Job Search | Healthfirst

Leading and Supporting Our Organization

Healthfirst provides the tools and support necessary to help our employees grow, and better serve our community. Sid works with various business leaders and executives to provide financial analyses that impact crucial decision-making processes. Interested in joining our Corporate team? Check out our available positions below.

Open Positions in Corporate

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Administrative Assistant

NY Req ID: R020060 Hybrid

Schedules and organizes complex activities such as meetings, travel, conferences and department activities for all members of the departmentSorts and distributes mail. Opens mail for the vice president. Drafts written responses or replies by phone or e-mail when necessary. Responds to regularly...

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Administrative Assistant, Legal - Hybrid NY

NY Req ID: R019929 Hybrid

Scope of Responsibilities:Schedules and organizes complex activities such as internal and external meetings, travel arrangements, and conferences, sends out invites, agendas and meeting minutes as required.Manages incoming and outgoing mail, including drafting written responses or replies by...

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Billing Operations Analyst - Hybrid NY

NY Req ID: R019195 Hybrid

Duties & Responsibilities: Generate and review the State billing files for all Healthfirst products. Ensure billed records are accurate based on approved contracted rates from Department of Health and correct any errors from exception reports. Ensure State billing files are loaded to the data...

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Director, Federal Government Relations | Hybrid NYC

NY Req ID: R019417 Remote

Duties and Responsibilities: Maintain and develop relationships with elected officials and staff. Represent Healthfirst at meetings with elected officials and staff. Serve as liaison to associations.Partner with and assist in managing external lobbyists.Track legislation, regulation, and funding...

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Director, Risk Score Accuracy - Hybrid NY

NY Req ID: R019360 Hybrid

Hybrid Work ScheduleThis role is hybrid which consists of reporting to our 100 Church Street, NYC office location 3 days per week.Duties and ResponsibilitiesAssume leadership role in the delivery and execution of the risk adjustment program by driving value through data driven decisions in a...

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Fraud Examiner

NY Req ID: R019766 Remote

Submit standard RFIs for routine reviews, inclusive of requests made to external business partners such as Medicare Broker Field Marketing Offices (FMO); and Ancillary Agencies for member involved and impacted allegations of Theft and or Assault.Perform routine and basic reviews such as the...

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Learning Delivery Specialist

NY Req ID: R019571 Hybrid

Duties & ResponsibilitiesFacilitate and deliver learning events to support the enterprise inclusive of all business units. Serve as subject matter expert (SME) in the design and development of learning content partnering with business leaders and the instructional design group. Assist with...

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Learning Delivery Specialist

NY Req ID: R017782 Hybrid

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Manager, Actuarial Services

NY Req ID: R018918 Hybrid

The Manager Actuarial Services – Trend is responsible for managing actuarial analysis, modeling, and deliverables related to Medical Trend across all Healthfirst lines of business, as outlined in the scope of responsibilities.Scope of Responsibilities:Build and maintain models for analyzing...

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Manager, Actuarial Services - Medicaid

NY Req ID: R019123 Hybrid

Scope of Responsibilities:Monitor experience for Healthfirst's Medicaid lines of business.Analyze and interpret impacts of premium rate changes and other regulatory changes, including support of premium rate advocacy efforts.Perform analysis of changing populations, benefits, and other trends...

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Manager, Actuarial Services - Medicare | Hybrid NY

NY Req ID: R018830 Hybrid

Duties and Responsibilities:Monitor experience under Healthfirst's Medicare line of business.Provide support for annual Medicare bids for all Healthfirst's Medicare products.Assist in other actuarial functions such as in incurred but not reported (IBNR) analysis and other ad hoc...

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Pharmacy Financial Analyst - Hybrid NYC

NY Req ID: R019903 Remote

Duties & Responsibilities:Provides cost and trend surveillance for all lines of business. Leads the analysis of all designated categories to understand the drivers of cost and utilization increases/decreases, by designated category and provider compared to designated budget.Collaborates with...

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QA Ops Auditor Bilingual (Russian/English)

NY Req ID: R019707 Remote

Perform routine random/target audits of operational processes (e.g., call centers, enrollment/terminations, invoicing/dunning, member/provider notifications, workforce management, sales/retention, etc.) across multiple lines of business and productsConfirm employee adherence to company, state and...

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Recruiter, High Volume - Hybrid FL

FL Req ID: R020014 Hybrid

This is a hybrid work schedule which consists of reporting to our Lake Mary, FL office 3 days per week (Tuesdays through Thursdays – 40 hours per week).Scope of ResponsibilitiesThe Recruiter role will cover a wide range of skills and business functions including, but not limited to, roles across...

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Senior Actuarial Analyst

NY Req ID: R019604 Hybrid

Duties and Responsibilities:Supporting Annual Medicare Part C/D BidsMonitoring performance on Medicare lines of business and update forecasts as appropriateCompare actual monthly results to latest forecasts as well as budgetBuild and maintain Healthfirst’s Part C/D bid pricing modelCo-ordinate...

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Senior Clinical Policy Analyst

NY Req ID: R020021 Remote

Duties/Responsibilities:Support the Medical Policy and Clinical Utilization Management (UM) Governance Committee Chairs, committee members, and related workgroups by organizing all meeting materials (e.g. meeting minutes, presentations, etc.), tracking follow-up activities, and...

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Senior Recruiter, High Volume - Hybrid FL

FL Req ID: R019367 Hybrid

This is a hybrid work schedule consisting of reporting our Lake Mary, FL office 3 days per week (Tuesdays through Thursdays).Scope of ResponsibilitiesThe Senior Recruiter role will cover a wide range of skills and business functions including, but not limited to, roles across (business...

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Sr Learning & Delivery Specialist

NY Req ID: R019909 Hybrid

Duties & Responsibilities:• Facilitate and deliver learning events to support the enterprise inclusive of all business units.• Serve as subject matter expert (SME) in the strategy creation, design and development of learning content partnering with business leaders and the instructional...

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Leading and Supporting Our Organization

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