Healthfirst - Hybrid work

Seeking an Ancillary Services Network Account Manager to develop and maintain a high-quality provider network for Healthfirst. You will manage contracts, resolve claims issues, and ensure network satisfaction across Medicaid, Medicare, and Commercial lines. This role requires managed care experie...

Lead vendor oversight for dental operations at Healthfirst in New York. Ensure compliance and performance by managing relationships and serving as a key liaison. Requires vendor management experience and a bachelor's degree. Benefits include full medical coverage and 401k.

Join our team as a Finance Operations Analyst in New York. You will manage claims, capitation, and vendor payments, performing reconciliations and creating reports. The role requires experience with health insurance accounting and proficiency in Microsoft Excel. We offer comprehensive benefits in...

Seeking a Risk Score Accuracy Manager in NYC to develop forecasting models and analyze variances for Medicaid/HHS programs. Requires 5+ years in risk adjustment, SQL, data visualization, and strong project management. This finance role offers full benefits and cross-departmental collaboration.

Lead strategic clinical operations for Utilization Management at a major New York health plan. Drive excellence in prior authorization, concurrent review, and regulatory compliance for Medicare/Medicaid programs. This leadership role requires deep managed care expertise and a focus on process inn...