Healthfirst - United States, Hybrid work

Lead Engineer (Agile) sought for a hybrid role in Lake Mary, FL. Leverage SAFe expertise to drive digital transformation in healthcare, architecting solutions with the Enterprise Agile Planning suite (Digital.ai, Jira, Rally). Requires 5+ years leading complex software development and CI/CD integ...

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 ...

Join Healthfirst as a Field Entitlement Enrollment Advocate in New York. You'll help Medicare and Managed Long-Term Care members secure financial entitlements, working in a hybrid role across the 5 boroughs and nearby counties. We seek bilingual candidates with customer service experience and tec...

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 ...

Join Healthfirst as a Medicare Inside Sales Representative in the NYC area. Drive membership growth and retention by educating and enrolling beneficiaries in Medicare Advantage plans. Requires a valid NY Health & Accident License, CRM proficiency, and strong communication skills. Enjoy benefits l...

Senior Network Account Manager sought in New York to drive provider network performance through quality, efficiency, and population health strategies. Requires Medicare/Medicaid managed care experience, contract negotiation, and provider operations expertise. Lead a team, optimize provider satisf...

Seeking an **Ancillary Services Network Account Manager I** to develop and maintain a high-quality provider network in the **United States**. This role requires **contracting experience**, provider recruitment, and claim resolution within a managed care setting. You will manage ancillary provider...

Join Healthfirst, NYC’s top not-for-profit insurer, as a Field Assessment Registered Nurse. Conduct home and virtual assessments using the UAS system for members in the Bronx and downstate NY. We seek an RN with a NY license, tech proficiency, and strong critical thinking skills. Enjoy a flexible...

Healthfirst seeks a Provider Network Account Manager in New York to drive provider engagement strategies focused on quality, clinical efficiency, and population health. You will serve as a liaison for physician groups, manage recruitment, resolve issues, and monitor performance. Ideal candidates ...

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...