- Healthfirst (NY)
- …changes in regulations, recent training sessions, changes in workflow, and changes to Healthfirst benefits. Required on a routine basis to achieve a passing score on ... audits. When summoned by the Special Investigation Unit (SIU) of Healthfirst you will be adequately prepared, forthcoming with information and cooperative… more
- Atlantic Health System (Newark, NJ)
- …Primary Care physician to become a valuable member of Atlantic Medical Group (AMG) Healthfirst Associates in Newark, New Jersey. This role is ideal for an ambitious ... and skilled internal medicine physician to join a well-established and busy practice with a cohesive team, strong support staff, and a large patient panel, ages 18+. This office is new and houses on-site parking and an in-house lab. The office is in walking… more
- Healthfirst (NY)
- …steps related to complex government regulations. + Collaborate with the Healthfirst Compliance department, oversees the implementation and effectuation of all plans ... requirements are met. + Be responsible for bringing pertinent items to Healthfirst Regulatory Change Management and seeing projects through to fruition to ensure… 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 (Enfield, NY)
- …home visits per day (clustered in small geographic areas) + Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by facilitating ... needed, escalates member questions, as directed + Properly documents findings in Healthfirst information systems + Collaborates with other members of the clinical… more
- Healthfirst (NY)
- …timeliness, accuracy, and consistency. + Coordinates and communicates with Healthfirst Care Management teams regarding clinical eligibility issues, necessary service ... Director in directing, training, and developing team members by embodying the Healthfirst Trailblazer mindset and leading others by example. + Builds and develops… more
- Healthfirst (NY)
- …basis every quarter.** **Duties and Responsibilities:** + Monitor experience under Healthfirst 's Medicare line of business + Provide support for annual Medicare ... bids for all Healthfirst 's Medicare products + Review and quantify any regulatory / CMS proposals and/or changes to the Medicare program + Assist in other actuarial… more
- Healthfirst (NY)
- …& Responsibilities** + Develop a vision and strategy that differentiates Healthfirst on our social media channels (LinkedIn, Facebook, Instagram, WeChat, YouTube), ... aligned with the companys brand, reputation and business goals + Define annual objectives for social media channels and measurement plan + Lead content strategy to support key initiatives (eg, marketing acquisition campaigns, community programs, business and… more
- Healthfirst (Enfield, NY)
- …updates when needed. + Strictly adhere to all CMS regulations and Healthfirst marketing guidelines. + Ensure all documentation is complete, comprehensive, clear, ... appropriately filled out including Application, Application Confirmation Form, Scope of Appointment and Application Submission Form, and Salesforce. + Provide competitive intelligence to management on any activities Healthfirsts market competitors are engaging… more
- Healthfirst (NY)
- …per week **Duties & Responsibilities:** + Prepare, review, and deliver Healthfirst reporting of financial statements using Statutory Accounting Principles. + Ensure ... all reporting submissions are filed on time, meet the highest standards and are supported by comprehensive documentation. + Perform the GAAP to STAT reconciliation process and Fluctuation comparative analysis including preparing journal entries required. +… more
- Healthfirst (NY)
- …of technical components within existing frameworks and methodologies required by Healthfirst . + Works across multiple departments in the development of business ... requirements and associated artifacts by developing a deep understanding of business needs, and by collaborating closely with peers, leaders, and staff throughout Operations to ensure the appropriate parties are contributing. + Works with team members to… more
- Healthfirst (NY)
- …+ Under the guidance of the Director of Communications at Healthfirst , identify media opportunities, develop pitches, and proactively secure earned media ... coverage that supports Healthfirsts brand and business priorities. + Collaborate with Social Media team to execute engagement growth strategy, including monitoring trends, responding to inquiries, and amplifying Healthfirsts voice across social platforms. +… more
- Healthfirst (MS)
- …care delivered, and communicating information to other providers + Partners with Healthfirst Pharmacists and other internal and external partners to communicate a ... medication treatment plan and/or coordinate and integrate an MTM intervention within the broader healthcare management services + Partners with community pharmacies to monitor and communicate member medication adherence + Performs patient health assessments to… more
- Healthfirst (NY)
- …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 (NH)
- …+ 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 (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)
- …+ 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 + Completes… 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 (NY)
- …+ Assists in the development of strategic plans to ensure modern and efficient claims processing across the entire lifecycle with a focus on a unified, streamlined ... experience for both providers and operations staff + Works closely with technology and business leadership to support the evolution and operation of a variety of digital claims capabilities on our modernization roadmap + Analyzes project needs and determines… 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