Skip to content

Redefine your search:

Filter jobs by

  • Job Title
  • State
  • Work Type
  • Department

HRBP Manager, IT – Hybrid NY

NY Req ID: R021558 Hybrid
Scope of ResponsibilitiesProactively supports the delivery of all HR initiatives and processes.Builds a strong business relationship with the internal clients and serves as a key advisor and confidante, enabling strong management and leadership for the Department.Facilitates the design and...
Apply Learn more >

Dir Medical Reviews

Req ID: R021698 Hybrid
Duties & Responsibilities:The Medical Director will assess/review requests for authorization, and claims payment, based on medical records and internal Healthfirst information and make informed clinical judgments and recommendations.The Medical Director will render determinations in the...
Apply Learn more >

Medical Peer Reviewer

Req ID: R021699 Remote
Duties/Responsibilities:·The Medical Peer Reviewer will assess/review requests for authorization, and claims payment, based on medical records and internal Healthfirst information and make informed clinical judgments and recommendations.·The Medical Peer Reviewer will render determinations in the...
Apply Learn more >

Manager, Appeals and Grievances

NY Req ID: R021619 Hybrid
Work ScheduleThis position requires three days per week in office (Tues/Wed/Thurs) at either: 100 Church St. New York, NY. or 1101 Greenwood Blvd. Lake Mary, FL.Duties and Responsibilities:Ensure management team is accurately monitoring performance through daily meetings, coaching, feedback,...
Apply Learn more >

Claims Coding Analyst

FL Req ID: R021325 Hybrid
Duties & Responsibilities: Conducts independent assessments of current claims edits to ensure comprehensive and defensible claims editing is in place across all Healthfirst product lines.Proactively identifies areas of opportunity with respect to new edits, modifications to existing edits,...
Apply Learn more >

Director Utilization Management

NY Req ID: R021231 Hybrid
Duties/Responsibilities:Provide strategic direction and leadership to UM leaders and teams executing department functions including prior authorizations, concurrent reviews, and service requestsDevelop strong operational and leadership capabilities within the organization through performance...
Apply Learn more >
1-20 of 54 results