Healthfirst

NewBe an early applicant HybridNorth AmericaFull-timeSenior

2 days ago

Sr Manager, Clinical UM Operations - Automation

AI Analytics Automation Data Analytics

The Senior Manager, Clinical Utilization Management (UM) Operations provides strategic and operational leadership for UM activities, with a key focus on advancing UM modernization and transformation. This role partners…

NewBe an early applicant HybridNorth AmericaFull-time

2 days ago

Clinical Utilization Review Manager

Position Summary: The Manager of Utilization Management provides daily oversight for Case Management teams (which includes RN’s, Social Workers, and Coordinators). The Manager of Utilization Management is responsible…

NewBe an early applicant RemoteNorth AmericaFull-time

2 days ago

Case Manager Utilization Management II-1

The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, and case management as assigned. The Case Manager,…

NewBe an early applicant North AmericaFull-time

3 days ago

Ancillary Services Network Account Manager

Under the direction of the Manager of Ancillary Services, the Ancillary Services Contractor develops and maintains an Ancillary provider network that ensures Healthfirst members have superior access to the highest…

New North AmericaFull-time

4 days ago

Learning Delivery Specialist – Clinical RN

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,…

New HybridNorth AmericaFull-timeLead

4 days ago

Team Lead QA Auditor

Employee Relations Performance Management

The Quality Audit (QA) Team Lead is responsible for managing the daily activities of the Quality Audit Team. The QA Team Lead is also responsible for performing internal quality audits of operational processes for…

New North AmericaFull-time

4 days ago

Field Assessment Registered Nurse, Manhattan, NY - $10,000 Sign-On Bonus (Spanish)

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,…

New North AmericaFull-timeJunior

5 days ago

Cyber Security Engineer - Data Security

Agentic AI AI API Authentication Automation +17 skills

We are seeking a Cyber Security Engineer – Data Security to design, implement, and continuously improve security capabilities that protect sensitive data across the enterprise. This is a hands-on security engineering…

Manager, Fleet

North AmericaFull-time

The Manager, Fleet is responsible for the day-to-day management and oversight of Healthfirst MU’s (Mobile Units) or Cargo Fleet Drivers, who are responsible for driving Healthfirst owned marketing vehicles utilized by…

North AmericaFull-timeSenior

Senior Manager, Fee Schedules, Total Cost of Care

Analytics Financial Modeling Python SAS SQL +1 skills

The Senior Manager, Fee Schedules, Total Cost of Care, will develop analyses and tools to help monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio.…

North AmericaFull-timeSenior

Sr Business Analyst -PDO

Agile Automation Performance Management SAS SQL +1 skills

The Senior Business Analyst- Provider Data Operations (PDO) is responsible for business process review, data analysis and reporting as it relates to activities which ensure operational effectiveness. Incumbents assist…

HybridNorth AmericaFull-timeLead

Manager, Medicare Digital Growth and Lead Management

Analytics Automation CRM Data Quality E-commerce +2 skills

The Manager, Medicare Digital Growth and Lead Management — Digital Sales Growth & Enterprise Lead Management - will help establish, grow, and optimize Healthfirst’s Medicare Digital sales channel while advancing…

RemoteNorth AmericaFull-timeLead

Software Production Support Lead

Agile CI/CD EC2 Git Jenkins +7 skills

As a Software Production Support Lead, you will ensure the stability, availability, and performance of our products. You will collaborate with cross-functional teams to investigate complex technical issues, support…

4 weeks ago

Total Cost of Care, Manager

North AmericaFull-time

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,…