Healthfirst

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 large-scale Utilization Management (UM) transformation initiatives at Healthfirst. This senior role drives modernization through AI, automation, and process redesign to improve efficiency and outcomes. Partner with clinical and tech teams to deliver complex projects with enterprise impact. R...

Join Healthfirst, a top-rated NYC health insurer, as a UAS Nurse Assessor. Conduct home and virtual assessments using the Uniform Assessment System to determine member care plans. This hybrid RN role requires a NY license, travel in downstate NY, and offers a flexible schedule with full benefits ...

Gain hands-on audit experience in this internship at Healthfirst. Rotate through Business Operations, Model Audit Rule, and Internal Controls teams. Ideal for Accounting or Finance majors with strong analytical skills. This US-based role offers valuable exposure to risk management and process imp...

Join Healthfirst, a top-rated NYC health insurer, as a UAS Nurse Assessor. This hybrid RN role requires a NY license and travel across downstate NY to conduct home and virtual assessments. Enjoy a flexible 4x10 schedule, no weekends, full benefits, and a $7,500 sign-on bonus.

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 Field Assessment RN in the Bronx. Utilize your NYS RN license to conduct in-home UAS assessments, ensuring members receive optimal care. Enjoy a flexible schedule with no weekends, a $10,000 sign-on bonus, and comprehensive benefits. This role is ideal for a nurse seeking im...

Seeking a dedicated RN or LCSW/LMSW to serve as an HIV/AIDS Care Manager for high-risk Medicaid members in Downstate NY. You will conduct assessments, develop personalized care plans, and coordinate services to overcome barriers to care. This role includes a $3K sign-on bonus, comprehensive benef...

Seeking an experienced Release Train Engineer to lead Agile program delivery for Infrastructure and Operations in Lake Mary. This role requires 10+ years in IT, with 5+ years in program management or RTE functions, and expertise in SAFe. You will facilitate PI planning, manage cross-functional te...

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...

Join Healthfirst as a Medicare Outside Sales Representative in New York City. Drive membership growth by identifying and enrolling eligible beneficiaries into suitable Medicare Advantage plans. Leverage your grassroots marketing and Salesforce expertise in a competitive, incentive-based role. Enj...