Company · 184 open roles
Careers at Healthfirst
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184 positions at Healthfirst
Ancillary Services Network Account Manager I
Healthfirst·Hybrid - NY
Ancillary Services Network Account Manager I at Healthfirst. Location: Hybrid - NY.
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish)
Healthfirst·Bronx, NY
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish) at Healthfirst. Location: Bronx, NY.
Senior Reconciliation & Recovery Analyst
Healthfirst·Lake Mary, FL
Senior Reconciliation & Recovery Analyst at Healthfirst. Location: Lake Mary, FL.
Medicare Inside Sales Representative
Healthfirst·Hybrid - NY
Medicare Inside Sales Representative at Healthfirst. Location: Hybrid - NY.
Senior Project Manager
Healthfirst·New York, New York, United States
Senior Project Manager at Healthfirst. Location: New York, New York, United States.
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 …
Senior Reconciliation & Recovery Analyst
Healthfirst·Lake Mary, Florida, United States
Senior Reconciliation & Recovery Analyst at Healthfirst. Location: Lake Mary, Florida, United States.
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 …
Ancillary Services Network Account Manager I
Healthfirst·New York, NY
Description and Requirements 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 loweri…
Ancillary Services Network Account Manager I
Healthfirst·New York, New York, United States
Ancillary Services Network Account Manager I at Healthfirst. Location: New York, New York, United States.
Ancillary Services Network Account Manager I
Healthfirst·New York City, New York, United States
Ancillary Services Network Account Manager I at Healthfirst. Location: New York City, New York, United States.
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…
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…
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…
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…
Senior Network Account Manager
Healthfirst·United States
Senior Network Account Manager at Healthfirst. Location: United States.
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.
SR Director Sales
HealthFirst·Mountlake Terrace or Mukilteo
SR Director Sales at HealthFirst. Location: Mountlake Terrace or Mukilteo.
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