healthfirst
Clinical Quality Manager
The Clinical Quality Manager with members and providers to ensure members receive appropriate services. This role emphasizes improving the quality of ...
Senior Manager, HRBP - IT | Hybrid NY
The HR Business Partners are the culture architects for the organization and responsible for delivering human capital solutions that enable the succes...
Hybrid Assessment Registered Nurse, Bronx, NY- $7,500 Sign-On Bonus (Spanish)
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Senior Manager Clinical Eligibility
The Senior Mgr of Clinical Eligibility will have knowledge of the current assessment process, for both Medicaid and Medicare programs. This position w...
AVP, Community Engagement
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are cons...
Grievance Specialist
The Grievance Specialist is a member of the Appeals & Grievances (A&G) team at Healthfirst and is responsible for managing and resolving member or aut...
Healthcare Strategy Associate - Hybrid NY
We are seeking a highly motivated Healthcare Strategy Associate to support strategic initiatives and analytical efforts within a healthcare managed ca...
Strategic Account Management Associate
The Associate of Strategic Account Management is a pivotal role responsible for a wide range of tasks to ensure that each Strategic Account Management...
Director, Delivery System Engagement (DSE) Network Optimization Program Management
Reporting to the VP Network Optimization, the Director, DSE Network Optimization Program Management is responsible for leading and distilling large ne...
Field Service Agent - Queens
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. This individual receives and addresses member & provider i...
Director, Delivery System Innovation
The Director of Delivery System Innovation (DSI) is responsible for designing, executing, and scaling innovative delivery system partnerships that imp...
Account Specialist
The Account Specialist is responsible for identifying prospective members who do not have health insurance, determine the appropriate plan for the ind...
Appeals and Grievances Clinical Specialist
Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member o...
Technical Quality Assurance Manager
The QA Manager is responsible for managing system testing of IT applications by delivering test planning and execution in line with strategic business...
Director of Medical Reviews
The Director, Medical Reviews position is responsible for conducting medical necessity reviews in the context of utilization management and appeals an...
Community Office Coordinator
The Community Office Specialist is the primary interface and front line resource for the community office. S/he will triage, research, educate, liaise...
Director, Benefits | Hybrid NY
The Director, Benefits will develop and implement strategic goals for the oversight and management of the organization's benefit and retirement plans,...
Vice President, Contact Center Operations
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are cons...
Director, Workforce Analytics and Strategy - Hybrid NY
The Director, Workforce Analytics & Strategy leads Healthfirst’s enterprise workforce analytics capability and strategic workforce planning function. ...
Peer Support Specialist
As a valued member of the Behavioral Health Care Management Team, the Peer Support Specialist (PSS) utilizes lived experience to model recovery and su...
Clinical Peer Reviewer (Physical Therapy)
The Clinical Peer Reviewer (Phyiscal Therapy) Utilization Management (UM) plays a critical role in consulting on medical necessity in the context of u...
Care Manager - Maternity
The Care Manager plans and manages behavioral and/or physical care with members and their beneficiaries and works with clinicians and health care team...
Technical Product Owner - Extracts
The Manager, Information Management supports the delivery of Healthfirst’s data platforms and solutions by leading day-to-day execution for a defined ...
AVP, Customer Experience Strategy - Medicare
This is a hybrid role that requires the incumbent to be in the office 3x/week (T - Th). The AVP, Customer Experience Strategy – Medicare is responsibl...
Clinical Quality Manager
The Clinical Quality Manager with members and providers to ensure members receive appropriate services. This role emphasizes improving the quality of ...
State Programs Member Engagement Specialist (Facilitated Enrollment)
The MarketPlace Facilitated Enroller is responsible for identifying and educating potential members on all aspects of the plan including new Medicaid,...
Director, Clinical Operations Children's Services
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are cons...
Field Entitlement Enrollment Team Lead
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are cons...
Senior Field Entitlement Enrollment Specialist
The SRA Specialist will serve as a primary resource for job-related training and guidance, and to support cross-functional teams with tasks and traini...
Medicare Sales Support Associate
The Sales Support Associate is responsible for positioning Healthfirst as a socially responsible health partner. S/he will develop and coordinate plan...
Medical Peer Reviewer
Job Profile Summary A vital role of the CMO Administration team, the Medical Peer Reviewer plays a critical role in consulting on medical necessity in...
2026 Summer Internship - Nursing Intern
The Summer Internship is a 10-week paid program designed to provide Nursing (RN) students with a structured, clinically oriented learning experience w...
FQHC Network Account Manager
The Network Account Manager represents and advances Healthfirst interests in the Provider market as the preferred and ultimately preeminent plan throu...
Field Service Agent - Manhattan (Bilingual English/Spanish)
The Field Service Agent acts as an in-person liaison between Healthfirst and its customers. This individual receives and addresses member & provider i...
