HF Management Services Jobs in Bridgewater
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HF Management Services
Manhattan, NY
The Manager Appeals & Grievances ("MAG") serves as the advanced level subject matter expert for determination of non-clinical and clinical matters. The MAG supervises day-to-day departmental activities including, but not limited to, oversight for four or more staff and the A&G processes. This position will work from 100 Church Street with a flexible work arrangement allowing the option to work rem...
HF Management Services
New York, NY
The Manager, Delegated Ancillary reports directly to the Director ,Ancillary Clinical Programs and manages all aspects of ancillary delegated relationships and other assigned vendors, including implementation, ongoing issue resolution and ongoing performance monitoring and auditing. Manages and resolves all issues related to ancillary delegated relationships. Acts as a liaison between other depart...
HF Management Services
New York, NY
This Training Manager position will support all of the Center for Employee Excellence (CEE) as a learning technology expert. Key requirements for this role are; Steeped in e-learning, blended learning and best practices related to these. High skill level in instructional design and program facilitation. Strong expertise in needs assessment and capability development. Key attributes: collaborative,...
HF Management Services
New York City, NY, 10007
The Member Services Representative (bilingual English - Korean) will act as a liaison between HealthFirst, Inc and it's members or potential members. Responsible for assisting members or potential members with issues and/or inquiries they may have about their insurance/applications. Also responsible for receiving and addressing member inquiries, resolution of member complaints, client education, r...
HF Management Services
New York City, NY, 10007
The Member Services Representative (bilingual English - Russian) will act as a liaison between HealthFirst, Inc and it's members or potential members. Responsible for assisting members or potential members with issues and/or inquiries they may have about their insurance/applications. Also responsible for receiving and addressing member inquiries, resolution of member complaints, client education,...
HF Management Services
New York City, NY, 10007
The Member Services Representative (bilingual English - Cantonese/Mandarin) will act as a liaison between HealthFirst, Inc and it's members or potential members. Responsible for assisting members or potential members with issues and/or inquiries they may have about their insurance/applications. Also responsible for receiving and addressing member inquiries, resolution of member complaints, client...
HF Management Services
New York, NY
Assumes a leadership role within Medical Management for Healthfirst's High Risk members and providers to insure high quality, cost-effective patient care and appropiate allocation of member services and resources. Promotes and ensures program integrity through adequate oversight of staff functions, data collection and reporting. This is a paperless work environment requiring daily hands-on adminis...
HF Management Services
New York, NY
The Enterprise Architect SharePoint Architect must have experience on multiple hardware and software environments and be comfortable with complex heterogeneous systems environments. The Enterprise Architect - SharePoint analyzes client objectives and site user needs to assist the team in validating and refining strategic business initiatives. The Technical Architect-SharePoint leads the architectu...
HF Management Services
New York, NY
To improve the quality of care and services provided to our members, with a focus on HEDIS, QARR and Medicare Advantage Star measures. The position primarily works with network providers, but will also complete member outreach and education as needed to ensure members receive appropriate services. Lead and/or participate in interactions with all assigned network hospitals and large provider groups...
HF Management Services
New York, NY
This is a field based position for a Reassessment Nurse at Senior Health Partners (SHP) who takes independent ownership for self-scheduling reassessment visits at intervals required by the Department of Health (DOH) to determine service needs and continued eligibility; coordinates with Care Management Team (CMT) to maintain a high level of efficient and effective individualized Care Management ope...
HF Management Services
New York City, NY
Reporting to the VP, Information Services the Information Security Officer (ISO) will be responsible establishing, implementing, monitoring and enforcing information security standards and policies company wide. The ISO is also responsible for the creation and maintenance of company wide information security strategies and working with the Information Services Security Committee. Ensure enterprise...
HF Management Services
New York City, NY
The Sr. Programmer Analyst designs and develops solutions in accordance with the Healthfirst software development lifecycle. This position will work within the Enterprise Architecture (Data Management) group. Collaborate with business users to elicit information to support Enterprise Data and Analytic solutions to the organization. This includes facilitating requirements elicitation sessions. Anal...
HF Management Services
New York City, NY
The Sr. Business Systems Analyst is responsible for the elicitation and documentation of business and functional requirements for system upgrades or development. The Sr. Business Systems Analyst will primarily work on large scale projects, which may involve other Business Sys Analyst or Sr. Business Sys Analysts. He/she will frequently work with Project Managers and Technical Owners to facilitate...
HF Management Services
New York City, NY
The BSA works with internal and external clients and the development team to ensure that requests for the development/enhancement of internally developed software applications/systems meet the needs/expectations of the business users. The BSA is the seam between the software users and the software developers. They convey the demands of the software users to the developers. They will develop, write...
HF Management Services
New York, NY
The Clinical Business Analyst will support Clinical Performance Management projects and applications, including the generation, on-going maintenance, management and execution of test scenarios and test cases. The Clinical Business Analyst will work in tandem with IS business analysts and QA analysts and CPM staff to ensure new applications and updates to applications are implemented defect-free. T...
HF Management Services
New York City, NY
The Manager, Information Systems (Enterprise Data Management) is required to lead the technical aspects of small and large scale Enterprise Information Management solutions. The Manager, must be able to manage all components of a project from inception to production. The Manager, is responsible for managing the capabilities, contribution, deployment, and performance of technical employees. The tec...
HF Management Services
New York City, NY
The Manager Server Group for the Technical Services (TS) division at Healthfirst (HF) will be responsible for managing the daily operation and leadership of approximately 10 to 15 employees including external contractors. This role will provide management & technical expertise to support Data Center, Server, Storage and Messaging platforms. Perform management of the Server Group (System Admin team...
HF Management Services
New York City, NY
The Programmer Analyst designs and develops solutions in accordance with the Healthfirst software development lifecycle. This position will work within the Enterprise Architecture (Data Management) group. Collaborate with business users to elicit information to support Enterprise Data and Analytic solutions to the organization. This includes facilitating requirements elicitation sessions. Analyze...
HF Management Services
New York, NY
The Sr. Programmer Analyst designs and develops solutions in accordance with the Healthfirst software development lifecycle. This position will work within the Enterprise Architecture (Data Management) group. Collaborate with business users to elicit information to support Enterprise Data and Analytic solutions to the organization. This includes facilitating requirements elicitation sessions. Anal...
HF Management Services
New York City, NY
The QA Manager will be responsible for the day to day management of Quality Assurance resources to insure the highest level of support is provided at all times. The QA Manager will oversee and triage any and all issues related to Quality Assurance including resource and demand management as well as forecasting. This position will also be responseble for the oversight of the Automation, Performance...
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©2013 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2013.5.0.223-306