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Results based on filters ( 22 jobs found )

Claims Coding Analyst

HealthFirst, Inc
Greenwood, IN
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The Claims Coding Analyst’s primary responsibilities require independent ...
Details
Summary
About the job:
judgement in making coding-based decisions on claims and appeals to maintain and enhance Healthfirst’s claims editing systems in ensuring proper claims payments, reviewing, researching, and responding to written and emailed correspondence from providers regarding claim denials, and acting as a subject matter expert handling more complex provider issues. They are involved in setting Healthfirst claims policy and ensure that Healthfirst payment policy is aligned with CMS (Centers for Medicare and Medicaid Services), New...
Location:
Greenwood, IN
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
From:
Built In
Certifications / Licenses:
ICD-10 / ICD-9
American Health Information Management Association
Accredited Management Accountant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Coding Analyst

HealthFirst, Inc
New York, NY
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The Claims Coding Analyst’s primary responsibilities require independent ...
Details
Summary
About the job:
judgement in making coding-based decisions on claims and appeals to maintain and enhance Healthfirst’s claims editing systems in ensuring proper claims payments, reviewing, researching, and responding to written and emailed correspondence from providers regarding claim denials, and acting as a subject matter expert handling more complex provider issues. They are involved in setting Healthfirst claims policy and ensure that Healthfirst payment policy is aligned with CMS (Centers for Medicare and Medicaid Services), New...
Location:
New York, NY
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Healthfirst
Certifications / Licenses:
ICD-10 / ICD-9
American Health Information Management Association
Accredited Management Accountant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Manager of Performance Improvement

HealthFirst, Inc
New York, NY
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WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies ...
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Summary
About the job:
with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF...
Location:
New York, NY
Job Type:
Full-Time
Permanent
Occupation:
Human Resources Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Healthfirst
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Project Planning & Operations Specialist

HealthFirst, Inc
New York, NY
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Reporting to the Director, the Specialist Sales & CE Ops Strategic Planning ...
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Summary
About the job:
& Performance will assist the Manager and Director for Sales & CE Ops Strategic Planning & Performance to execute, and continuously improve upon a retail strategy that supports the member and prospect experience, profitable growth across all product lines, and greater efficiency in operations across retail channels. This will include the day-to-day coordination of operations and retail strategic projects for the retail channel including community offices, mall kiosks, and other retail/sales sites. The Specialist will...
Location:
New York, NY
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Healthfirst
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Support Coordinator

HealthFirst, Inc
Located in Ohio
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Duties and Responsibilities: - Provides excellent quality customer service ...
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Summary
About the job:
to our members and/or providers relating to authorization updates, questions/issues such as coordinating care, DME outreach, scheduling appointments, and screen assessments to identify risk factors which need closer intervention - Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans - Manage requests from members, providers, call centers and care management teams regarding initial authorizations, authorization updates and/or corrections - Complete member and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Secretaries and Administrative Assistants
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Business Analyst

HealthFirst, Inc
New York, NY
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The Business Analyst is responsible for reviewing business processes to gain ...
Details
Summary
About the job:
a complete understanding of current business and system processes, identify improvements and document those improvements as business requirements (Features and User stories). The BA will work interdepartmentally, make decisions, and communicate to leadership to ensure deliverables are met. This person understands the business and ensures that there is integration between business and technology. The Business Analyst is a major contributor to project goals by defining business objectives and requirements, establishing...
Location:
New York, NY
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Built in NYC
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

FQHC Network Account Manager

HealthFirst, Inc
New York, NY
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The Network Account Manager represents and advances Healthfirst interests in ...
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Summary
About the job:
the Provider market as the preferred and ultimately preeminent plan through superior customer service and execution of Provider engagement strategies. The Network Account Manager represents commitment to developing and managing a high performance network and to engaging in various Provider engagement strategies that follow four core principles: Quality, Clinical Efficiency, Administrative Efficiency and Population Health. - Serve as plan liaison for physicians/physician groups in a specified geographical area. Will...
Location:
New York, NY
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Healthfirst
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

2026 Technology Early Career Development Program – Quality Assurance/App Support

HealthFirst, Inc
New York, NY
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The Technology Associate is a role intended to create meaningful experiences ...
Details
Summary
About the job:
for recent college graduates who have a passion for a future in technology through the Healthfirst Technology Early Career Development Program. This is a full-time role that provides an immersive and rigorous technology experience, that lays a meaningful foundation for continued growth, development, and leadership within IT. Technology Associates do impactful work collaborating with Healthfirst employees and leaders at all levels including solving business problems and delivering technology solutions by working on...
Location:
New York, NY
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Healthfirst
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Finance Risk Analytics Intern (Financial Planning & Analysis) - 2026 Summer Internship

HealthFirst, Inc
New York, NY
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Provider Risk Analytics Intern (Finance) - 2026 Summer Internship Program ...
Details
Summary
About the job:
Healthfirst’s 2026 Summer Trailblazer Internship is a 10-week paid program beginning on June 1, 2026. This is an immersive and interactive learning experience that lays a foundation for continued leadership development. Interns do impactful work, collaborating with other interns, employees, and business leaders to solve current business problems and deliver solutions. Who We Are: For nearly 30 years, Healthfirst has served New Yorkers. We helped pioneer the value-based healthcare model—where hospitals and physicians are...
Location:
New York, NY
Job Type:
Full-Time
Internship
Occupation:
Financial and Investment Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Built in NYC
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Application Development Intern - 2026 Summer Internship Program

HealthFirst, Inc
New York, NY
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Healthfirst’s 2026 Summer Trailblazer Internship is a 10-week paid program ...
Details
Summary
About the job:
beginning on June 1, 2026. This is an immersive and interactive learning experience that lays a foundation for continued leadership development. Interns do impactful work, collaborating with other interns, employees, and business leaders to solve current business problems and deliver solutions. Interns must be within a commutable distance from our New York offices at 100 Church Street, and are expected on site Tuesdays, Wednesdays, and Thursdays For nearly 30 years, Healthfirst has been serving New Yorkers. We helped...
Location:
New York, NY
Job Type:
Full-Time
Internship
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Healthfirst
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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