office 3 days per week located at 100 Church Street, NYC. As a Senior Healthcare Analyst within... Read More

Duties Responsibilities: Works collaboratively to design and manage the Healthfirst Pharmacy Benefits for all Healthfirst plans. Collaborates with Finance and Actuary to... Read More

Duties Responsibilities: Prepare and plan the weekend staffs assignments and volume to ensure compliance Triage and assign expedited appeals while helping standardize and... Read More

Duties Responsibilities: Prepare and plan the weekend staffs assignments and volume to ensure compliance Triage and assign expedited appeals while helping standardize and... Read More

Job Description: Produce and manage annual hospital performance review packets. Monitor costs and revenue trends for hospitals and identify route cause of developing... Read More

Duties Responsibilities: Prepare and plan the weekend staffs assignments and volume to ensure compliance Triage and assign expedited appeals while helping standardize and... Read More

**This position is Remote Duties and Responsibilities: Create and maintain project plans, create agendas, document minutes, and follow-up on meeting takeaways Assists the... Read More

This position is Remote Perform routine random/target audits of operational processes (e.g., call centers, enrollment/terminations, invoicing/dunning, member/provider... Read More

Duties and Responsibilities: Conduct daily reviews of member and provider correspondence while reviewing clinical system (TruCare) events to ensure compliance with all... Read More

Duties and Responsibilities: Conduct daily reviews of member and provider correspondence while reviewing clinical system (TruCare) events to ensure compliance with all... Read More

Duties Responsibilities: Prepare and plan the weekend staffs assignments and volume to ensure compliance Triage and assign expedited appeals while helping standardize and... Read More

Duties and Responsibilities Provide excellent quality customer service to Signature HMO Plan Members and/or across all Lines of Business (LOBs) for members and providers... Read More

Duties and Responsibilities: Conduct daily reviews of member and provider correspondence while reviewing clinical system (TruCare) events to ensure compliance with all... Read More

This position is Remote Perform routine random/target audits of operational processes (e.g., call centers, enrollment/terminations, invoicing/dunning, member/provider... Read More

This position is Remote Perform routine random/target audits of operational processes (e.g., call centers, enrollment/terminations, invoicing/dunning, member/provider... Read More