Healthfirst - Health and Beauty

Seeking a NYS-licensed Physical Therapist for a Clinical Peer Reviewer role in Utilization Management. Utilize your 5+ years of clinical experience to review rehab service authorizations, ensuring medical necessity and regulatory compliance. This remote US position offers full benefits and focuse...

Join Healthfirst as a Medical Peer Reviewer, ensuring medical necessity and regulatory compliance in utilization management. This vital role requires an MD/DO/DMD/DDS license and relevant board certification. You will assess authorization requests, collaborate with medical teams, and enjoy compre...

Peer Support Specialist needed to empower members with mental health or substance use disorders using lived experience. This field-based role in downstate New York requires NYCPS certification, caseload management, and travel across boroughs, Long Island, Orange County, and Westchester. Join a co...

Seeking an RN or LPN for the role of Appeals and Grievances Clinical Specialist in NYC or Lake Mary. You will be the clinical subject matter expert, managing case resolution for member complaints and ensuring regulatory compliance. This role requires experience in utilization review, claims, and ...

Join Healthfirst as a Senior Credentialing Specialist, ensuring provider and facility compliance with NYS and CMS regulations. Utilize your 5+ years of credentialing experience, including facilities knowledge, to perform primary source verifications and audit files. This role offers comprehensive...

Join Healthfirst as a Field Care Coordinator, conducting essential home visits for members in downstate New York. This bilingual role requires travel to perform assessments, collect documentation, and provide translation support. We seek candidates proficient in health IT systems, with a valid dr...

Join Healthfirst as a Field Care Coordinator, conducting essential home visits for members in downstate New York. This bilingual role requires travel and involves health assessments, documentation, and supporting clinical teams. We offer comprehensive benefits including medical, dental, and a 401k.

Join Healthfirst as a Field Care Coordinator, conducting essential home visits for members in downstate New York. This bilingual role requires travel and involves health assessments, documentation, and translation support. We seek candidates with a high school diploma, health IT experience, and p...

Seeking a licensed and board-certified Physician Peer Reviewer for a vital role in utilization management. You will assess medical necessity, ensure regulatory compliance, and collaborate with clinical teams. This remote U.S. position offers comprehensive benefits, including medical coverage and ...

Seeking a bilingual Spanish/English Care Manager to coordinate behavioral and physical healthcare. This role requires a NYS LCSW/LMSW or RN and involves developing care plans, conducting assessments, and liaising with providers. We offer comprehensive benefits including medical, dental, vision, a...

Join Healthfirst as a Field Care Coordinator in Brooklyn, NY. Conduct essential home visits, perform assessments, and provide bilingual support to members. This field-based role requires a high school diploma, bilingual skills, and proficiency with health IT systems. Enjoy comprehensive benefits ...