Healthfirst - Remote work

Seeking a NYS-licensed Physical Therapist for a Clinical Peer Reviewer role in Utilization Management. Utilize your 5+ years of clinical experience to review rehab service authorizations, ensuring medical necessity and regulatory compliance. This remote US position offers full benefits and focuse...

Join Healthfirst as a Medical Peer Reviewer, ensuring medical necessity and regulatory compliance in utilization management. This vital role requires an MD/DO/DMD/DDS license and relevant board certification. You will assess authorization requests, collaborate with medical teams, and enjoy compre...

Join Healthfirst as a Senior Credentialing Specialist, ensuring provider and facility compliance with NYS and CMS regulations. Utilize your 5+ years of credentialing experience, including facilities knowledge, to perform primary source verifications and audit files. This role offers comprehensive...

Lead the design of cutting-edge agentic AI systems as an Enterprise AI Architect. You will define architectural runways for AI initiatives, specializing in multi-agent orchestration and MCP-based integrations. This role requires deep expertise in AI/ML frameworks and cloud platforms, plus experie...

Join Healthfirst as a Clinical Pharmacy Tech. You will serve as a Pharmacy Navigator, reviewing medication lists and collaborating with teams to improve adherence and prevent adverse events. This role requires a certified/registered Pharmacy Technician with strong communication skills. We offer c...

Join Healthfirst as a Clinical Pharmacy Tech and serve as a vital Pharmacy Navigator for members. You will ensure medication adherence, minimize therapy gaps, and collaborate with pharmacists and providers. This role requires national certification/registration and offers comprehensive benefits i...

Seeking a licensed Clinical UM Pharmacist to review prior authorizations for medical benefit medications. You will develop clinical criteria, ensure CMS/NYSDOH compliance, and collaborate with physicians. This remote US role requires pharmacy review experience and offers full medical, dental, and...

Join Healthfirst as a Clinical Pharmacy Tech, serving as a vital Pharmacy Navigator for members. You will ensure medication adherence, minimize therapy gaps, and collaborate with pharmacists and providers. This role requires national certification/registration and offers comprehensive benefits.

Lead the design of innovative, multi-modal learning programs at Healthfirst. This senior role requires a Master's in Instructional Design and 5+ years' experience creating digital, outcomes-driven content. You will develop holistic training solutions using industry-standard tools while enjoying c...