Healthfirst - United States, Health and Beauty, Remote work

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...