Jobs at Healthfirst, Inc

The Product Owner will drive product strategy and execution within an Agile environment, coordinating between operations and technology teams to enhance business processes and customer satisfaction.

The AVP of Community Engagement leads Healthfirst's community health initiatives, driving partnerships, enrollment, and retention strategies to enhance member health and improve community well-being.

Lead enterprise process architecture for AI-enabled workflows: establish decomposition methods, standards, reusable process modules, human-agent patterns, governance, and partner with delivery teams to ensure scalable, observable, compliant, and optimizable process designs that meet business and customer outcomes.

Lead design, development, testing, and delivery of Qlik-based dashboards, reports, and healthcare applications. Build data extracts, optimize Qlik apps, develop NPrinting reports, write specifications and code, use Agile tools, support deployments, and train/assist end users and QA.

Lead cloud infrastructure strategy and standards across public and private clouds. Design, build, and automate systems using IaC and scripting, mentor engineers, serve as SME for complex incidents, support hybrid cloud technologies, enforce governance and security best practices, and drive resiliency and operational excellence.

Lead enterprise information architecture by defining and executing the information management and enterprise data architecture roadmaps. Partner with business and IT stakeholders to design data models, integrate data stores/EDW/ODS, enable analytics and BI, and drive governance, data integration, and deployment practices. Mentor teams, influence cross-functional decisions, and support transformation efforts aligning data assets with corporate strategy.

Lead development and execution of Medicaid member experience strategy, driving journey design, personalization, segmentation, and engagement. Partner cross-functionally to translate insights and VOC into roadmaps, manage a portfolio of initiatives, define metrics, and lead a small strategy team to improve member engagement, satisfaction, retention, and outcomes within regulatory constraints.

The Director manages benefit configuration, ensuring compliance and effective structure. Oversees team performance and collaborates across departments for operational efficiency and regulatory adherence.

The Director of Utilization Management leads clinical operations for UM teams, ensuring compliance and quality care while driving process improvement and technology integration.

Manage utilization management functions and supervise RN/social work/care coordination teams. Ensure appropriate, cost-effective member services via authorizations, chart review, EMR documentation, staff coaching, operational reporting, and regulatory compliance with CMS/DOH.

The Process Manager for Enrollment and Billing oversees process execution, ensures compliance, manages operational KPIs, and leads continuous improvement initiatives for health services.

Manage claims-related modernization initiatives, oversee project reports, collaborate with IT, and implement process improvements in a healthcare setting.

Lead strategic, cross-functional performance improvement initiatives to optimize clinical and operational performance, build organizational capability, and deliver measurable financial and customer outcomes through process optimization, automation, AI-enabled solutions, change management, and stakeholder engagement.

The Executive Legal Assistant supports the Chief Legal Officer, providing administrative assistance and handling legal documentation, meetings coordination, and other departmental tasks.

The posting contains only Equal Employment Opportunity, accommodation, and applicant communication instructions. It does not describe job duties, responsibilities, required qualifications, or compensation for the Team Led Support Coordinator role.

Support development and maintenance of actuarial forecasting models for monthly forecasts and annual budgets. Analyze large healthcare claims, membership, and financial datasets to monitor performance, identify trends and drivers, and communicate variances. Collaborate with finance and cross-functional teams to set assumptions, produce dashboards and reports, improve forecasting methodologies, and deliver actionable insights across Medicaid, Medicare, Commercial, and Long-Term Care lines.

The Director, Workforce Analytics leads the workforce analytics function, transforming data into insights to optimize talent strategy and support organizational goals through analytics and reporting.

Serve as Product Owner for Provider Data Operations: define product vision, prioritize and maintain backlog, author and accept user stories, create UAT test cases, support Agile/Scrum processes, collaborate with cross-functional and stakeholder teams, drive process improvements, and ensure delivery of high-quality features. Hybrid role (Tues/Wed/Thurs in NYC).

Support the Provider Risk Analytics team by performing data analysis and projects to monitor cost and revenue trends, identify improvement opportunities, model impacts for provider organizations, attend provider meetings, and learn value-based care and risk modeling.

Lead design and implement scalable healthcare solutions using Enterprise Agile Planning tools. Architect integrations, APIs, CI/CD pipelines, and automated workflows; produce technical designs and reports; drive Agile ceremonies, mentor teams, and ensure platform performance, security, and regulatory compliance.