IT Product Intern – 2026 Summer Internship
Healthfirst’s 2026 Summer Trailblazer Internship is a 10-week paid program beginning on June 1, 2026. This is an immersive and interactive learning ex...
Manager, Appeals and Grievances
The Manager, Appeals & Grievances is responsible for leading, operating, and advising a dynamic and fast-paced Appeals & Grievances team. This role wo...
Entitlement Advocate- Bilingual Spanish or Cantonese/Mandarin
T he Entitlement Advocate provides Healthfirst Medicare Advantage Plan(MAP), Managed Long-Term Care Plan(LTC), Dual eligible Medicare Plan and Nursing...
Sr. Manager, Pharmacy Benefits
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are cons...
Senior Manager of Performance Improvement
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are cons...
Field Assessment Registered Nurse, Bronx, NY - $10,000 Sign-On Bonus (Spanish)
The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required by the Departmen...
Mgr Clinical Appeals and Grievances
The Manager, Clinical Appeals & Grievances is responsible for leading, operating, and advising a dynamic and fast-paced Clinical Appeals & Grievances ...
Senior Manager, HR Shared Services - Hybrid NY
• The Senior Manager, HR Shared Services is responsible for creating and maintaining positive employee experiences for employees and new hires by lead...
Director, HR Technology Programs - Hybrid NY
• The Director, HR Technology Programs leads the strategy, design, and execution of integrated HR technology solutions that enhance and analyze the em...
Products Finance Business Partner Intern – 2026 Summer Internship
Products Finance Business Partner Intern – 2026 Summer Internship Healthfirst’s 2026 Summer Trailblazer Internship is a 10-week paid program beginning...
Change Manager
The Claims and Provider Payment Modernization Manager represents Healthfirst Operations in the support of defined claims-related and/or provider payme...
Marketing Strategy Specialist
The candidate will bring to life components of Healthfirst’s marketing and communications strategy by providing executional support to the Product Com...
Director, Out-of-Network Contracting
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are cons...
Business Analyst
The Business Analyst is responsible for reviewing business processes to gain a complete understanding of current business and system processes, identi...
Assessment Nurse
The Assessment Nurse makes field assessment visits around downstate New York at intervals required by the Department of Health (DOH) and completes app...
Credentialing Specialist
The Healthfirst Credentialing department credentials and re-credentials providers, facilities and vendors; prepares hard-copy directories and reviews ...
Per Diem, Assessment RN, Bronx, NY
*Great opportunity for any RN, nursing background - recent nursing grads and experienced nurses are all welcome to apply! This is a field based role. ...
Field, Assessment RN, $10,000, Sign-On Bonus, Bilingual Spanish/English, Bronx, NY
*Great opportunity for any RN, nursing background - recent nursing grads and experienced nurses are all welcome to apply! This is a field based role. ...
Driver (CDL A, B or C)
The Fleet Driver is responsible for maintaining an efficient, well organized community outreach vehicle (COV) and cargo van at the assigned Healthfirs...
Medical Records Coordinator
The Medical Record Coordinator is responsible for performing quality checks on automated reports, received scans, and guaranteeing electronic filing f...
Performance Support Specialist - Bilingual Vietnamese
The Performance Support Specialist will be responsible for providing assistance in resolving complaint issues escalated by the representatives. This r...
Director, Performance Improvement
The Director of Performance Improvement is responsible for the development of Performance Improvement (PI) initiatives and change related to projects ...
Bilingual Spanish Field Care Coordinator (travel NYC area)
As a valuable member of the Healthfirst Care Management team, the Field Care Coordinator (FCC) is responsible for conducting local home visits for Hea...
Bilingual Spanish Field Care Coordinator (Bronx)
As a valuable member of the Healthfirst Care Management team, the Field Care Coordinator (FCC) is responsible for conducting local home visits for Hea...
Hybrid Coding Educator
Position Summary: The Coding Educator is responsible for overseeing and educating providers on the proper use of diagnosis coding to ensure CMS and IC...
Senior Social Media Manager
With an increasing reliance on digital communications with our members, employees, industry stakeholders and the community, Healthfirst is looking for...
Sr. Product Specialist
The Senior Specialist of Product Shared Services (Product Optimization) leads special initiatives, small to mid-scale initiatives, and ad-hoc activiti...
Clinical Facilitator, RN or SW
The RN or SW Clinical Facilitator coordinates with Clinical Teams and other internal stakeholders to advance Healthfirst’s clinical practice through t...
Certified Peer Support Specialist (Hybrid) NYC Area
As a valued member of the Behavioral Health Care Management Team, the Peer Support Specialist (PSS) utilizes lived experience to model recovery and su...
Clinical Auditor: Appeals and Grievances
The Clinical Auditor performs audit functions for Healthfirst clinical teams (e.g. Care Management, Reassessment/Clinical Eligibility, Utilization Man...
