Company · 307 open roles
Careers at Healthfirst
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307 positions at Healthfirst
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…
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…
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 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…
Instructional Designer | Hybrid NY or FL
Healthfirst·New York, NY
The Instructional Designer is responsible for designing and developing multi-pronged, multi-modal best-in class learning programs that align to the Healthfirst culture with an emphasis in digital transformation. The Instructional designer will execute learning analysis, design an…
Director, Enterprise Delivery Services- Digital Provider Collaboration
Healthfirst·New York or Lake Mary
Director, Enterprise Delivery Services- Digital Provider Collaboration at Healthfirst. Location: New York or Lake Mary. Role: overseeing projects, leading teams, driving change Requirements: Bachelor's degree, 5+ years healthcare experience, strong program/change management and l…
Appeals Specialist
Healthfirst·New York, United States
Appeals Specialist at Healthfirst. Location: New York, United States. Role: developing cases, resolving cases, researching issues Requirements: HS diploma/GED, 2+ years managed care experience with appeals for Medicare/Medicaid/dual/commercial plans, claims processing knowledge, …
Instructional Designer | Hybrid NY or FL
Healthfirst·New York City or Lake Mary
Instructional Designer | Hybrid NY or FL at Healthfirst. Location: New York City or Lake Mary. Role: designing learning, developing content, managing curriculum Requirements: Bachelor's in instructional design or related field,2+ years designing and developing learning,advanced P…
Instructional Designer | Hybrid NY or FL
Healthfirst·New York or Lake Mary
Instructional Designer | Hybrid NY or FL at Healthfirst. Location: New York or Lake Mary. Role: designing learning, developing content, managing curriculum Requirements: Bachelor's in instructional design or related field, 2+ years instructional design experience, proficiency wit…
Director, Enterprise Delivery Services- Digital Provider Collaboration
Healthfirst·New York City or Lake Mary
Director, Enterprise Delivery Services- Digital Provider Collaboration at Healthfirst. Location: New York City or Lake Mary. Role: overseeing projects, leading transformation, managing portfolio Requirements: Bachelor's degree, experience leading change management and large cross…
Senior Network Account Manager, FQHC
Healthfirst·New York, New York, United States
Senior Network Account Manager, FQHC at Healthfirst. Location: New York, New York, United States. Role: developing network, educating providers, managing projects Requirements: Experience in provider relations, contract negotiation, reimbursement understanding, project management…
Senior Network Account Manager, FQHC
Healthfirst·New York, United States
Senior Network Account Manager, FQHC at Healthfirst. Location: New York, United States. Role: managing network, negotiating contracts, coaching staff Requirements: Experience in provider operations, contract negotiation, reimbursement understanding, project management, coaching s…
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish)
Healthfirst·Bronx or Brooklyn or New York or New Jersey or Connecticut
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish) at Healthfirst. Location: Bronx or Brooklyn or New York or New Jersey or Connecticut. Role: conducting assessments, reviewing records, liaising caregivers Requirements: Active New York RN license, abil…
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish)
Healthfirst·Bronx or Brooklyn or Rockland County or Westchester County or New York
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish) at Healthfirst. Location: Bronx or Brooklyn or Rockland County or Westchester County or New York. Role: conducting assessments, documenting assessments, liaising teams Requirements: Active New York RN …
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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