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Healthfirst, Inc
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Recently posted jobs
Healthtech • Insurance
The Technical Business Analyst is responsible for facilitating data processes and crafting operational artifacts, ensuring project goals are met through planning and timely reporting. Responsibilities include performing analysis, creating documentation, developing reporting tools, and collaborating with various teams to enhance efficiency.
Healthtech • Insurance
The Administrative Assistant provides secretarial and administrative support, managing complex activities including scheduling, email correspondence, and document preparation. Responsibilities include overseeing travel arrangements, handling confidential information, and assisting senior leadership with multiple tasks and priorities in a fast-paced environment.
Healthtech • Insurance
The Claims Implementation Analyst analyzes, implements, and reports on claims configuration business rules. Responsibilities include developing reporting tools, querying data, identifying root causes, and managing projects to ensure successful implementations. The role involves adhering to deadlines, preparing reports, and documenting changes related to claims processing. This position operates in a dynamic environment requiring strong organizational skills.
Healthtech • Insurance
The Senior Analyst, Enterprise Analytics is responsible for managing and implementing clinical projects and grants, ensuring compliance with regulations, performing statistical analyses on healthcare data, and developing grant proposals and project evaluations. Excellent communication with internal and external partners is required for successful project execution.
Healthtech • Insurance
The Senior Business Analyst focuses on business process review, data analysis, and reporting to enhance operational effectiveness. Responsibilities include coordinating workflow, analyzing data, maintaining reports, providing guidance to junior analysts, and developing project plans while ensuring compliance with corporate standards.
Healthtech • Insurance
The Data Platform Architect will lead the design and implementation of a scalable Data Lakehouse on AWS, integrating storage and compute resources. Responsibilities include optimizing performance, ensuring data security and compliance, collaborating with teams for seamless data integration, and providing documentation and training to staff.
Healthtech • Insurance
The Senior PEGA Application Developer is responsible for designing, developing, and maintaining Pega applications to automate business processes. Duties include delivering backlog items, developing unit tests, participating in specifications creation, resolving complex issues, and providing documentation and support as needed.
Healthtech • Insurance
The Provider Operations Representative processes requests for provider records, ensuring data accuracy in the MHS database. They collaborate with various departments to complete provider profile setups and identify discrepancies. Additional responsibilities include maintaining detailed records of work completed and participating in special projects.
Healthtech • Insurance
The Senior Product Specialist leads product optimization initiatives by collaborating with various internal teams to enhance product designs and implementation plans. They manage project schedules, ensure effective communication across departments, and serve as a subject matter expert on product requirements.
Healthtech • Insurance
The Program Manager will oversee vendor management related to risk adjustment and quality gap activities for Healthfirst. Responsibilities include coordinating with vendors, managing program expectations, facilitating audits, tracking vendor performance, and assisting in contract renewals and budget management.
Healthtech • Insurance
The Case Manager coordinates care plans and performs pre-certification, concurrent review, and discharge planning for assigned members while ensuring optimal health outcomes and adherence to quality metrics. Responsibilities include risk-identification assessments and documenting all interventions to provide efficient health service utilization.
Healthtech • Insurance
The Customer Insight & Experience Intern will support the Customer Insight team at Healthfirst by creating tools and processes for organizing and synthesizing research data, facilitating informed decision-making for improved customer experiences. Key responsibilities include understanding customer research methodologies, managing documentation from various studies, and applying AI to enhance insights for marketing activities.
Healthtech • Insurance
The Technology Associate role focuses on providing impactful technology experiences for recent graduates interested in Quality Assurance. Responsibilities include designing solutions, writing documentation, developing unit tests, and collaborating with teams. The position involves training and mentorship within the Healthfirst Technology Early Career Development Program, preparing associates for further growth in IT roles.
12 Days Ago
Healthtech • Insurance
The Technology Associate role offers recent graduates an immersive experience in technology, focusing on full-stack development and collaborative problem-solving. Responsibilities include designing solutions, maintaining documentation, and advancing skills through a structured curriculum, alongside mentoring from industry leaders.
Healthtech • Insurance
The Technology Associate role is for recent graduates interested in technology, focusing on data/cloud engineering. Responsibilities include designing solutions, developing specifications, and maintaining documentation. Associates receive training and mentorship while collaborating with various teams to solve business problems using technical skills in data pipelining and cloud technologies.
12 Days Ago
Healthtech • Insurance
The Technology Associate role is part of a career development program for recent graduates aiming in technology. It involves collaborating with teams to solve business problems, developing technical solutions, and completing a curriculum with on-the-job training and mentoring. Candidates should have some experience with business systems, SDLC, and Agile methodologies.
Healthtech • Insurance
The Support Specialist assists case managers with non-clinical activities including outreach to members, handling service requests, and managing communications with providers. Responsibilities include documentation, member education, and managing a large caseload while ensuring quality service delivery.
Healthtech • Insurance
The Recruiter, High Volume role involves full lifecycle recruitment focused on sourcing, screening, and selecting candidates for Healthfirst's Call Center Operations. Responsibilities include developing talent sourcing strategies, leveraging technology, ensuring ROI on sourcing strategies, and maintaining compliance with recruitment processes.
Healthtech • Insurance
The Director of Performance Improvement leads initiatives to enhance Healthfirst's business processes and productivity. Responsibilities include collaborating with operations, managing a team of performance experts, overseeing Six Sigma certification, and implementing PI strategies to resolve operational issues and improve efficiency.
Healthtech • Insurance
The Senior Product Specialist leads initiatives within Product Shared Services, ensuring content accuracy, business opportunity maximization, and communication across departments. The role includes managing product enhancements and coordinating with various teams for successful implementation while serving as a subject matter expert on product requirements.