Healthfirst - Remote work

Join Healthfirst as a Clinical Pharmacy Tech, serving as a vital Pharmacy Navigator for members. You will review medication lists, eliminate therapy barriers, and ensure proper adherence to prevent adverse events. This role requires national certification (PTCB/NHA) and strong communication skill...

Seeking a detail-oriented QA Financial Auditor II to conduct complex audits of healthcare claims and financial processes in the U.S. You will perform root cause analysis, ensure compliance, and mitigate risk using advanced Excel. This role offers medical benefits, 401k, and involves mentoring jun...

Join Healthfirst as a Field Sales Support Associate and drive community-based growth. You will coordinate 20+ monthly enrollment events, build key partnerships, and support Medicare sales teams. This role requires 75% travel and leverages your sales, marketing, or outreach experience. We offer co...

Seeking a licensed clinical professional (RN, LCSW, etc.) to join Healthfirst's Clinical Technical Assistance Center. In this US-based role, you will apply adult learning theory to develop educational solutions and build clinical capacity. Leverage 3-5 years of experience to enhance care quality,...

Seeking a licensed and board-certified Physician Peer Reviewer for a vital role in utilization management. You will assess medical necessity, ensure regulatory compliance, and collaborate with clinical teams. This remote U.S. position offers comprehensive benefits, including medical coverage and ...

Seeking a bilingual Spanish/English Care Manager to coordinate behavioral and physical healthcare. This role requires a NYS LCSW/LMSW or RN and involves developing care plans, conducting assessments, and liaising with providers. We offer comprehensive benefits including medical, dental, vision, a...

Seeking a Board Certified Physician for a vital Peer Reviewer role. You will ensure medical necessity and regulatory compliance for Medicare/Medicaid plans. This remote position offers medical/dental coverage, 401k, and PTO. Apply your clinical and utilization management expertise in a collaborat...

Join our team as a UM Pharmacy Technician, reviewing prior authorization requests for medications under the medical benefit. Utilize your PTCB/NHA certification and prior authorization experience to assess clinical criteria and communicate decisions. This remote US role offers medical/dental/visi...

Join our team as a Support Coordinator, providing vital non-clinical support to care managers in the United States. You will manage authorizations, conduct telephonic outreach, and handle member communications in a fast-paced healthcare environment. Ideal candidates have a high school diploma and...

Join Healthfirst as an Instructional Designer to create best-in-class, multi-modal learning programs. You will design digital learning solutions using industry-standard tools, focusing on analysis and development. This role offers medical benefits and a 401k, supporting our culture of digital tra...

Seeking a detail-oriented Quality Assurance Financial Auditor II to conduct audits of financial processes and healthcare claims in the U.S. You will perform root cause analysis, ensure compliance, and mitigate risk using advanced Excel. This role offers medical benefits, 401k, and involves mentor...