Jobs at Healthfirst, Inc

The Senior Reconciliation & Recovery Analyst ensures accurate member data, supports premium collection from the State, performs complex data analyses, and collaborates across teams to resolve discrepancies and improve processes.

The Senior Network Account Manager develops provider networks, enhances provider satisfaction through education, and implements initiatives for healthcare delivery improvement, while ensuring compliance and effective communication within the team.

The Peer Support Specialist supports members with mental health and substance use issues, coordinating care and linking them to resources while modeling recovery through lived experience.

Manage and develop an Ancillary provider network ensuring Healthfirst members receive quality care while resolving claims issues and facilitating provider education.

The Growth Relationship Manager manages relationships with home care agencies to enhance long-term care options, resolves issues, generates referrals, and coordinates marketing activities in the NYC area.

The Senior Manager, HR Technology & Integration oversees the HR technology infrastructure, ensuring integration, configuration, and data flow across platforms, while leading a small team. They enhance system reliability and efficiency, monitor integrations, and resolve technical issues.

The Director of Performance Improvement leads initiatives to enhance business processes and productivity, manages staff, and collaborates on strategy development.

The Coding Educator trains providers on diagnosis coding compliance, audits clinical documentation, manages inquiries, and develops educational materials to improve coding accuracy.

The Senior Social Media Manager will strategize and execute social media campaigns, analyze data, manage content development, and lead a team to enhance brand engagement.

The Senior Product Specialist leads initiatives, collaborating with teams to enhance products within the Healthfirst portfolio while managing project execution and communication across departments.

The Performance Support Specialist resolves escalated complaints, reviews reports, manages complaint tracking, and builds relationships with internal and external customers.

The Manager, Enrollment & Billing oversees billing and enrollment processes, ensures operational efficiency, manages team performance, and implements improvements. They collaborate across departments to maintain data integrity and meet deadlines.

The Senior Specialist coordinates product initiatives by collaborating with cross-functional teams, managing project schedules, and analyzing market trends while supporting senior management.

This role provides recent graduates with immersive experiences in technology, focusing on data/cloud engineering through project work and training.

The Support Coordinator assists care managers with non-clinical tasks, manages authorizations, and provides customer service to members and providers.

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 Sr Project Manager leads enterprise transformation initiatives in Utilization Management, focusing on operational efficiency, technology enablement, and performance improvement in healthcare.

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.

The Support Specialist assists with non-clinical tasks including outreach to members and providers, service assessment completion, documentation, and handling inquiries regarding services and authorizations.

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