Healthfirst

IT Product Intern – 2026 Summer Internship

NY  |  Req ID: R021502  |  Hybrid

Duties & Responsibilities:• Operate with intellectual curiosity and critically assess existing processes and procedures to identify opportunities for improvement• Hold oneself accountable for the accuracy, completeness, quality, and relevance of deliverables in order to own responsibility for...

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2026 Summer Internship - Nursing Intern

NY  |  Req ID: R021678  |  Hybrid

The program is also immersive and interactive, laying a foundation for continued leadership development. Interns do impactful work, collaborating with other interns, employees, and business leaders to solve current operational and clinical workflow challenges, strengthen member experience, and...

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Application Development Intern - 2026 Summer Internship Program

NY  |  Req ID: R021550  |  Hybrid

Duties & Responsibilities: • Operate with intellectual curiosity and critically assess existing processes and procedures to  identify opportunities for improvement • Hold oneself accountable for the accuracy, completeness, quality, and relevance of deliverables  in order to own responsibility...

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2026 Technology Early Career Development Program – Quality Assurance/App Support

NY  |  Req ID: R021430  |  Hybrid

This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church Street, NYC 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....

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Appeals and Grievances Clinical Specialist

NY  |  Req ID: R021706  |  Remote

**This position has two schedules available: M-F 8am-5:30pm (8x5) or Wed-Sat 7am or 7:30am - 5pm or 5:30pmDuties and Responsibilities:Responsible for case development and resolution of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity, Pre-certification,...

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HR Administrative Assistant - Hybrid NY

NY  |  Req ID: R021479  |  Hybrid

This is a hybrid position which consists of reporting to our 100 Church Street, NYC office 3 days per week (Tuesdays, Wednesdays & Thursdays).Scope of Responsibilities:Schedules and organizes complex activities such as meetings, travel, conferences, and department activities for the HR...

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Director, Clinical Operations Children's Services

NY  |  Req ID: R021718  |  Hybrid

Duties/Responsibilities:Provides leadership and directs the home and community-based services (HCBS) and case management program of the Children’s Services unit for Healthfirst members ages 0-21.Participates in all aspects of the team’s management and employee lifecycle to ensure appropriate...

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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,...

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Behavioral Health Care Manager, HARP (Fluent English/Spanish)

NY  |  Req ID: R021719  |  Remote

Duties/Responsibilities:Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.Conducts assessments to identify barriers and opportunities for intervention.Develops care plans that align with the physician’s treatment plans and recommends...

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2026 Technology Early Career Development Program - Data/Cloud Engineer

FL  |  Req ID: R021429  |  Hybrid

This position requires three days per week in office (Tues/Wed/Thurs) at Greenwood, Lake Mary, FL.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...

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Field Service Agent - Manhattan (Bilingual English/Spanish)

NY  |  Req ID: R021652  |  On-site

Duties/Responsibilities:Provide high-quality customer service to providers and members across all LOBs with a variety of questions and issues on topics such as eligibility, benefits, claims process, escalations, and productsManage face-to-face encounters by interacting with customers to provide...

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Senior Field Entitlement Enrollment Specialist

NY  |  Req ID: R021693  |  Hybrid

Duties & Responsibilities:Interprets product, procedural and regulatory information, and assists with the development of training curricula to provide field staff with available services.Administers new hire training and refresher training to the Senior Retention Advocates and Retention...

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Project Manager- Provider Operations

NY  |  Req ID: R021720  |  Hybrid

Job DescriptionDuties and Responsibilities:Organizes and leads the project team through the entire project life cycle.Works with internal and external teams as applicable to ensure business needs are clearly understood and the technology implemented meets the needs and expectations of the...

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Vendor Credentialing Specialist (Temp)

Req ID: R021743  |  Remote

Routine TasksDaily review of incoming credentialing cases across PITS and UPE, identify delegated providers and update case notes as needed, import new non-delegated initial providers into CVO, and assign cases to designated credentialing staff. Provide feedback and communicate issues to CVO as...

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Peer Support Specialist - (NYCPS) New York Certified

NY  |  Req ID: R021594  |  Hybrid

Duties/Responsibilities:Manages designated caseload of members who could benefit from Peer Support services, care coordination, and health navigationSchedules and conducts multiple field-based visits per day (clustered by geographic areas)Completes assessments and questionnaires to identify...

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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...

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Director, Out-of-Network Contracting

NY  |  Req ID: R021566  |  Hybrid

This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church St. New York, NY. ResponsibilitiesSet the enterprise strategy for Out-of-Network contracting, including rate methodologies, provider segmentation, and conversion strategies to bring high-utilization OON providers...

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Senior Project Manager Utilization Management

NY  |  Req ID: R021498  |  Hybrid

Duties and ResponsibilitiesLead end-to-end delivery of complex, enterprise-wide (UM transformation) initiatives focused on operational efficiency, program transformation, technology enablement, and performance improvementDrive UM modernization efforts through implementation of AI, automation, and...

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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,...

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FQHC Network Account Manager

NY  |  Req ID: R021643  |  Hybrid

Serve as plan liaison for physicians/physician groups in a specified geographical area. Will be the main point of contact for all plan related issues including marketing, enrollment, contracting, billing and reimbursement.Responsible for the resolution of all issues, including those identified by...

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