Healthfirst - Remote work

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 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 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...

Seeking a licensed Clinical UM Pharmacist to review prior authorizations for medical benefit medications. You will develop clinical criteria, ensure CMS/NYSDOH compliance, and collaborate with physicians. This remote US role requires pharmacy review experience and offers full medical, dental, and...

Join Healthfirst as a Clinical Pharmacy Tech, serving 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.

Lead the design of innovative, multi-modal learning programs at Healthfirst. This senior role requires a Master's in Instructional Design and 5+ years' experience creating digital, outcomes-driven content. You will develop holistic training solutions using industry-standard tools while enjoying c...

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 ...