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

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

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.

Leads cloud infrastructure and operations strategy across public and private clouds. Designs and manages enterprise systems, CI/CD pipelines, automation, Infrastructure as Code, hybrid cloud platforms, and operational standards. Serves as a technical SME and escalation point, mentors engineers, improves resiliency and efficiency, supports cloud governance and security, develops SOPs, troubleshoots complex incidents, and partners with development teams on cloud-native delivery and continuous improvement.

Analyze financial performance and utilization for Healthfirst products, identify trends and root causes, build financial and reimbursement models, perform ad hoc and ROI analyses, support medical cost reduction projects, and collaborate with stakeholders across Finance, Network, IT, and provider networks to inform decisions and track impacts of Medicaid/Medicare reforms.

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.

The Senior Manager, HRBP-IT leads HR initiatives within the IT department, aligning people strategies with business goals while focusing on talent management and change during digital transformation.

Front-line community office coordinator who greets and triages members, registers and educates on the member portal, audits applications, tracks office metrics, manages inventory/mail/calendar duties, escalates member and sales issues, conducts representative training, and ensures privacy/PHI protection while supporting office opening/closing and reporting.

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