Healthfirst

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...

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...

Join Healthfirst as a Field Care Coordinator, conducting essential home visits for members across downstate New York. This bilingual role requires a high school diploma, tech proficiency, and travel within the region. You'll assess home environments, collect documents, and provide translation sup...