- Healthfirst (FL)
- …that may be required or assigned **Minimum Qualifications:** + Experience working in an Agile environment as a Product Owner + Experience and track record of success ... directing the efforts of developers as a project manager or product owner in a deadline-driven and fast-paced environment + Ability to juggle multiple projects and tasks. Demonstrated knowledge of project management concepts (preferably Agile/SCRUM) + Hands on… more
- Healthfirst (NY)
- …+ Bachelors degree from an accredited institution or equivalent work experience + Proficiency of scripting and programming skills + Experience using MS Office suite, ... + Leverage leading analytical tools to generate insights that facilitate key decisions by department Leadership + Develop repeatable analytics aimed at department and Executive Leadership that provide insights into the health and performance of the department.… more
- Healthfirst (Enfield, NY)
- …visits per day (clustered in small geographic areas)** + **Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by facilitating ... escalates member questions, as directed** + **Properly documents findings in Healthfirst information systems** + **Collaborates with other members of the clinical… more
- Healthfirst (NY)
- …**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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, eg skilled nursing facilities or virtually** **Navigates… more
- Healthfirst (NY)
- …+ **Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.** + **Conducts assessments to identify barriers and ... opportunities for intervention.** + **Develops care plans that align with the physicians treatment plans and recommends interventions that align with proposed goals.** + **Generates referrals to providers, community-based resources, and appropriate services… more
- Healthfirst (CT)
- …+ **Independently perform, analyze and document data profiling, source to target mapping, transformation logic specifications and process design for Hyphen product ... capabilities** + **Develop test cases and perform user and system testing** + **Work with business stakeholders to understand their needs and translate them into technology requirements** + **Gather, analyze and document product requirements within the agile… more
- Healthfirst (NY)
- …**Develops and monitors team goals; provides ongoing feedback and coaching; conducts annual performance reviews; leads by example; routinely evaluates staffs clinical ... skills and technical comprehension; and ensures an atmosphere of open communication, teamwork, and empowerment to make informed** **decisions** **Maintains and recommends appropriate staffing levels to guarantee safe and effective care management** **Oversees… more
- Healthfirst (NY)
- …timeliness, accuracy, and consistency.** + **Coordinates and communicates with Healthfirst Care Management teams regarding clinical eligibility issues, necessary ... Director in directing, training, and developing team members by embodying the Healthfirst Trailblazer mindset and leading others by example.** + **Builds and… more
- Healthfirst (NY)
- …Administration as needed.** + **Engage in mastering the Divisions impact on Healthfirst and its Members.** + **Contribute creative solutions and ownership of daily ... assignments for seamless communication and systematic completion of routine and special projects.** + **Maintain the highest level of integrity, courtesy, and respect while interacting with clients, employees, and business contacts.** + **Assists with… more
- Healthfirst (Enfield, NY)
- …in assigned territories. Special focus on reaching the Asian community in the Healthfirst service area (NYC). + Identify opportunities to tell the stories created by ... partnerships and relationships + Demonstrated professionalism in public spheres to represent Healthfirst in the target communities + Must be willing and able to… more
- Healthfirst (NY)
- …+ Provides telephonic (and occasional onsite) care management to support the members care needs to promote positive health outcomes. + Advocates, informs, and ... educates beneficiaries on services, self-management techniques, and health benefits. + Attends Interdisciplinary Team (IDT) Rounds several times per week to discuss and review high-risk cases + Conducts assessments to identify barriers and opportunities for… more
- Healthfirst (TX)
- …Must have a Bachelors degree in Computer Science, Information Technology, Electrical Engineering or related field and five (5) years of experience in the job offered ... or in a tech lead//manager-related occupation.** + **Must be certified in Pega CSSA (Certified Senior System Architect) and CSA (Certified System Architect).** + **Must have five (5) years of experience performing Pega Software development** + **Must have two… more
- Healthfirst (WA)
- …+ Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. + Conducts assessments to identify barriers and ... opportunities for intervention. + Develops care plans that align with the physicians treatment plans and recommends interventions that align with proposed goals. + Generates referrals to providers, community-based resources, and appropriate services and other… more
- Healthfirst (NY)
- …In the Clinical Performance Optimization team, you will work with process improvements, project go-lives, and reporting/analytics. This is a critical team that will ... provide insight across various programs and lines of businesses across the company. Duties & Responsibilities: + Enhance program management/project management tools and reporting + Create portfolio level reporting across teams + Learn business areas and create… more
- Healthfirst (IA)
- …+ Plays a leadership role in the definition and execution of the Information Management roadmap. + Supports Data Architecture roadmap by managing architectural runway ... for enterprise data model, enterprise data store/warehouse, information management, and advanced data analytics capabilities. + Provides data architecture thought leadership to cross-functional teams in the areas of advanced data techniques, including data… more
- Healthfirst (NY)
- …or after shift scheduled. + Engage in mastering the Divisions impact on all Healthfirst Plans and its members. + Ability to create a positive impression during first ... call center with telemarketing responsibilities within a healthcare environment. + Healthfirst product knowledge of Complete Care, Senior Health Partners (SHP) or… more
- Healthfirst (NC)
- …+ Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. + Conducts assessments to identify barriers and ... opportunities for intervention. + Develops care plans that align with the physicians treatment plans and recommends interventions that align with proposed goals. + Generates referrals to providers, community-based resources, and appropriate services and other… more
- Healthfirst (NY)
- …staff are equipped to perform job responsibilities in accordance to Healthfirst standards and rules/regulations set forth by regulatory and compliance agencies. ... + Facilitates with subject matter experts, instructional designers, training agencies and technical assistance facilitators to design and deliver innovative learning solutions for performance enhancements needed to support the clinical departments business… more
- Healthfirst (NY)
- …+ LCSW, LMSW, LMFT, LMHC, LPC, licensed psychologist (NY) + For CASAC positions only: Credentialed Alcohol and Substance Abuse Counselor + Ability to travel around ... downstate New York which includes the 5 boroughs, Long Island, and Westchester + **Preferred Qualifications:** + Strong interpersonal and assessment skills, especially the ability to relate well with seniors, their families, and community care providers, along… more
- Healthfirst (NY)
- …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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, eg skilled nursing facilities or virtually Navigates multiple… more
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