Healthfirst

Sr PEGA Application Developer

FL  |  Req ID: R019960  |  Remote

Duties & ResponsibilitiesResearch of production Incidents related to Pega orchestrationsDelivery of Pega run the business backlog itemsDesigns, develops, and maintains complex applications using Pega solutions that adhere to platform best practicesDevelops unit tests and provides code...

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Sr Analyst, Claims Modernization, Reporting & Analytics

NY  |  Req ID: R019942  |  Hybrid

Duties and Responsibilities:Identify defects and improve departmental performance by supporting quality, operation efficiency, and production goalsCommunicate departmentally and interdepartmentally to recommend and request new concepts and/or modifications to existing workflow, system set up,...

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2025 Technology Early Career Development Program – Product Owner/Business Analyst

NY  |  Req ID: R020020  |  Hybrid

For this role we are looking for candidates with project, internship or work experience with business systems and processes and SDLC (Software Development Life Cycle). Candidates should have fundamental knowledge and skills in Agile methodologies and knowledge of object-oriented programming would...

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2025 Technology Early Career Development Program – Quality Assurance

NY  |  Req ID: R020018  |  Hybrid

For this role we are looking for candidates with project, internship or work experience SQL, Java, C.  Candidates should have fundamental knowledge or skills in unit testing and databases. Candidates for this role should be interested in growing their skills in various technologies that will...

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2025 Technology Early Career Development Program – Data/Cloud Engineer

NY  |  Req ID: R020019  |  Hybrid

For this role we are looking for candidates with project, internship or work experience with SQL and Python. Candidates should have fundamental knowledge and skills in data pipelining and cloud technologies(AWS, Azure, GCP) . Candidates for this role should be interested in growing their skills...

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Product Owner- Configuration and Defects

NY  |  Req ID: R020046  |  Hybrid

Define and communicate the overall vision, objectives and goals of the business. Articulate the minimum viable product needs. Create, refine, socialize and prioritize the work inventory backlog.Enable delivery of reimbursement configuration work by creating, owning and refining well-formed user...

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Sr Release Engineer

FL  |  Req ID: R020051  |  Remote

Duties & Responsibilities:Work with Application Development, Infrastructure, and DevOps teams to define and implement deployment automation and CICD initiatives.Participate in release and deployment activities of software packages and builds.Analyzes, identifies, troubleshoots build &...

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Sr. Cloud Engineer

FL  |  Req ID: R020028  |  Remote

Duties and Responsibilities:Work as a senior member of the IT Operations teamDevelop automated capabilities to deliver capabilities more efficientlyDrive solutions to problems impacting mission critical systems and implement automation to prevent reoccurrenceExecute changes on production...

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TL QA Auditor - Bilingual English/Spanish

FL  |  Req ID: R020022  |  Hybrid

Responsibilities: Manages a team of quality auditors, with the responsibility for monitoring inventory and productivity, coaching and providing feedback, performance management and other leadership responsibilities as assigned.  Conducts regular 1x1 meetings to understand the team’s needs and...

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Manager Enrollment and Billing

FL  |  Req ID: R020160  |  Hybrid

Duties and Responsibilities:Oversee the enrollment process, ensuring timely and accurate processing of new and modified enrollments, renewals, and terminations.Collaborate with internal teams (e.g., sales, customer service, compliance) to ensure seamless management of members.Monitor ,report, and...

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Principal Engineer, I and O - DevOps

FL  |  Req ID: R020181  |  Remote

Duties & Responsibilities:Works vertically and horizontally across the Infrastructure and Operations portfolio supporting private/public cloud systems, operating systems, middleware, storage, database platforms, and other key infrastructure products.Assists department leadership by providing...

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Senior Credentialing Specialist

NY  |  Req ID: R020161  |  Remote

Duties/ResponsibilitiesThe Senior Credentialing Specialist is responsible for the credentialing and recredentialing of Healthfirst non-delegated providers and vendors, facilities and groups and ensures credentialing and recredentialing documents and files are complete and accurate in accordance...

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Information Management Intern - 2025 Summer Internship

FL  |  Req ID: R020165  |  Hybrid

Duties & Responsibilities:  Assist in monitoring system performance, application health, and incident management.Help identify and resolve production issues, working with cross-functional teams.Support in tracking incidents, documenting issues, and ensuring timely resolution.Assist in...

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IT Operations Team Intern - 2025 Summer Internship

FL  |  Req ID: R020169  |  Hybrid

Duties & Responsibilities:  Assist in monitoring system performance, application health, and incident management.Help identify and resolve production issues, working with cross-functional teams.Support in tracking incidents, documenting issues, and ensuring timely resolution.Assist in...

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Infrastructure and Operations Architect

FL  |  Req ID: R020133  |  Remote

Duties & ResponsibilitiesDiscover and design technical operational solutions to streamline processes that enhance service efficiency, automate repetitive tasks, increase availability, improve security and enhance the customer experience through collaboration with IT teams.Create and manage...

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Pharmacy Technician, Engagement - Hybrid NYC

NY  |  Req ID: R019932  |  Hybrid

Duties & Responsibilities:Establishes positive, collaborative, and consultative relationships with partner hospitals, community network providers, population health teams and community pharmacies.  Partners with community pharmacies to communicate medication adherence strategies,...

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Clinical Quality Manager

NY  |  Req ID: R019945  |  Hybrid

Duties & Responsibilities:Interacts with hospitals, providers, and members to improve quality of care, monitor progress, and recommend changesReviews billing codes, medical records, and claims submission processes to ensure accuracyAttends and facilitates any initiative meetings (studies,...

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Dental Benefits Intern (Pharmacy Department) - 2025 Summer Internship

NY  |  Req ID: R019847  |  Hybrid

Duties & Responsibilities: Collaborate with Dental managers to gather and document requirements for dental services and initiatives Conduct market research to determine effective and sustainable programs to increase preventive care  Support collection and analysis of...

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Population Health Strategy Manager

NY  |  Req ID: R019721  |  Hybrid

Leads development, implementation, refinement and monitoring of short- and long-term strategies and initiatives to improve performance on quality rating programs aligned with Healthfirst’s overall corporate strategy.  Collaborates closely with Clinical, Pharmacy, Analytics, Enterprise Delivery...

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Care Manager - Interdisciplinary Team - Hybrid - $3,000 Sign On Bonus

NY  |  Req ID: R019036  |  Hybrid

Duties and Responsibilities:Provides telephonic (and occasional onsite) care management to support the member’s care needs to promote positive health outcomes.Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.Attends Interdisciplinary Team...

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