Full-Time

Pediatric Care Coordinator

Confirmed live in the last 24 hours

Healthfirst

Healthfirst

1,001-5,000 employees

Not-for-profit health insurance provider in New York

Compensation Overview

$41.1k - $62.4k/yr

Junior

Company Does Not Provide H1B Sponsorship

New Mexico, USA + 34 more

More locations: Washington, USA | Kansas, USA | Pennsylvania, USA | North Dakota, USA | Iowa, USA | Wyoming, USA | Texas, USA | Montana, USA | Jackson Township, NJ, USA | Florida, USA | Waterbury, CT, USA | Nevada, USA | South Carolina, USA | South Dakota, USA | Georgia, USA | Arizona, USA | Concord, NH, USA | Mississippi, USA | Tennessee, USA | Virginia, USA | Minnesota, USA | Colorado, USA | Utah, USA | Northeastern United States, USA | West Virginia, USA | New York, NY, USA | Maryland, USA | Maine, USA | Massachusetts, USA | North Carolina, USA | Oklahoma, USA | Louisiana, USA | Alabama, USA | United States

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Requirements
  • Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or previous relevant medical training or work experience
  • HS diploma/GED
  • Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills
  • Experience working in a fast-paced environment that requires handling multiple priorities simultaneously
Responsibilities
  • Receive incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors requiring medical intervention
  • Contemporaneously and accurately documents call in designated PHI system.
  • Manages an assigned member caseload who require short term care coordination and health navigation
  • Works within the interdisciplinary care team to support timely communication of member issues or needs and monitors screening of members effectively to improve quality and cost outcomes
  • Performs outreach calls to members to confirm services are in place
  • Additional duties as assigned
Desired Qualifications
  • Associate degree.
  • 1 year working with medically fragile children in the community.
  • Work experience with member outreach in a member services or call center environment preferred.
  • Work experience with healthcare background or familiarity with medical terminology, Medicaid & Child health plus benefit products.
  • Bilingual (English Spanish or Mandarin-Cantonese) preferred.

Healthfirst provides health insurance services to nearly two million New Yorkers, ensuring that everyone has access to quality healthcare. Their products include a variety of plans such as Medicaid, Medicare Advantage, Child Health Plus, Essential Plans, Long-Term Care, and Qualified Health plans, catering to different life stages and needs. Healthfirst operates on a partnership model with hospitals and physicians, focusing on health outcomes rather than profits, which sets them apart from many for-profit insurers. The company's goal is to promote health equity, allowing all individuals, regardless of their background, to lead healthy and fulfilling lives.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

New York City, New York

Founded

1993

Simplify Jobs

Simplify's Take

What believers are saying

  • Partnerships with tech firms like Hyphen boost innovative care solutions.
  • Healthfirst's health equity programs address disparities effectively.
  • Community health initiatives expand access to care in underserved regions.

What critics are saying

  • Competition from companies like Twilio offering integrated data solutions.
  • Pharmacy Incentive Program's reliance on community pharmacists poses operational challenges.
  • Dependence on partnerships for legal assistance may face disruptions.

What makes Healthfirst unique

  • Healthfirst collaborates with Hyphen to enhance value-based care through pharmacy programs.
  • The company focuses on health equity with initiatives like Healthfirst ADVANCE.
  • Healthfirst's community-based programs improve access to care in underserved areas.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) Company Match

Performance Bonus

Company News

Business Wire
May 15th, 2024
Hyphen, Healthfirst Collaboration To Empower Pharmacists’ Role In Value-Based Care Receives 2024 Points Of Light Award From Klas Research

HARTFORD, Conn.--(BUSINESS WIRE)--Hyphen, the technology company creating connected-care, has received a 2024 Points of Light Award from KLAS Research, the leading healthcare research and insights firm, for its efforts to improve payer-provider collaboration in support of improved outcomes in value-based care with Healthfirst, a non-profit health plan serving close to 2 million New Yorkers. KLAS recognized Hyphen’s Pharmacy Assistant application, which supports Healthfirst’s Pharmacy Incentive Program. The program is designed to empower community pharmacists within Healthfirst’s network to take action to improve medication adherence rates, increase members’ understanding of their health plan benefits, and get compensated for those actions. This program is especially impactful because 80% of Medicare Advantage members in New York visit their community pharmacy 5-10 times annually — more than they visit their primary care doctor. The Pharmacy Assistant application connects disparate data sources and delivers real-time, actionable information in pharmacists’ existing workflows so they can close care gaps

MENAFN
Jan 25th, 2024
Montefiore Designated As A Behavioral Center Of Excellence, Granted $7M To Address Gaps In NYC Mental And Behavioral Health Care

New York State Office of Mental Health Funding to Support Plans for New Comprehensive Psychiatric Emergency Program and Outpatient Services Includin

WNewsJ
Sep 20th, 2023
Health First announces local grants

HealthFirst partnered with the Clinton County Foundation to ensure grant funding is annually available to the community.

Digit Kerala
Aug 10th, 2023
Health First Pharmacy Careers in Dubai - Abu Dhabi and Al Ain

Health First Pharmacy Careers UAE: Health First Pharmacy has published the latest job vacancies on its Careers page.

Clinton County Ohio Foundation
Aug 8th, 2023
Health First Renews Focus on Individual and Community Health and Wellness

HealthFirst partnered with the Clinton County Foundation to ensure grant funding is annually available to the community.