148 jobs

The Manager of Integrated Field Care Managers ensures prospective and active members are appropriately screened by Assessment Nurse team to meet enrollment and clinical eligibility requirements. Duties and Responsibilities: Leads and manages daily Reassessment Nurse operations such as overseeing sch ...

We are seeking a creative storyteller who "wears many hats" to be part of our growing and dynamic corporate communications and marketing department. The ideal candidate thinks on the fly, is super-organized, pro-active and eager to grow from a variety of experiences across the fields of communicatio ...

The Scrum Master manages small to large enterprise-level projects that have department or enterprise-level importance, moderate to high risk and risk interdependencies, several interrelationships, and moderate to high costs associated with delivery. The Scrum Master supports projects of major comple ...

The Account Executive will be responsible for developing Broker; Employer and Direct Consumer relationships. The Account Executive will execute sales programs in accordance with approved strategy and policies. This position is responsible for executing sales activity which will meet or exceed the en ...

Job Description Summary The Provider Communications Specialist is responsible for supporting the development and execution of strategic communications efforts that will enhance the experience of Providers within the Healthfirst network. The Specialist will work with various stakeholders across the e ...

We are looking for a highly motivated, technology focused Integration architect/Sr developer who wants to work in a fun and high pace environment. You will be a part of a very matured agile organization [Information Management Program] and will get an opportunity to build modern integration and comp ...

The Pharmacy Technician is responsible for providing member medication counseling and assistance in minimizing gaps in treatment by collaborating with various members of the healthcare team within Healthfirst and with our community partners (pharmacists and providers). Duties & Responsibilities: Per ...

Hello! Thank you for considering Healthfirst for your next career opportunity. 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 hea ...

The Senior Claims Examiner is responsible for the investigation, determination and reporting of claims processing thru auditing of normal business processes as well as handling second level appeal requests. The incumbent will audit, conduct root cause analysis, handle processing of determinations, t ...

Job Description Job Title: International Customer Account Representative City: Canandaigua / State: New York Job Description Join Reynolds Consumer Products...a world of opportunities! We are passionate about achieving results and have fun winning as a team! We are committed to a diverse and inclusi ...

The Regulatory Manager will work collaboratively with key internal staff on the development, review and submission of regulatory filings, reports and other material as required. The incumbent will provide support to the Director by ensuring, cultivating and advancing an environment that not only enh ...

Hello! Thank you for considering Healthfirst for your next career opportunity. 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 hea ...

The Senior Claims Examiner is responsible for the investigation, determination and reporting of claims processing thru auditing of normal business processes as well as handling second level appeal requests. The incumbent will audit, conduct root cause analysis, handle processing of determinations, t ...

The Sr Sourcing Specialist is responsible for identifying strategies to target talent in the market. In partnership with the Talent Delivery Manager and the HRBP, this person is focused on gaining a better understanding of the business needs and translating those needs to comprehensive sourcing stra ...

Hello! Thank you for considering Healthfirst for your next career opportunity. 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 hea ...

The Vice President, Customer Experience provides the end-to-end consumer experience strategy for Healthfirst, providing differentiated and innovative solutions to improve quality care outcomes and drive membership growth and retention. This influential role, reporting to the SVP, Marketing and Commu ...

The Hospital Specialist is the point person responsible for ensuring maximization of operational efficiency between Healthfirst and our network hospitals. Responsibilities: Managing day to day operational issues and concerns from hospital partners including but not limited to roster maintenance and ...

The Clinical Quality Manager with members and providers to ensure members receive appropriate services. This role emphasizes improving the quality of care with a focus on HEDIS, QARR and Medicare Advantage Star measures. This position works remotely, until we return to the office. - Interacts with h ...

The Facilities Support Specialist will report to the Facilities Manager and work as part of a team to coordinate various tasks related to building maintenance, ordering break room supplies, event space planning, and vendor relations for designated Healthfirst's locations. Duties and Responsibilities ...

The Claims Implementation Analyst is responsible for assisting in analyzing, implementing and reporting of required claims configuration business rules. The Implementation Analyst will assist management by developing and maintaining reporting tool and processes, querying and analyzing data, identify ...