Search the 39 jobs at Healthfirst, Inc

The Senior Workforce Effectiveness Data Analyst is responsible for promoting a data-driven culture in Healthfirst Operations. Their key responsibilities include generating insights using analytical tools, developing models and dashboards, performing statistical analysis, and working closely with IT and business teams to improve efficiency and decision-making processes.

The Team Lead of Workforce Effectiveness at Healthfirst oversees functions like Time and Attendance, Planning, and Scheduling. This role focuses on operational excellence, demand forecasting, workforce management reporting, and analytics to meet Service Level Agreements across Contact Center Operations.

The Quality Assurance Operations Auditor conducts internal audits of operational processes and ensures compliance with company guidelines and regulations. Responsibilities include performing audits, preparing reports, analyzing root causes, tracking findings, and providing recommendations for performance improvement while maintaining confidentiality and compliance with HIPAA.

The Fraud Examiner will support SIU investigators by conducting data analysis, performing reviews of fraud allegations, assisting with interviews, and participating in committee meetings. Additional responsibilities include document preparation for meetings, monitoring inquiries, and minor administrative tasks.

The Senior Product Specialist leads initiatives and collaborates with various internal teams to ensure product implementation and enhancements are successful. Responsibilities include project planning, reporting, and acting as a subject matter expert for product requirements while analyzing market trends.

The Senior Manager of Marketing Implementation will oversee project management for the Marketing Strategy team, ensuring seamless execution of marketing projects and operational efficiency. Responsibilities include managing project lifecycles, collaborating with stakeholders, and implementing processes for tracking campaign performance.

The Senior Recruiter focuses on developing talent acquisition strategies, assessing candidates, and ensuring effective sourcing and screening processes while collaborating with Talent Delivery Managers. They are responsible for maintaining strong talent pipelines and adhering to compliance and service agreements.

The Communications Manager at PayDoc is responsible for developing and implementing internal communication strategies, managing content delivery, and collaborating with stakeholders. This role includes ensuring consistent messaging, analyzing communication performance data, and providing editorial reviews for various internal communications.

The Community Office Coordinator will manage office efficiency and member interactions, educate members on the portal, audit applications, conduct training, manage office inventory, process payments, handle customer relations, and oversee office reports. They will ensure a superior member experience and streamline processes.

The Project Coordinator manages reporting functions and liaises between departments to support the Growth Department by overseeing membership data analysis, ensuring compliance with regulations, and coordinating various monthly reports and workflows. This role also involves maintaining relationships with stakeholders and documenting processes effectively.

The Analyst in Sales & Customer Analytics will work on various projects, collaborating with Relationship Managers, cleaning and blending data, and creating insightful reports and dashboards to meet business needs. They will adapt to priorities while maintaining high accuracy and delivering results efficiently.

The Data Analyst in Product Strategy will support the Medicaid Product Strategy team by analyzing financial performance, preparing reports, and forecasting growth. This role involves collaboration with various departments, creating competitive reports, and managing projects effectively. The analyst will also develop applications and reports using Excel and Tableau, ensuring accurate and timely reporting.

The Sr. Manager of Provider Operations oversees operational objectives, leads strategic initiatives, and manages the daily functions of the Strategic Operations team. Responsibilities include project management, cross-department collaboration, compliance audits, team mentoring, and performance reporting to improve workflows and processes.

The Senior Informatica MDM Developer will design, implement, and manage MDM solutions on Informatica SaaS platforms, optimizing data governance, developing integrations with AWS services, and providing technical guidance to junior team members. Responsibilities include ensuring data integrity, compliance, and performance of MDM systems.

The Sales Support Administrator provides administrative support to the PHSP Facilitated Enrollment Sales department, handling confidential information, managing schedules, preparing reports and presentations, and assisting with onboarding and equipment management. The role demands proficiency in Microsoft Office and strong organizational skills to support multiple tasks efficiently.

The Peer Support Specialist assists Healthfirst members struggling with mental health and substance use disorders, leveraging lived experience for recovery support. Responsibilities include managing caseloads, conducting assessments, coordinating care, generating referrals, and collaborating with interdisciplinary teams. The role requires field visits in New York, providing a person-centered approach to help members navigate their healthcare.

The Senior Manager of Performance Improvement leads multiple projects, focusing on optimizing business processes and delivering measurable value. Responsibilities include managing staff, coaching teams, and directing process improvement initiatives while collaborating with stakeholders.

The Payment Policy Analyst at Healthfirst is tasked with ensuring compliance with reimbursement and billing guidelines through the development and refinement of related policies. This includes conducting thorough research on Medicaid and CMS methodologies, collaborating with various departments, and preparing reports. The role emphasizes risk identification and process improvements while ensuring patient confidentiality and adherence to regulations.

The Senior Application Developer is responsible for building efficient solutions for the Correspondence program, applying API-led connectivity concepts, configuring APIs, and collaborating on software development within an Agile framework. They will also document designs, conduct testing for new technologies, develop unit tests, and provide ongoing support to the existing technical stack.

The Case Manager in Utilization Management oversees care plans for members, conducts pre-certifications, manages case reviews, and coordinates care with other healthcare providers. Their role involves advocating for members, educating them about services, and ensuring adherence to performance metrics.