Browse Jobs
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
Healthfirst
Position Summary: The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating and responding verbally and in writing to member and provider clinical appeals and grievances. Duties and Responsibilities: Ensures that appeals and grievances are properl
Healthfirst
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
Healthfirst
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, approving time cards of the staff
Healthfirst
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, suppliers and other invested partie
Healthfirst
The HR Business Partners are the culture architects for the organization and responsible for delivering human capital solutions that enable the success of our business. The Senior Manager, HRBP-IT leads and manages the full suite of talent lifecycle activity by partnering with bu
Healthfirst
The Product Owner for Provider Data Operations 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.
Healthfirst
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 technology implementation across
Healthfirst
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 profitable growth in the PHSP prod
Healthfirst
The Lead Enterprise Process Architect is a member of the Enterprise Architecture team responsible for defining and governing the enterprise process architecture framework that enables effective collaboration between people, AI agents, automation capabilities, and enterprise syste
Healthfirst
The Fleet Driver is responsible for maintaining an efficient, well organized community outreach vehicle (COV) and cargo van at the assigned Healthfirst marketing location. The Driver is accountable for the day to day operations on the assigned COV/cargo van, liable for all market
Healthfirst
The Enterprise Data Architect is responsible for aligning the future state enterprise information architecture with the corporate strategy. This role collaborates with enterprise architects, partners with solution architects and subject matter experts from cross-functional Busin
Healthfirst
The Manager of Utilization Management provides daily oversight for Case Management teams (which includes RN’s, Social Workers, and Coordinators). The Manager of Utilization Management is responsible for ensuring high quality, cost-effective, and appropriate allocation of member s
Healthfirst
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. This individual receives and addresses member & provider inquiries, de-escalates and resolves complaints, educates clients, engages in member retention activities, and escalates issues req
Healthfirst
We are seeking a proactive and detail-oriented Client Success Specialist to join our growing team. This role is ideal for someone who thrives in a client-facing environment, enjoys problem-solving, and is passionate about delivering exceptional service. The successful candidate w
Healthfirst
The Manager, Production Support supports the delivery of Healthfirst’s data platforms and solutions by leading day-to-day execution for a defined set of data products, pipelines, or platform capabilities. This role partners with product owners, architects, governance, and busines
Healthfirst
Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care system. The Care Coordinator supports various teams to provide excellent customer service to our NorthStar Members. Duties
Healthfirst
The Senior Project Manager (Sr PM) leads large-scale, complex, enterprise transformation initiatives within Healthfirst. This role is accountable for delivering high-visibility projects that drive measurable efficiencies, operational improvements, and strategic transformation whi
Healthfirst
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
Healthfirst
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,
Healthfirst
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 care, and cost efficiency. R
Healthfirst
The MarketPlace Facilitated Enroller is responsible for identifying and educating potential members on all aspects of the plan including new Medicaid, CHP/EP/QHP and answering questions regarding plan’s features and benefits. Responsible for identifying and assisting current memb
Healthfirst
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
Healthfirst
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
Healthfirst
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,
Healthfirst
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