Company · 307 open roles
Careers at Healthfirst
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307 positions at Healthfirst
Project Manager- Clinical Transformation
Healthfirst·Sebring, FL
Description and Requirements The Project Manager Clinical Transformation (PM) supports the end-to-end coordination and execution of cross-functional initiatives focused on clinical operations enablement, workflow modernization, regulatory readiness, operational adoption, and tech…
Sr. Product Specialist
Healthfirst·New York, NY
Description and Requirements The Senior Specialist of Product Shared Services (Product Optimization) leads special initiatives, small to mid-scale initiatives, and ad-hoc activities. This includes collaboration and coordination with internal business partners, contributors, and s…
Cyber Security Engineer
Healthfirst·New York City or New York or New Jersey or Connecticut or United States
Cyber Security Engineer at Healthfirst. Location: New York City or New York or New Jersey or Connecticut or United States. Role: supporting infrastructure, managing vulnerabilities, assisting response Requirements: Entry-to-intermediate cyber security knowledge; experience in sec…
Cyber Security Engineer
Healthfirst·New York City or New York or New Jersey or Connecticut
Cyber Security Engineer at Healthfirst. Location: New York City or New York or New Jersey or Connecticut. Role: monitoring vulnerabilities, implementing security, supporting incidents Requirements: Entry- to intermediate-level cyber security role supporting vulnerability manageme…
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…
A&G Clinical Specialist
Healthfirst·New York or New Jersey or Connecticut
A&G Clinical Specialist at Healthfirst. Location: New York or New Jersey or Connecticut. Role: classifying appeals, investigating grievances, entering data Requirements: LPN or RN required. Knowledge of appeals & grievances, utilization review, InterQual/Medicare guidelines prefe…
A&G Clinical Specialist
Healthfirst·New York or West Virginia or North Dakota or Wisconsin or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or Florida or Delaware or Connecticut or New Hampshire or Arizona or Vermont or Alabama or Maine or Wyoming or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Hawaii or Oklahoma
A&G Clinical Specialist at Healthfirst. Location: New York or West Virginia or North Dakota or Wisconsin or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or F…
Team Lead Enrollment and Billing
Healthfirst·Sebring, FL
Description and Requirements The Team Lead, Enrollment & Billing is responsible for overseeing production for a defined line of business at Healthfirst. The Team Lead, Enrollment & Billing is directly responsible for supervising non-exempt employees, monitoring attendance, approv…
Director, Enterprise Delivery Services - Clinical
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…
Field Entitlement Enrollment Advocate - Bilingual Spanish or Man/Can
Healthfirst·New York, NY
Description and Requirements T he Entitlement Advocate provides Healthfirst 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…
Team Lead Enrollment and Billing
Healthfirst·Lake Mary or New York or New Jersey or Connecticut or United States
Team Lead Enrollment and Billing at Healthfirst. Location: Lake Mary or New York or New Jersey or Connecticut or United States. Role: overseeing production, supervising staff, reporting metrics Requirements: Supervisory experience overseeing enrollment and billing production, pro…
Vendor Partner Specialist - Contact Center Operations
Healthfirst·New York or New Jersey or Connecticut or United States
Vendor Partner Specialist - Contact Center Operations at Healthfirst. Location: New York or New Jersey or Connecticut or United States. Role: managing vendors, delegating workflow, ensuring compliance Requirements: Experience in vendor relationship management, workflow analysis, …
Vendor Partner Specialist - Contact Center Operations
Healthfirst·Remote
The Vendor Partner Specialist is the principal contact for all vendor-related interdepartmental collaborations and is responsible for the relationship and management of business services being performed by external vendors (including off-shore). Management of these services will …
Director, Enterprise Delivery Services - Clinical
Healthfirst·New York City or Lake Mary
Director, Enterprise Delivery Services - Clinical at Healthfirst. Location: New York City or Lake Mary. Role: overseeing projects, leading transformation, managing stakeholders Requirements: Bachelor's degree required; experience leading large programs, change management, and cap…
Director, Enterprise Delivery Services - Clinical
Healthfirst·New York City or Lake Mary
Director, Enterprise Delivery Services - Clinical at Healthfirst. Location: New York City or Lake Mary. Role: managing portfolios, leading programs, driving change Requirements: Bachelor's degree required; experience in management consulting, change management, transformation, an…
Technical Business Analyst
Healthfirst·New York City or Lake Mary
Technical Business Analyst at Healthfirst. Location: New York City or Lake Mary. Role: eliciting requirements, analyzing data, presenting findings Requirements: High School diploma/GED; 2–3 years business analyst experience; experience eliciting/defining requirements, Agile/SAFe …
Technical Business Analyst
Healthfirst·New York City or New York or New Jersey or Connecticut or Florida
Technical Business Analyst at Healthfirst. Location: New York City or New York or New Jersey or Connecticut or Florida. Role: defining requirements, analyzing data, documenting processes Requirements: High school diploma or GED; 2+ years as a business analyst; experience elicitin…
Manager, Hospital Strategic Account Management
Healthfirst·New York or New Jersey or Connecticut or United States
Manager, Hospital Strategic Account Management at Healthfirst. Location: New York or New Jersey or Connecticut or United States. Role: developing relationships, leading strategy, negotiating agreements Requirements: Experience leading teams in a matrixed environment, working with…
Senior Analyst, Total Cost of Care - Hybrid NY
Healthfirst·New York or New York or New Jersey or Connecticut
Senior Analyst, Total Cost of Care - Hybrid NY at Healthfirst. Location: New York or New York or New Jersey or Connecticut. Role: developing tools, monitoring costs, analyzing data Requirements: Bachelor's degree required; 3+ years healthcare analytics (2+ years in contract evalu…
Director Customer Experience Strategy
Healthfirst·New York, NY
Description and Requirements The Director, Customer Experience Strategy is responsible for leading the development and execution of customer experience strategies that improve how Medicaid members engage with Healthfirst across key journeys and touchpoints. This role plays a crit…
Learning Delivery Specialist | Hybrid NY or FL
Healthfirst·New York, NY
Description and Requirements The Learning Delivery Specialist will act as an ambassador in fostering the Healthfirst culture and supporting the implementation and delivery of content relevant to enterprise initiatives, business units and strategy. This individual will lead and su…
Manager, Medicaid Strategic Initiatives
Healthfirst·New York, NY
Description and Requirements The Mgr Medicaid Growth & Retention's primary focus will be to work cross functionally to develop, execute, support, and continuously improve on strategies and operations related to retention, growth, and financial performance that contribute to profi…
Bilingual Sales Operations Service Agent (Spanish and/or Mandarin/Cantonese
Healthfirst·New York or New Jersey or Connecticut or United States
Bilingual Sales Operations Service Agent (Spanish and/or Mandarin/Cantonese at Healthfirst. Location: New York or New Jersey or Connecticut or United States. Role: assisting brokers, resolving inquiries, tracking quality Requirements: High school diploma/GED; experience in telep…
Bilingual Sales Operations Service Agent (Spanish and/or Mandarin/Cantonese
Healthfirst·New York City or New York or New Jersey or Connecticut
Bilingual Sales Operations Service Agent (Spanish and/or Mandarin/Cantonese at Healthfirst. Location: New York City or New York or New Jersey or Connecticut. Role: fielding inquiries, resolving issues, supporting brokers Requirements: Bilingual (Spanish and/or Mandarin/Cantonese)…
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