Healthfirst - Hybrid work

Join Healthfirst as a Field Assessment RN, conducting in-home health evaluations in downstate New York. Utilize your NYS RN license and clinical skills with the Uniform Assessment System (UAS) to determine member eligibility and care plans. This field-based role requires tech proficiency and offe...

Lead our Behavioral Health Children's Services as Director, overseeing clinical operations and care management for pediatric members (0-21) in New York. This key leadership role requires a licensed BH professional with 7+ years of experience, including Medicaid managed care and work with children...

Lead pharmacy benefit strategy and compliance for a major health plan in New York. This senior role requires a PharmD and expertise in Medicare Part D, PBM oversight, and regulatory guidance. You will manage a team to design flawless pharmacy benefits. We offer comprehensive medical, dental, visi...

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...

Join Healthfirst as an Entitlement Advocate, supporting Medicare and Medicaid members in the New York area. You'll help secure financial entitlements through inbound/outbound calls, field visits, and electronic documentation. This hybrid role requires bilingual skills, tech proficiency, and trave...

Seeking a Network Account Manager to represent Healthfirst with FQHC providers. You will serve as the main liaison, managing relationships and resolving plan-related issues in a designated area. This role requires Medicaid/Medicare managed care experience and offers comprehensive benefits.

Lead our strategic efforts to reduce Out-of-Network spend as the Director of OON Contracting in New York. You will develop and negotiate complex facility and professional contracts, leveraging 10+ years of managed care expertise. This leadership role demands deep knowledge of reimbursement method...

Gain hands-on clinical experience in a 10-week paid summer internship for nursing students. Support Medicare/Medicaid members through outreach, care coordination, and education in downstate New York. This immersive program develops leadership skills while contributing to population health and hea...

Lead pharmacy benefit strategy and compliance for a major health plan. This senior role requires a PharmD and expertise in Medicare Part D, PBM oversight, and regulatory guidance. You will manage a team to design flawless benefits. We offer comprehensive medical, dental, vision, and 401k benefits.

Lead data engineering initiatives to enhance provider analytics at Healthfirst. This senior role requires AWS cloud expertise and proficiency in Python, Java, or C# for building ML-driven data products. You will develop tools that improve member health outcomes and operational efficiency. We offe...

Join Healthfirst as a Senior Salesforce Developer in a hybrid role based in New York City. You will design and deliver enterprise solutions using Salesforce Lightning, APEX, LWC, and Field Service Lightning. This role requires 5+ years of experience architecting systems and implementing Sales & C...