Company · 307 open roles
Careers at Healthfirst
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307 positions at Healthfirst
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish)
Healthfirst·Bronx, New York, United States
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish) at Healthfirst. Location: Bronx, New York, United States. Role: Conducts home assessments, Navigates technology platforms, Completes service needs assessment Requirements: New York RN license; ability …
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish)
Healthfirst·Bronx, New York, United States
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish) at Healthfirst. Location: Bronx, New York, United States. Role: Conducts assessments, Navigates platforms, Completes assessment Requirements: New York RN license; travel within downstate NY; proficiency…
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish)
Healthfirst·Bronx, New York, United States
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish) at Healthfirst. Location: Bronx, New York, United States. Role: conducts assessments, navigates platforms, provides care management Requirements: New York RN license; ability to travel; strong tech skil…
Director, Utilization Management
Healthfirst·New York, NY
Description and Requirements The Director of Utilization Management is a transformational clinical operations leader responsible for delivering strategic and operational oversight for Utilization Management (UM) teams. This high-impact forward-thinking leader drives clinical and …
Manager Clinical Appeals and Grievances
Healthfirst·Flexible / Remote
Description and Requirements The Manager, Clinical Appeals & Grievances is responsible for leading, operating, and advising a dynamic and fast-paced Clinical Appeals & Grievances team. This role works closely with multiple leaders in the organization to identify priority focus ar…
Director, Utilization Management
Healthfirst·New York, United States
Director, Utilization Management at Healthfirst. Location: New York, United States. Role: Provide strategic direction, Lead performance improvements, Ensure regulatory compliance Requirements: Bachelor’s degree; progressive healthcare leadership; strong knowledge of UM, DOH/CMS r…
Director, Utilization Management
Healthfirst·New York, New York, United States
Director, Utilization Management at Healthfirst. Location: New York, New York, United States. Role: leading UM strategy, developing policies, delivering high-quality care Requirements: Senior-level leadership in utilization management with healthcare regulatory knowledge. Categor…
Process Manager Enrollment and Billing
Healthfirst·Sebring, FL
Description and Requirements The Process Manager for Enrollment and Billing (E&B) leads the execution of processes that support the delivery of critical health services for Healthfirst customers. The incumbent monitors, reports, and plans for improvement across a set of core oper…
CCO Service Agent - Bilingual - 100% Remote
Healthfirst·Flexible / Remote
Description and Requirements The Service Agent is responsible for supporting Contact Center Operations (CCO) by ensuring members and/or providers receive an exceptional customer experience. This individual receives and addresses member & provider inquiries, resolves complaints, e…
Dir Configuration, Benefit Administration
Healthfirst·New York, New York, United States
Dir Configuration, Benefit Administration at Healthfirst. Location: New York, New York, United States. Role: Develop strategies, Lead initiatives, Identify opportunities Requirements: Bachelor's degree or higher; HS diploma or GED; strong leadership and interpersonal skills; expe…
AVP, Community Engagement
Healthfirst·New York, NY
Description and Requirements The Assistant Vice President (AVP) of Community Engagement is accountable for positioning Healthfirst as an engaged community health partner through high-impact, locally executed engagement strategies. Our main objective is to improve member health th…
CCO Service Agent – Language Requirement
Healthfirst·New York or Florida or New Jersey
CCO Service Agent – Language Requirement at Healthfirst. Location: New York or Florida or New Jersey. Role: providing service, addressing inquiries, escalating issues Requirements: Customer service experience; high school diploma or GED; ability to work in a fast-paced healthcare…
CCO Service Agent – Bilingual - 100% Remote
Healthfirst·United States
CCO Service Agent – Bilingual - 100% Remote at Healthfirst. Location: United States. Role: address inquiries, resolve issues, educate clients Requirements: High school diploma; customer service experience; proficient with Microsoft Office; strong communication. Category: Customer…
AVP, Community Engagement
Healthfirst·New York City, New York, United States
AVP, Community Engagement at Healthfirst. Location: New York City, New York, United States. Role: lead team, develop strategy, engage partners Requirements: Lead community engagement strategy; manage team; strong NYC managed care market knowledge; project management; excellent co…
Investigator, Special Investigations Unit | Remote
Healthfirst·Flexible / Remote
Description and Requirements The Investigator within the Special Investigations Unit (SIU) will be responsible for effectively carrying out complex investigations of alleged misconduct and Fraud, Waste and Abuse by providers, representatives, employees, members, and others. This …
Peer Support Specialist
Healthfirst·New York, NY
Description and Requirements As a valued member of the Behavioral Health Care Management Team, the Peer Support Specialist (PSS) utilizes lived experience to model recovery and support Healthfirst members who are struggling with mental health and/or substance use disorders. The P…
Senior HR Process & Service Design Manager | Hybrid NY
Healthfirst·New York, NY
Description and Requirements The Senior HR Process & Service Design Manager is responsible for defining, designing, and governing how HR services are delivered across Healthfirst. This role serves as the central owner of HR service workflows, process standards, and operational go…
Senior Network Account Manager
Healthfirst·New York, NY
Description and Requirements The Senior Account Manager is committed to the development and supervision of a high performance provider network, through various provider engagement strategies which follow four core principles: Quality, Clinical Efficiency, Administrative Efficienc…
Peer Support Specialist
Healthfirst·New York City or New York
Peer Support Specialist at Healthfirst. Location: New York City or New York. Role: Manage caseload, Schedule visits, Coordinate care Requirements: High school diploma; Peer Specialist certification; strong communication; able to travel across downstate NY; proficient with Outlook…
Peer Support Specialist
Healthfirst·United States
Peer Support Specialist at Healthfirst. Location: United States. Role: Coordinate care, Conduct field visits Requirements: HS diploma; Peer Specialist or Recovery Peer Advocate certification; strong communication; eligibility to travel in downstate NY; proficient in MS Office. Ca…
Senior HR Process & Service Design Manager | Hybrid NY
Healthfirst·New York City, New York, United States
Senior HR Process & Service Design Manager | Hybrid NY at Healthfirst. Location: New York City, New York, United States. Role: Design processes, Govern governance, Partner stakeholders Requirements: Senior HR process design leader with 7+ years in HR ops, cross-functional design,…
Senior Manager Clinical Eligibility
Healthfirst·New York, NY
Description and Requirements The Senior Mgr of Clinical Eligibility will have knowledge of the current assessment process, for both Medicaid and Medicare programs. This position will support the Assessment Managers in planning, directing, and implementing processes for successful…
Senior Manager Clinical Eligibility
Healthfirst·New York City, New York, United States
Senior Manager Clinical Eligibility at Healthfirst. Location: New York City, New York, United States. Role: manages staff, coordinates care, supervises assessments Requirements: NYS licensed RN; Bachelor's degree; Medicaid/Medicare knowledge; supervisory/management experience; st…
AVP, Community Engagement
Healthfirst·New York, 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, …
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