Company · 307 open roles
Careers at Healthfirst
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307 positions at Healthfirst
Hospital Strategic Account Manager II
Healthfirst·New York, NY
Description and Requirements The Associate of Strategic Account Management is a pivotal role responsible for a wide range of tasks to ensure that each Strategic Account Management team is aligned and delivers results. The Strategic Account Management Associate has responsibility …
Field Service Agent - Bronx - Bilingual Spanish
Healthfirst·Field - Bronx
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…
Senior HR Process & Service Design Manager | Hybrid NY
Healthfirst·New York, NY
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 governance, ensuring that HR …
Hospital Strategic Account Manager II
Healthfirst·New York, NY
The Associate of Strategic Account Management is a pivotal role responsible for a wide range of tasks to ensure that each Strategic Account Management team is aligned and delivers results. The Strategic Account Management Associate has responsibility for tracking and communicatin…
Operations Analyst
Healthfirst·Lake Mary, FL
The Operations Analyst (OA) is responsible for tracking, reporting, analyzing, supporting, and summarizing operations processes and data. The OA position assists with various departmental activities that may or may not include ensuring policy adherence, managing workflows, reconc…
Field Service Agent - Queens - Bilingual Spanish
Healthfirst·Queens, 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…
Ancillary Network Account Manager
Healthfirst·Hybrid - NY
Under the direction of the Manager of Ancillary Services, the Ancillary Services Contractor develops and maintains an Ancillary provider network that ensures Healthfirst members have superior access to the highest quality by focusing efforts on lowering claims costs, improving th…
CCO Service Agent - 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…
Data Analyst, Product Strategy (Hybrid NY)
Healthfirst·New York, NY
The Product Strategy Analyst is passionate and motivated by Healthfirst’s mission and wants to make a lasting impact in healthcare. This individual will create significant impact by providing the analytical support to the Medicaid Product Strategy team to develop, assist in execu…
Sr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY)
Healthfirst·New York, NY
The Senior Analyst, Audit and Compliance Analytics leverages healthcare data, analytical tools, and business knowledge to support Internal Audit, Compliance Analytics, and Claims Configuration Audit initiatives. This role partners with cross-functional teams to identify risks, ev…
CCO Service Agent - 100% Remote
Healthfirst·3 Locations
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, educates clients, retains memb…
AVP Payment Configuration
Healthfirst·Hybrid - NY
The Assistant Vice President (AVP) of Provider Payment partners with senior leadership to design and implement the methods and procedures essential for successful claim & benefit configuration, provider onboarding, and maintenance of provider records. The incumbent provides strat…
Field Care Coordinator
Healthfirst·Field - Westchester
As a valuable member of the Healthfirst Care Management team, the Field Care Coordinator (FCC) is responsible for conducting local home visits for Healthfirst members. During these care management visits, the FCC may perform a home environment assessment, administer health questi…
Reconciliation and Recovery Analyst
Healthfirst·Lake Mary, FL
The Enrollment & Billing (E&B) Reconciliation & Recovery Analyst ensures member data is accurate so eligible Healthfirst members’ premium collection from the State is completed in a timely manner. The incumbent also supports various activities within E&B aimed at minimizing futur…
State Programs Member Engagement Specialist (Facilitated Enrollment)
Healthfirst·New York, NY
The MarketPlace Facilitated Enroller is responsible for identifying and educating potential members on all aspects of the plan including new Medicaid, CHP/EP/QHP and answering questions regarding plan’s features and benefits. Responsible for identifying and assisting current memb…
Peer Support Specialist
Healthfirst·Hybrid - NY
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 PSS works directly with member…
Configuration and Quality Audit Analyst | Hybrid NY
Healthfirst·Hybrid - NY
The Configuration Analyst of Office365 is responsible for managing, administering and governing the Office 365 global tenants, including SharePoint Online, MS Teams, OneDrive and other applications within the Office365 suite. The resource will work in a dedicated team focused on …
Configuration and Quality Audit Manager | Hybrid NY
Healthfirst·Hybrid - NY
The Configuration & Quality Audit Manager will help build, lead and mature the new claim configuration auditing function responsible for validating accurate, complete, and compliant provider reimbursement across claims system configuration and adjudication outcomes. This role est…
Director, Enterprise Delivery Services- Digital Provider Collaboration
Healthfirst·New York, NY
Description and Requirements The Director Enterprise Delivery Services, in support of their assigned strategic focus area develops, implements, and executes strategies to deliver on the Healthfirst strategic plan. This person has the responsibility to educate the company, supplie…
Support Coordinator
Healthfirst·New York City, New York, United States
Support Coordinator at Healthfirst. Location: New York City, New York, United States. Role: assisting care, managing authorizations, handling outreach Requirements: High school diploma/GED, prior customer service experience, proficiency with Microsoft Excel/Word/Outlook and CRM, …
Data Analyst, Product Strategy (Hybrid NY)
Healthfirst·New York or New York or New Jersey or Connecticut
Data Analyst, Product Strategy (Hybrid NY) at Healthfirst. Location: New York or New York or New Jersey or Connecticut. Role: analyzing data, creating models, preparing reports Requirements: Bachelor's degree, strong SQL/SAS/Tableau/Python and advanced Microsoft Excel skills; exp…
Data Analyst, Product Strategy (Hybrid NY)
Healthfirst·New York or New Jersey or Connecticut
Data Analyst, Product Strategy (Hybrid NY) at Healthfirst. Location: New York or New Jersey or Connecticut. Role: analyzing performance, creating reports, building models Requirements: Bachelor's degree, strong SQL/SAS/Tableau/Excel skills, experience analyzing membership growth …
Marketing. Mgr. Med. Segment & Emerging Mkts.
HealthFirst·Mukilteo, Washington, United States
Marketing. Mgr. Med. Segment & Emerging Mkts. at HealthFirst. Location: Mukilteo, Washington, United States. Role: developing strategy, executing campaigns, leading team Requirements: 10+ years product/marketing experience (medical device preferred), 1+ year management, Bachelor'…
Director, Enterprise Delivery Services- Digital Provider Collaboration
Healthfirst·New York, NY
The Director Enterprise Delivery Services, in support of their assigned strategic focus area develops, implements, and executes strategies to deliver on the Healthfirst strategic plan. This person has the responsibility to educate the company, suppliers and other invested parties…
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