Manager, Enrollment & Billing
The Manager, Enrollment & Billing is responsible for overseeing a defined line of business at Healthfirst. The incumbent will be responsible for parti...
Field Pediatric Assessment RN - Bronx/Westchester - $10,000 Sign on Bonus
The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required by the Departmen...
Field Pediatric Assessment RN, Brooklyn - $10,000 Sign on Bonus
The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required by the Departmen...
Product Strategy Project Coordinator
The Senior Specialist leads special initiatives, small to mid-scale initiatives, and ad-hoc activities. This includes collaboration and coordination w...
Senior Product Strategy Specialist
The Senior Product Strategy Specialist of Medicaid Products is passionate and motivated by Healthfirst’s mission and wants to make a lasting impact in...
Bilingual Spanish Team Lead, Field Care Coordinator (Hybrid)
As part of Healthfirst’s comprehensive care management approach, we have field-based staff who visit our vulnerable members to assess and address thei...
Hybrid Assessment RN, Brooklyn, NY - $7,500 Sign-On-Bonus (Mandarin & Cantonese Fluency)
The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required by the Departmen...
Hybrid Assessment RN, Brooklyn, NY - $7,500 Sign-On Bonus
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Field Assessment RN, Brooklyn, NY - $10,000 Sign-On Bonus
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Hybrid Assessment RN, Manhattan, NY - $7,500 Sign-On Bonus
The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required Healthfirst is N...
Field Assessment RN, Bronx, NY - $10,000 Sign-on Bonus
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Field Assessment RN, Bronx, NY - $10,000 Sign-on Bonus
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Hybrid Assessment RN, Bronx, NY - $7,500 Sign-On Bonus
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Hybrid Assessment RN, Brooklyn, NY - $7,500 Sign-On Bonus
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Field Assessment Nurse RN, Queens, NY - $10,000 Sign-On Bonus
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Care Manager, Bilingual Fujianese - 100% Remote
The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and he...
Hybrid Assessment RN, Brooklyn, NY - Sign-on Bonus $7,500 (Mandarin or Cantonese)
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Hybrid Assessment RN, Queens, NY - Sign-on Bonus $7,500 (Mandarin or Cantonese)
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
R020970 Hybrid Assessment RN, Brooklyn, NY - Sign-on Bonus $7,500 (Spanish)
The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required by the Departmen...
Hybrid Assessment RN, Bronx, NY - Sign-On Bonus $7,500 (Spanish)
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Field Assessment RN, Bronx, NY - Sign-On Bonus $10,000 (Spanish)
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
Hybrid Assessment RN, Brooklyn, NY, - $7,500 Sign-On Bonus (Spanish Fluency)
Healthfirst is New York City’s largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For ov...
UM Pharmacy Technician-1
The UM Pharmacy Technician is responsible for the intake and review of prior authorization requests for medications requested under the medical benefi...
Sr Manager Clinical UM Operations - Hybrid NY
The Senior Manager, Clinical Utilization Management (UM) Operations is responsible for the strategic and operational leadership oversight of all utili...
Hybrid Assessment RN, Manhattan, NY - $7,500 Sign-On Bonus
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are cons...
Director Utilization Management
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are cons...
Claims Coding Analyst
The Claims Coding Analyst’s primary responsibilities require independent judgement in making coding-based decisions on claims and appeals to maintain ...
Clinical Pharmacist, MTM - Bilingual Spanish
The Clinical Pharmacist is responsible for efforts to support quality measures for both our Essential Plan and Medicare populations. The Clinical Phar...
2026 Technology Early Career Development Program – Quality Assurance/App Support
The Technology Associate is a role intended to create meaningful experiences for recent college graduates who have a passion for a future in technolog...
2026 Technology Early Career Development Program - Data/Cloud Engineer
The Technology Associate is a role intended to create meaningful experiences for recent college graduates who have a passion for a future in technolog...
2026 Technology Early Career Development Program – Quality Assurance/App Support
The Technology Associate is a role intended to create meaningful experiences for recent college graduates who have a passion for a future in technolog...
Manager, Total Cost of Care
The Manager, Total Cost of Care, will monitor financial performance and provide analytic insights into all products offered within the Healthfirst por...
Senior Analyst, Total Cost of Care - Hybrid NY
The Senior Analyst, Total Cost of Care, will develop analyses and tools to help monitor financial performance and provide analytic insights into all p...
Project Planning & Operations Specialist
Reporting to the Director, the Specialist Sales & CE Ops Strategic Planning & Performance will assist the Manager and Director for Sales & CE Ops Stra...
Sr Project Manager - Utilization Management
The Sr Project Manager (Sr PM) leads large-scale, complex, enterprise transformation initiatives within Healthfirst. This incumbent will provide dedic...