Healthfirst - Health and Beauty, Remote work

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...

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...

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...

Seeking a Board Certified Physician for a vital Peer Reviewer role. You will ensure medical necessity and regulatory compliance for Medicare/Medicaid plans. This remote position offers medical/dental coverage, 401k, and PTO. Apply your clinical and utilization management expertise in a collaborat...