Company · 307 open roles
Careers at Healthfirst
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307 positions at Healthfirst
A&G Clinical Specialist --Wednesday-Saturday Schedule
Healthfirst·Remote - NY
The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G works in collaboration with divisions within an…
Clinical Pharmacy Technician
Healthfirst·Remote - NY
The Pharmacy Technician is responsible for providing member medication counseling and assistance to minimize gaps in treatment by collaborating with various teams across Healthfirst and with our community partners of pharmacists and providers.Duties & Responsibilities: • Perform…
Field Service Agent - Long Island - Spanish
Healthfirst·Long Island, NY
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. This individual receives and addresses member & provider inquiries, de-escalates and resolves complaints, educates clients, engages in member retention activities, and escalates issues req…
Sr Manager, Clinical UM Operations - Automation
Healthfirst·Remote - NY
The Senior Manager, Clinical Utilization Management (UM) Operations provides strategic and operational leadership for UM activities, with a key focus on advancing UM modernization and transformation. This role partners closely with the Vice President, internal UM leadership, exte…
Field Service Agent - Queens - Bengali/Urdu
Healthfirst·New York, NY
Description and Requirements The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. The individual is responsible for assisting customers with issues and inquiries they may have about their The Field Service Agent acts as an in-person liaison …
Field Assessment Registered Nurse, Bronx, NY (Spanish Fluency)
Healthfirst·New York, NY
Description and Requirements Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative …
Field Service Agent - Queens - Bengali/Urdu
Healthfirst·Field - Queens
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. The individual is responsible for assisting customers with issues and inquiries they may have about their The Field Service Agent acts as an in-person liaison between Healthfirst and its c…
Appeals and Grievances Clinical Specialist
Healthfirst·Flexible / Remote
Description and Requirements Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G …
Senior Analyst, Total Cost of Care
Healthfirst·New York, NY
The Senior Analyst, Total Cost of Care, will develop analyses and tools to help monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. This key role will serve as healthcare analytics and data subject matter expert,…
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish)
Healthfirst·Bronx, NY
<p>Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency.…
Hospital Specialist
Healthfirst·New York, NY
Description and Requirements The Hospital Specialist is the point person responsible for ensuring maximization of operational efficiency between Healthfirst and our network hospitals. This role is required to report onsite to our 100 Church Street office Tuesday-Thursday. Respons…
Senior Healthcare Analyst, Risk Adjustment
Healthfirst·New York, NY
Description and Requirements The Senior Healthcare Analyst, Risk Adjustment is responsible for monitoring risk adjustment performance, communicating financial results, and identifying areas of opportunity for Healthfirst and hospital senior management. This role contributes to a …
Hospital Specialist
Healthfirst·Hybrid - NY
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, …
Vendor Lead
Healthfirst·New York, NY
The Vendor Lead is responsible for strengthening vendor performance, governance, risk management, and strategic relationships across an assigned portfolio of enterprise vendors. The role operates through a combination of center-led vendor governance and centralized vendor managem…
Procurement Intelligence Analyst
Healthfirst·New York, NY
The Procurement Intelligence Analyst develops and delivers the analytics, market intelligence, performance reporting, and data insights that enable Enterprise Procurement to make informed, data-driven decisions. The role transforms procurement, supplier, financial, and operationa…
Sales Operations Service Agent-2
Healthfirst·Remote - NY
The Sales Operations Service Agent is responsible for supporting the Sales Operations Service Center by ensuring that brokers/agents and their uplines receive exceptional customer service. The Sales Operations Service Agent fields phone and written inquiries from Brokers/ Agents …
Data Engineer
Healthfirst·Hybrid - NY
The Data Engineer is responsible for data acquisition strategies and integration, scripting and tools, data migrations, conversions, purging, and back-ups. The incumbent works with product, financial control, analysts, users, and other stakeholders to understand business requirem…
Sr ServiceNow Developer
Healthfirst·Remote - FL
The Sr ServiceNow Developer will play a key role in maturing our ServiceNow platform, and as a result, our Service Management practice. This individual will be working with key business units and process managers in order to build solutions and processes, supporting maintenance, …
Manager BH Utilization Management and ABA Peer Reviewer
Healthfirst·Hybrid - NY
The Manager, Behavioral Health Utilization Management and Applied Behavior Analysis (ABA) Peer Reviewer provides clinical leadership and operational oversight for Behavioral Health Utilization Management (BH UM) and ABA services. The Manager supervises and supports clinical revie…
Learning Delivery Specialist Clinical RN
Healthfirst·New York, NY
The Learning Delivery Specialist (Clinical RN) will act as an ambassador in fostering the HF culture and supporting the implementation and delivery of content relevant to enterprise initiatives, business units and strategy. This individual will lead and support learning projects …
Procurement Digital Transformation Lead | Hybrid NY
Healthfirst·New York, NY
The Procurement Digital Transformation Lead develops and executes the digital procurement roadmap that enables Enterprise Procurement to operate as a scalable, data-driven, and AI-enabled function. The role is responsible for translating procurement strategy and operating-model r…
Strategic Sourcing Specialist
Healthfirst·New York, NY
The Strategic Sourcing Specialist executes enterprise strategic sourcing initiatives across multiple spend categories, translating category sourcing strategies into disciplined, competitive sourcing events that deliver measurable commercial value. The role manages RFx execution, …
Senior Manager – Head of Procurement Center of Excellence
Healthfirst·New York, NY
The Senior Manager – Head of Procurement Center of Excellence (COE) provides strategic leadership for Enterprise Procurement's governance, digital procurement, analytics, process excellence, vendor management governance, and organizational capability functions. The role is respon…
Category Manager – IT HW, SW, Telecom
Healthfirst·New York, NY
A Category Manager for IT Hardware, Software, and Telecommunications develops and executes enterprise category strategies that optimize value, manage risk, and enable business growth through data-driven decision-making, digital procurement capabilities, and strategic supplier par…
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