Healthfirst - United States, IT - Administration, Hybrid work

Manager, Medicaid Strategic Initiatives role driving profitable growth and member retention within PHSP portfolios. Requires cross-functional strategy development, market research, and regulatory analysis. Ideal for candidates with a Bachelor’s degree, strong healthcare industry knowledge, and an...

Director of Customer Experience Strategy needed to lead Medicaid member engagement initiatives across key journeys. This role requires 8–12 years in CX strategy, strong Medicaid knowledge, and experience with VOC data and journey mapping. Based in the US, you'll drive personalized, insight-driven...

Senior Product Specialist sought to lead product optimization initiatives within a dynamic health insurance portfolio. This role requires strong analytical skills and cross-functional collaboration to drive product enhancements and end-to-end process improvements. Based in the United States, the ...

Healthcare Strategy Associate role in New York, blending analytical rigor with managed care expertise. Drive strategic initiatives through Excel modeling, cross-functional collaboration, and leadership presentations. Ideal for candidates with 1-2 years consulting or healthcare experience, strong ...

Director of Utilization Management sought to lead clinical operations in New York, driving excellence in prior authorizations, concurrent reviews, and service requests. This role requires deep healthcare leadership experience with Medicare, Medicaid, and MLTCP, plus expertise in CMS and NYSDOH co...

Seeking a Director of Medical Reviews in New York, NY. This role requires a licensed M.D. or D.O. with Board Certification to conduct medical necessity reviews for utilization management and appeals. You will lead quality improvement initiatives, analyze trends, and collaborate with medical depar...

Lead the Medicare customer experience strategy in this hybrid New York role. Utilize your 10+ years in CX strategy and Medicare Advantage expertise to enhance member journeys. Translate insights into initiatives with cross-functional teams, driving satisfaction and loyalty. Enjoy comprehensive be...

Lead large-scale healthcare transformation initiatives as a Senior Project Manager at Healthfirst. You will modernize Utilization Management through AI, automation, and process redesign. This role requires expertise in complex project delivery within regulated environments. Drive operational effi...

Lead large-scale Utilization Management (UM) transformation initiatives at Healthfirst. This senior role drives modernization through AI, automation, and process redesign to improve efficiency and outcomes. Partner with clinical and tech teams to deliver complex projects with enterprise impact. R...

Seeking an experienced Release Train Engineer to lead Agile program delivery for Infrastructure and Operations in Lake Mary. This role requires 10+ years in IT, with 5+ years in program management or RTE functions, and expertise in SAFe. You will facilitate PI planning, manage cross-functional te...