Healthfirst

Field Care Coordinator - Bilingual Spanish

NY  |  Req ID: R016399  |  Hybrid

Duties/Responsibilities: Schedules and conducts multiple home visits per day (clustered in small geographic areas) Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by interpreting the employee-to-member and member-to-employee conversation. Facilitates...

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Field Care Coordinator Bilingual Mandarin Cantonese Manhattan

NY  |  Req ID: R021103  |  On-site

Duties//Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by facilitating cross-cultural communications and interpreting the employee-to-member and...

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Field Care Manager - Behavioral Health

NY  |  Req ID: R021001  |  On-site

Applies care management principles by advocating, informing, and educating beneficiaries on services, self-management techniques, and health benefits related to the continuum of careReviews discharge planning, assessments, medical records, and screening for members currently admitted to assigned...

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Field Service Agent

NY  |  Req ID: R016366

Duties/Responsibilities: Provide high-quality customer service to providers and members across all LOBs with a variety of questions and issues on topics such as eligibility, benefits, claims process, escalations, and products Manage face-to-face encounters by interacting with customers to provide...

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Field Service Agent

NY  |  Req ID: R016398  |  Hybrid

Duties/Responsibilities: Provide high-quality customer service to providers and members across all LOBs with a variety of questions and issues on topics such as eligibility, benefits, claims process, escalations, and products Manage face-to-face encounters by interacting with customers to provide...

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Field Service Agent (Mandarin//Cantonese)

NY  |  Req ID: R020920  |  On-site

Must be able to commute across multiple counties and boroughs: including Manhattan, Brooklyn and Queens boroughs. Duties//Responsibilities:Provide high-quality customer service to providers and members across all LOBs with a variety of questions and issues on topics such as eligibility, benefits,...

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Field-Based Pediatric Assessment Nurse - Brooklyn

NY  |  Req ID: R018938  |  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, Bilingual Spanish/English, Bronx, NY, 10k sign-on Bonus

NY  |  Req ID: R016035  |  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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Finance Analyst

CA  |  Req ID: R018738  |  Hybrid

Responsibilities:Evaluate business processes, anticipating requirements, uncovering areas for improvement, and developing and implementing solutionsLead ongoing reviews of business processes and developing optimization strategiesStaying up-to-date on the latest process and IT advancements to...

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Finance Auditor 2

NY  |  Req ID: R019816  |  Hybrid

Planning, direction and operation of the financial services of the health plan under the direction of the Chief Executive Officer or Chief Financial Officer. Directing all accounting, financial reporting, and asset control and disbursement functions in addition to coordinating the preparation of...

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Finance Coordinator

MA  |  Req ID: R018730  |  Hybrid

Duties and Responsibilities:Responsible for financial analysis and reporting of assigned cost centers.  Produce monthly variance reports, vendor analysis and executive summaries to business owners.Responsible for monthly accrual preparation for assigned cost centers. Additionally, making all...

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Financial Data Analyst

NY  |  Req ID: R016558  |  Hybrid

EMR adjustments: Create new adjustment files for any data that is not flowing through automated processes in data warehouse. These adjustments are also needed to fix any anomaly data in DWH. AX and GL interface: Controlling the data that flows from data warehouse to GL. GL and EMR reconciliation:...

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Financial Reporting Analyst - Hybrid NY

NY  |  Req ID: R019935  |  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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Financial Reporting Analyst - Hybrid NY

NY  |  Req ID: R019954  |  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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FQHC Provider Network Account Manager

NY  |  Req ID: R020991  |  Hybrid

Job Description· Serve as plan liaison for physicians//physician groups in a specified geographical area. Will be the main point of contact for all plan related issues including marketing, enrollment, contracting, billing and reimbursement.· Responsible for the resolution of all issues, including...

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Fraud Examiner

Req ID: R017103  |  Remote

Submit standard RFIs for routine reviews, inclusive of requests made to external business partners such as Medicare Broker Field Marketing Offices (FMO); and Ancillary Agencies for member involved and impacted allegations of Theft and or Assault. Perform routine and basic reviews such as the...

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Healthcare Analyst

NY  |  Req ID: R016553  |  Hybrid

UPDATE Provide support to the Provider Organizations performance improvement work groups. -Monitor costs and revenue trends for Provider Organizations and assist in understanding trends. -Understand and analyze impacts of new program changes. -Responsible for creating, modifying, and updating...

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Healthcare Analyst - TEST BG 2

NY  |  Req ID: R016538  |  Hybrid

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...

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Healthcare Analyst (Provider Management Reporting)

NY  |  Req ID: R015910  |  Hybrid

Analyze the financial performance of all Healthfirst products, identify favorable and unfavorable trends, develop recommendations to improve trends, communicate recommendations to management. Candidate will monitor costs and revenue trends and assist in understanding trends. Responsible for...

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Healthcare Analyst, Risk Adjustment & Encounters | Hybrid NYC

NY  |  Req ID: R015829  |  Hybrid

Who we are: Healthfirst was founded by a collection of major healthcare systems in the New York area to emphasize high quality of care, and better patient outcomes. We have grown into New York’s largest not-for-profit health insurer that covers members in New York City and on Long Island, as well...

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