As a Senior Leader at Healthfirst, the Information Owner works under limited supervision. No instructions are needed on routine work and general instructions are given on new lines of work or special assignments.
Has decision rights and accountability for data collection, data movement, data quality, data definitions, data retention, and data use by both internal and external data consumers
Directs consumers of data on utilization best practices; i.e data stewards, analyst, data architects, and developers
Leads the development and approval of data terms. Ultimate owners of the definitions and artifacts.
Defines and approves data quality rules and thresholds for use
Defines and approves data movement authorization requests
Prioritizes data quality initiatives and leads remediation efforts
Communicates data standards to ensure accurate and consistent use of data; Ensure that data business rules and requirements are reflected in the data design, with a focus on the intersection of the member experience and operational utilization of the data.
Establishes collaborative, cross-functional relationships; communicating information and providing advice to drive enterprise data architecture and utilization decisions forward.
Communicates with business users to collect and understand requirements, socialize ideas among peers, and document business rules specific to data usage patterns; Partners with Business stakeholders, management, and teams to identify needs and support the delivery of cost-effective, high-performance technology capabilities leveraging enterprise information architecture principles and core data assets
Provides thought leadership to cross-functional teams in support of the implementation of complex data integration and management solutions that are innovative, scalable, and adhere to best practices; including data activities associated to: modeling, access, integration, visualization, discovery, database design and implementation
Practices self-leadership and promotes learning in others; provide technical guidance, mentor, and training for team members assisting in data access and utilization.
Develops and performs continuous systems and data analysis anchored to ensuring the data is managed and maintained with high quality.
Supports the build out of the Data Warehouse, Data Marts and other operational data stores.
Minimal Requirements
Employer will accept a Bachelor’s degree in Computer Science, Information Systems, Engineering or related field and five (5) years of experience in the health care insurance industry working with Centers for Medicare & Medicaid Services (CMS) or New York State Enrollment data focused on business outcomes, data analytics and reporting, technical design and solutions.
Position requires:
Five (5) years of experience performing data visualization on healthcare industry and storytelling using data insights using SQL.
Five (5) years of experience performing reporting and data analysis using Excel or other business intelligence reporting tools.
Five (5) years of experience developing solutions on healthcare integrated applications and their technical problems.
Five (5) years of defining, solutioning and testing healthcare enrollment and billing business requirements for New York Health Insurance Plans.
Five (5) years of experience parsing, handling and interpreting Healthcare Electronic Data Integration (EDI) HIPAA transactions.
Two (2) years of experience integrating EDI Healthcare inbound and outbound data exchange applications by using EDI B2B tools and Microsoft .Net programming language.
Two (2) years of experience using data analytics tools to analyze, manage and maintain membership records on healthcare systems.
Experience analyzing and communicating technical changes being implemented by New York State of Health (NYSOH) in the impact on healthcare enrollment and billing systems.
Experience using metrics and analytics to identify and define the system changes for supporting healthcare enrollment and billing processes.
Experience quantifying and qualifying healthcare enrollment and billing issues in a concise and effective manner.
Microsoft Certified Professional
Any applicant who is interested in this position may apply online at http://careers.healthfirst.org or mail resume to HF Management Services, LLC, Attn.: Brandon Gottlieb.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies 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 Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [email protected] or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.
Know Your Rights
All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $169,541 - $185,000
All Other Locations (within approved locations): $169,541 - $185,000
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
Skills Required
- Bachelor's degree in Computer Science, Information Systems, Engineering or related field
- Five years experience in the health care insurance industry working with CMS or New York State Enrollment data focused on business outcomes, data analytics and reporting, technical design and solutions
- Five years performing data visualization on healthcare industry and storytelling using data insights using SQL
- Five years performing reporting and data analysis using Excel or other business intelligence reporting tools
- Five years developing solutions on healthcare integrated applications and their technical problems
- Five years defining, solutioning and testing healthcare enrollment and billing business requirements for New York Health Insurance Plans
- Five years parsing, handling and interpreting Healthcare Electronic Data Integration (EDI) HIPAA transactions
- Two years integrating EDI Healthcare inbound and outbound data exchange applications using EDI B2B tools and Microsoft .Net
- Two years using data analytics tools to analyze, manage and maintain membership records on healthcare systems
- Experience analyzing and communicating technical changes implemented by New York State of Health (NYSOH) and their impact on enrollment and billing systems
- Experience using metrics and analytics to identify and define system changes supporting healthcare enrollment and billing processes
- Experience quantifying and qualifying healthcare enrollment and billing issues concisely and effectively
- Microsoft Certified Professional
Healthfirst, Inc Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Healthfirst, Inc and has not been reviewed or approved by Healthfirst, Inc.
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Healthcare Strength — Healthcare coverage is positioned as a comprehensive offering, including medical/dental/vision options and additional mental-health support through Spring Health. Wellness credits and disability coverage further strengthen the perceived breadth of health-related support.
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Leave & Time Off Breadth — Time off appears robust, with paid time off plus a set of paid holidays and additional early office-closure days. A designated Social Justice day and noted parental/bereavement leave options add to the overall leave breadth.
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Retirement Support — Retirement support is framed around a 401(k) program with a company match that can reach a meaningful level after a tenure milestone. This match is repeatedly highlighted as a notable component of total rewards value.
Healthfirst, Inc Insights
What We Do
Healthfirst is a provider-sponsored health insurance company that serves 1.8 million members in downstate New York. Healthfirst offers top-quality Medicaid, Medicare Advantage, Child Health Plus, and Managed Long Term Care plans. Healthfirst Leaf Qualified Health Plans and the Healthfirst Essential Plan are offered on NY State of Health, The Official Health Plan Marketplace. Healthfirst offers Healthfirst Pro and Pro Plus, Exclusive Provider Organization (EPO) plans for small-business owners and their employees, and Healthfirst Total, an EPO for individuals. For more information on Healthfirst, visit www.healthfirst.org





