Company · 307 open roles
Careers at Healthfirst
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307 positions at Healthfirst
Sr Business Analyst -PDO
Healthfirst·New York, NY
The Senior Business Analyst- Provider Data Operations (PDO) is responsible for business process review, data analysis and reporting as it relates to activities which ensure operational effectiveness. Incumbents assist management by coordinating workflow and working directly with …
Manager, Medicare Digital Growth and Lead Management
Healthfirst·New York, NY
Description and Requirements The Manager, Medicare Digital Growth and Lead Management - Digital Sales Growth & Enterprise Lead Management - will help establish, grow, and optimize Healthfirst's Medicare Digital sales channel while advancing enterprise lead management strategy acr…
Field Entitlement Advocate
Healthfirst·Field - Brooklyn
<p>The Entitlement Advocate provides Healthfirst's Medicare Advantage Plan(MAP), Managed Long-Term Care Plan(LTC), Dual eligible Medicare Plan and Nursing Home members and prospects with obtaining and retaining of financial entitlements for which they are eligible. This enables p…
Senior Pharmacy Compliance Reporting Analyst
Healthfirst·Remote
Healthfirst believes that every New Yorker deserves access to the best available healthcare. As one of New York’s highest quality not-for-profit health insurers serving close to two million New Yorkers, we make this a reality for our members. Founded more than 30 years ago by the…
Software Production Support Lead
Healthfirst·Remote - NY
As a Software Production Support Lead, you will ensure the stability, availability, and performance of our products. You will collaborate with cross-functional teams to investigate complex technical issues, support users, and contribute to the continuous improvement of our proces…
Manager, Medicare Digital Growth and Lead Management
Healthfirst·Hybrid - NY
The Manager, Medicare Digital Growth and Lead Management — Digital Sales Growth & Enterprise Lead Management - will help establish, grow, and optimize Healthfirst’s Medicare Digital sales channel while advancing enterprise lead management strategy across Medicare distribution cha…
Claims Configuration and Quality Audit Analyst | Hybrid NY
Healthfirst·New York, NY
Description and Requirements 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…
Claims 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 …
Manager, Clinical Pharmacist UM
Healthfirst·Hybrid - NY
The Manager, Clinical Pharmacist UM is responsible for the review of prior authorization requests for medications requested under the medical benefit. Additionally, the role is responsible for the hands-on leadership over the UM Pharmacy team and all related people management res…
Total Cost of Care, Manager
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, …
LTC Care Coordinator
Healthfirst·Remote
Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care system. The Care Coordinator supports various teams to provide excellent customer service to our NorthStar Members. Duties…
Director - Business Contracting
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, …
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish)
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 …
Senior Manager, Clinical Appeals Grievances
Healthfirst·Flexible / Remote
Description and Requirements The Senior Manager, Clinical Appeals & Grievances provides strategic and operational leadership for the Clinical Appeals & Grievances function, ensuring timely, high-quality, and compliant review of clinical appeals and/or grievance cases. This role o…
Field Care Coordinator
Healthfirst·New York, NY
Description and Requirements 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 assessm…
Support Coordinator - Spanish Fluency
Healthfirst·Flexible / Remote
Description and Requirements Job Profile Summary The Support Coordinator is responsible for assisting the care/case managers with non-clinical activities such as creating cases and events; managing authorizations; providing telephonic outreach to members, providers and community-…
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish)
Healthfirst·Bronx, 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, …
Sr AI Security Engineer
Healthfirst·New York, NY
The Sr AI Security Engineer continuously monitors the vulnerability of the enterprise and develops engineering solutions to improve the security of the Healthfirst infrastructure. The Sr AI Security Engineer applies expertise across the Cyber Security discipline by demonstrating …
Senior Manager, Clinical Appeals Grievances
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, …
Appeals and Grievances Clinical Specialist/ Quality Of Care
Healthfirst·Remote - 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, …
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…
Support Coordinator - Spanish Fluency
Healthfirst·Remote
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, …
Manager of 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…
Manager, Clinical Pharmacist UM
Healthfirst·New York, NY
Description and Requirements The Manager, Clinical Pharmacist UM is responsible for the review of prior authorization requests for medications requested under the medical benefit. Additionally, the role is responsible for the hands-on leadership over the UM Pharmacy team and all …
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