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The AVP Application Development oversees the digital transformation of Enterprise Correspondence, managing technical direction and delivery, fostering collaboration and quality outcomes, and ensuring adherence to IT roadmaps.
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Design, develop, test, and maintain complex, enterprise-grade Salesforce applications. Create specifications and user stories, build integrations and deployments, enforce security and access, document solutions, and mentor a team while staying current on platform technologies.
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The Internal Audit Intern assists the team in evaluating business processes, improving controls, and participating in audit procedures and documentation.
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Analyze and document business processes and requirements, create user stories/features under SAFe, collaborate with IT and stakeholders, perform data analysis to identify improvements, report risks and present findings to leadership to ensure project deliverables.
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10-week paid software engineering internship focused on learning and delivering technology solutions. Interns analyze processes to identify improvements, produce accurate high-quality work, collaborate across teams, and support feature development. Additional duties as assigned.
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Lead out-of-network contracting strategy and negotiations, manage provider relationships, ensure regulatory and contractual compliance, collaborate with legal/finance/clinical teams, analyze claims and reimbursement trends, develop policies and playbooks, and manage/direct a contracting team to optimize access and financial performance.
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The Marketing Strategy Specialist will assist in executing marketing strategies, developing sales collateral, managing projects, and analyzing member experiences. They will work collaboratively to achieve marketing goals and support team operations.
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Manage claims-related modernization initiatives, oversee project reports, collaborate with IT, and implement process improvements in a healthcare setting.
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The Program Coordinator supports Healthfirst initiatives related to Member Rewards, conducts outreach, tracks implementation status, communicates findings, and assists in updating materials.
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The Director of Utilization Management leads strategic oversight for UM teams, ensuring quality care and compliance with regulatory standards while driving process improvement and innovation.
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Manage daily provider data intake and team performance to meet SLAs, implement policies, drive process improvements, hire and develop staff, and ensure quality, compliance, and operational efficiency across provider data operations.
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Act as primary contact for delegated entities on provider onboarding and credentialing. Maintain and reconcile provider directory accuracy, configure provider data changes, process credentialing applications and contracts, coordinate with Network Management, and train delegated entities. Ensure timely follow-through and compliance with guidelines; report to Team Lead and perform related administrative tasks.
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This program aims to provide recent graduates with immersive technology experiences, including training on technical skills within IT and Quality Assurance roles.
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The role involves solving business problems as a Data/Cloud Engineer through a comprehensive training program, requiring collaboration and skill development in technology.
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The Senior Product Strategy Specialist leads product initiatives for Medicaid Products, coordinating with cross-functional teams, ensuring accurate documentation, and driving strategic execution.
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The role focuses on creating technology solutions, collaborating on business problems, and gaining experience as a Product Owner or Business Analyst. Associates engage in a comprehensive curriculum including technical and professional training, and are mentored by industry leaders.
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The Senior Network Account Manager develops provider networks, enhances provider satisfaction through education, and implements initiatives for healthcare delivery improvement, while ensuring compliance and effective communication within the team.
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Provide peer-based recovery support and care navigation to members with mental health or substance use disorders through field visits and telephone outreach, coordinate referrals, document encounters, and collaborate with interdisciplinary teams to reduce barriers and support person-centered care.
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The Ancillary Services Network Account Manager I develops and maintains a provider network while ensuring quality care, managing claims issues, and facilitating provider education.
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The Grievance Specialist manages grievances and complaints, ensuring timely resolution per regulatory standards, while collaborating cross-functionally and with external vendors.

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