Healthfirst - United States, IT - Administration, Remote work

Regulatory Specialist needed to ensure compliance with CMS and NY DOH regulations in Utilization Management, Care Management, and Appeals. Requires a High School Diploma, 4+ years of healthcare experience, and strong knowledge of managed care compliance. Based in the US, this role offers medical,...

Seeking a detail-oriented **Healthcare Operations Analyst** to join our Optimization Team in the **United States**. You will analyze **provider data** workflows, perform reconciliation across systems, and implement scalable solutions to enhance operational performance. Requires advanced **Excel**...

Senior Regulatory Specialist – Pharmacy role ensuring CMS and DOH compliance. Monitor regulations, support implementation, and act as liaison between Pharmacy and Regulatory Affairs. Requires knowledge of state/federal requirements and High School Diploma. Bachelor’s, managed care, or pharmacy ex...