Company · 307 open roles
Careers at Healthfirst
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307 positions at Healthfirst
Medical Peer Reviewer
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, …
Senior Network Account Manager
Healthfirst·Hybrid - NY
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 Efficiency, and Population Health. The…
Process Manager Enrollment and Billing
Healthfirst·2 Locations
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 operational processes. The proces…
Senior Reconciliation & Recovery Analyst
Healthfirst·Lake Mary, FL
The Enrollment & Billing (E&B) Senior 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 minimizin…
Senior Project Manager
Healthfirst·New York, New York, United States
Senior Project Manager at Healthfirst. Location: New York, New York, United States. Role: lead delivery, align objectives, manage portfolio Requirements: Bachelor’s degree, healthcare or regulated-industry project leadership; strong SDLC/Agile knowledge; PMP or similar certificat…
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. Role: Analyze data, Create queries, Present findings Requirements: Bachelor’s degree; strong analytical and SQL skills; data analysis; effective communicator; team player. Catego…
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 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, …
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish)
Healthfirst·Bronx, New York, United States
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish) at Healthfirst. Location: Bronx, New York, United States. Role: Conducts home assessments, Navigates multiple platforms, Completes assessment Requirements: New York RN license; ability to travel downst…
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. Role: manage network, negotiate contracts, coordinate with departments Requirements: Experience in managed care network development, provider recruitment/outreach, contr…
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish)
Healthfirst·Bronx, New York, United States
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish) at Healthfirst. Location: Bronx, New York, United States. Role: Conducts home assessments, Navigates technology platforms, Completes service needs assessment Requirements: New York RN license; ability …
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish)
Healthfirst·Bronx, New York, United States
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish) at Healthfirst. Location: Bronx, New York, United States. Role: Conducts assessments, Navigates platforms, Completes assessment Requirements: New York RN license; travel within downstate NY; proficiency…
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish)
Healthfirst·Bronx, New York, United States
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish) at Healthfirst. Location: Bronx, New York, United States. Role: conducts assessments, navigates platforms, provides care management Requirements: New York RN license; ability to travel; strong tech skil…
Product Owner, Corporate Business Technology
Healthfirst·New York, NY
The Product Owner will help create and deliver a best-in-class business systems and operational processes. This individual will be dedicated to the Agile Work Team to interface between the operations team and the delivery of new technology and code. The role is responsible to be…
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…
Director, Utilization Management
Healthfirst·New York, United States
Director, Utilization Management at Healthfirst. Location: New York, United States. Role: Provide strategic direction, Lead performance improvements, Ensure regulatory compliance Requirements: Bachelor’s degree; progressive healthcare leadership; strong knowledge of UM, DOH/CMS r…
Director, Utilization Management
Healthfirst·New York, New York, United States
Director, Utilization Management at Healthfirst. Location: New York, New York, United States. Role: leading UM strategy, developing policies, delivering high-quality care Requirements: Senior-level leadership in utilization management with healthcare regulatory knowledge. Categor…
Director, Workforce Analytics and Strategy - 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, …
Director Configuration, Benefit Administration
Healthfirst·New York, NY
The Director of Configuration, Benefit Administration is responsible for design, implementation, and deployment of benefit configuration structure in order to support product and regulatory needs. This role implements the configuration structure within Healthfirst’s technology pl…
Director, Utilization Management
Healthfirst·100 Church Street
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 operational excellence across…
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…
Dir Configuration, Benefit Administration
Healthfirst·New York, New York, United States
Dir Configuration, Benefit Administration at Healthfirst. Location: New York, New York, United States. Role: Develop strategies, Lead initiatives, Identify opportunities Requirements: Bachelor's degree or higher; HS diploma or GED; strong leadership and interpersonal skills; expe…
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