Healthfirst Jobs

job title, keywordscity, state, or zip 
174 jobs at Healthfirst
  • Healthcare Claims - Reimbursement Specialist

    Lake Mary, FL
    The Reimbursement Specialist is responsible for analyzing weekly, monthly and quarterly post implementation claims reports. He/she owns project goals such as:...
    30+ days ago
  • Case Manager, Utilization Management, HARP - RN or SW

    New York, NY
    The Case Manager, Utilization Management HARP coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge...
    6 months ago
  • Appeal and Grievances, Letter Writer

    Lake Mary, FL
    The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to...
    30+ days ago
  • Call Center Operations - Customer Service Representative - Bilingual English and Spanish

    Lake Mary, FL
    Summertime Career Event - Call Center Operations, Customer Service Representative - Now Taking Appointments! - Bilingual English AND Spanish The Call Center...
    2 days ago
  • Investigator

    New York, NY
    The Investigator will be responsible for effectively carrying out investigations of misconduct by Providers, Representatives, Employees and Members. Duties &...
    30+ days ago
  • RN Case Manager, Utilization Management (Telecommuter)

    New York, NY
    The RN Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge...
    30+ days ago
  • Care Manager

    Home Based
    Description Position Summary: The Care Manager plans and manages behavioral and/or physical care with members and their beneficiaries and works with...
    5 months ago
  • Care Coordinator

    United States
    Care Coordinators are responsible for performing care management services in order to support members who require assistance in navigating their health care...
    30+ days ago
  • Team Leader, Non-Clinical Specialist

    New York, NY
    The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to...
    15 days ago
  • Project Coordinator, Behavioral Health

    New York, NY
    The Project Coordinator works on the Health Home team and is responsible for the day-to-day program operations and serve as primary point of contact for both...
    30+ days ago
  • Policy & Process Analyst

    New York, NY
    The Policy and Process Analyst designs and develops end-to-end process maps, standard operating procedures and business policy documents in consultation with...
    27 days ago
  • AVP Claims Configuration

    New York, NY
    The Assistant Vice President (AVP) of Claims Configuration will partner with the Claims Department and company’s senior leadership to design and implement the...
    1 day ago
Claimed Profile

Overall rating

3.5
Based on 481 reviews
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Ratings by category

3.4Work/Life Balance
3.6Compensation/Benefits
3.0Job Security/Advancement
3.0Management
3.3Culture

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