Healthfirst Jobs in United States

The Senior Credentialing Specialist is responsible for credentialing and recredentialing of Healthfirst non-delegated providers.Perform primary source verifications. · Prepare committee summaries. · ...

The Project Manager will manage enterprise-level projects that have department or enterprise-level importance. They support projects of major complexity as part of a program team in support of higher-level project or program managers. · Bachelors degree from an accredited institu ...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency. Re ...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency. Re ...

body{font-family:Arial;}p,b,u{text-decoration:none;}Field Assessment RN, Bronx, · New York - 10,000 Sign-On Bonus (Spanish) · <ul style= ...

The Senior Data Engineer leads and implements best-in-class data management strategies. · Designs and implements standardized data management procedures around data staging, data ingestion, data preparation. · Ensures quality of technical solutions as data moves across multiple z ...

The Pharmacy Technician is responsible for providing member medication counseling and assistance in minimizing gaps in treatment by collaborating with various members of the healthcare team within Healthfirst and with our community partners (pharmacists and providers). · ...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency. Re ...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency. Re ...

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, p ...

This is a hybrid position with three days per week on-site at our headquarters in Mukilteo. At HealthFirst, our relentless dedication to saving lives drives us forward every day. · ...

The Manager, Hospital Strategic Account Management will lead an interdepartmental Account Team and apply in-depth account knowledge to strategize, develop and implement integrated strategies with sponsor and non|sponsor hospitals/systems focused on strengthening provider engageme ...

This 10-week paid program begins on June 1, 2026. Interns collaborate with other interns, employees, and business leaders to solve current business problems. · ...

The Quality Assurance Auditor is responsible for performing Internal Quality Assurance Audits of Operational processes for internal employees and outsourced vendors to ensure compliance with policies, procedures and quality standards. · ...

Quality Assurance Financial Auditor II · The Quality Assurance Financial Auditor II role involves performing quality assurance audits of financial processes completed by internal employees and outsourced vendors to ensure compliance with policies. · Conduct complex quality audits ...

The Hospital Specialist is the point person responsible for ensuring maximization of operational efficiency between Healthfirst and our network hospitals. · High school diploma or GED equivalent · Direct experience working with managed care operations and/or health plans · ...

The Senior Instructional Designer is responsible for designing and developing holistic, multi-modal best-in-class programs that align to the Healthfirst culture with an emphasis in digital transformation. · ...

The Quality Assurance Auditor is responsible for performing Internal Quality Assurance Audits of Operational processes for internal employees and outsourced vendors to ensure compliance with policies, procedures and quality standards. · Conduct quality audits of A&G items includ ...

The Senior Account Manager is committed to the development and supervision of a high performance provider network through various provider engagement strategies which follow four core principles: Quality, Clinical Efficiency, Administrative Efficiency, and Population Health. · Ed ...

The Sr. Manager, Pharmacy Benefits is responsible for the overall leadership & management of all pharmacy benefit plans. The Sr. Manager is responsible for oversight of the benefit, partnership with the PBM, providing guidance on regulatory changes, reviewing and leading response ...