Company · 307 open roles
Careers at Healthfirst
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307 positions at Healthfirst
DevOps Principal Engineer
Healthfirst·Remote - FL
The Principal Engineer, Infrastructure and Operations is an integral driver of the Healthfirst cloud and operational excellence strategy. This role manages enterprise solutions in both public and private clouds while also utilizing tools to automate system deployment and configur…
Manager of Clinical Appeals and Grievances
Healthfirst·Remote - NY
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 areas for Appeals & Grievances,…
Learning Delivery Specialist | Hybrid NY
Healthfirst·New York, NY
Description and Requirements The Learning Delivery Specialist 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 lea…
Learning Delivery Specialist | Hybrid NY
Healthfirst·New York, NY
The Learning Delivery Specialist 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 and will be re…
Outreach Retention Specialist
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, …
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…
HR Shared Services Senior Specialist | Hybrid NY
Healthfirst·New York, NY
Description and Requirements The Senior HR Shared Services Specialist is responsible for resolving complex, high impact inquiries and transactions across multiple tiers within the HR Shared Services (HRSS) organization. Serving as a subject matter expert (SME) this role is accoun…
CCO Service Agent - 100% Remote
Healthfirst·Remote - NY
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…
HR Shared Services Senior Specialist | Hybrid NY
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, …
Risk Adjustment, Financial Analyst (Hybrid NY)
Healthfirst·New York, NY
Description and Requirements The Healthcare Analyst (HCA) provides support through the research and investigation of business issues related to cost, utilization, and revenue data for multiple Healthfirst products. The HCA will identify/monitor cost and utilization trends and the…
Field Service Agent - Manhattan - Bilingual Spanish
Healthfirst·Field - Manhattan
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…
Bilingual Senior Retention Advocate
Healthfirst·New York, NY
Description and Requirements The Bilingual (Spanish and/or Man/Can) Sr Retention Advocate (SRA) is responsible for educating and providing Healthfirst members support to obtain financial entitlements for which they are eligible that enable members to maintain the highest level of…
Hybrid Care Manager, Brooklyn, NY
Healthfirst·New York, NY
Description and Requirements The Field Based Care Manager evaluates members' care needs and promotes quality outcomes and treatment via a variety of modalities and engagement strategies. The Field Based Care Manager works directly with members in field-based settings and telephon…
Bilingual Call Center Rep (Relationship Coordinator)
Healthfirst·Flexible / Remote
Description and Requirements The Relationship Coordinator solicits and provides information via telephonic efforts in support of Healthfirst's Medicare Advantage Plan, Complete Care (MAP), Managed Long Term Care Plan (MLTC) Senior Health Partners (SHP) and Mainstream/Health and R…
State Programs Member Engagement Specialist (Facilitated Enrollment)
Healthfirst·New York, NY
Description and Requirements 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 identifyi…
Risk Adjustment, Financial Analyst (Hybrid NY)
Healthfirst·Hybrid - NY
The Healthcare Analyst (HCA) provides support through the research and investigation of business issues related to cost, utilization, and revenue data for multiple Healthfirst products. The HCA will identify/monitor cost and utilization trends and the root causes in health plan t…
Community Relations Specialist - Queens/Nassau
Healthfirst·New York, NY
Description and Requirements Community Relations Specialists are on the front lines of improving the lives of New Yorkers by connecting people to health-insurance products and resources that create greater health equity. Community Relations Specialists are bridge-builders, connec…
Bilingual Senior Retention Advocate
Healthfirst·New York, NY
The Bilingual (Spanish and/or Man/Can) Sr Retention Advocate (SRA) is responsible for educating and providing Healthfirst members support to obtain financial entitlements for which they are eligible that enable members to maintain the highest level of independence both at home an…
Community Relations Specialist - Queens/Nassau
Healthfirst·Queens, NY
Community Relations Specialists are on the front lines of improving the lives of New Yorkers by connecting people to health-insurance products and resources that create greater health equity. Community Relations Specialists are bridge-builders, connecting communities to needed in…
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 …
Field Service Agent - Bilingual Spanish - Manhattan
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 insurance, applications and/or claims not paid. The F…
Appeals and Grievances Clinical Specialist
Healthfirst·Remote - NY
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 works in collaboration with …
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…
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 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 …
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