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Healthfirst Jobs (NOW HIRING)

The Specialist plays a key role in advocating for Healthfirst members by thoroughly investigating their concerns and ensuring timely, accurate, and compliant resolutions in accordance with regulatory ...

Duties/Responsibilities: โ€ข The Medical Peer Reviewer will assess/review requests for authorization, and claims payment, based on medical records and internal Healthfirst information and make ...

Clinical Auditor: Appeals and Grievances

$35.50 - $47.75/hr

The Clinical Auditor performs audit functions for Healthfirst clinical teams (e.g. Care Management, Reassessment/Clinical Eligibility, Utilization Management, etc.) and delegated vendors and partners ...

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Healthfirst information

What are the key skills and qualifications needed to thrive as a Healthfirst Representative, and why are they important?

To thrive as a Healthfirst Representative, you need a solid understanding of healthcare benefits, insurance products, and customer service, often requiring a high school diploma or higher and relevant experience. Familiarity with CRM systems, health plan databases, and enrollment platforms is typically expected. Excellent communication, problem-solving, and cultural sensitivity are standout soft skills in this role. These skills ensure accurate information sharing, member satisfaction, and effective support within a complex healthcare environment.

What types of teams and departments do Healthfirst employees typically collaborate with, and how does this impact daily work?

At Healthfirst, employees often work in cross-functional teams that may include clinicians, operations staff, IT specialists, and member services representatives. Collaboration is essential for delivering integrated healthcare solutions, managing member needs, and ensuring regulatory compliance. This team-based environment encourages open communication, regular meetings, and cooperative problem-solving, making it important for employees to be adaptable and comfortable working with a diverse group of professionals. Such collaboration also provides opportunities to learn from peers, broaden skillsets, and contribute to impactful projects.

What is Healthfirst and what does the company do?

Healthfirst is a not-for-profit health insurance company that provides health coverage to individuals and families, primarily in New York. The company offers a range of health plans, including Medicaid, Medicare Advantage, long-term care, and commercial plans. Healthfirst partners with hospitals and healthcare providers to deliver quality, affordable healthcare, focusing on underserved communities. Their mission is to improve the health and well-being of the people and communities they serve.

What is the difference between Healthfirst vs Medical Assistant?

AspectHealthfirstMedical Assistant
CertificationsVaries; often no formal certification requiredCertified Medical Assistant (CMA) or Registered Medical Assistant (RMA)
Work EnvironmentHealthcare facilities, insurance companies, community health programsClinics, hospitals, physician offices
Job RoleHealth insurance management, member support, health program coordinationPatient care, clinical tasks, administrative duties

Healthfirst primarily focuses on health insurance services and member support, while Medical Assistants are clinical professionals providing direct patient care. Both roles are essential in healthcare but differ significantly in responsibilities and required credentials.

What cities are hiring for Healthfirst jobs? Cities with the most Healthfirst job openings:
What states have the most Healthfirst jobs? States with the most job openings for Healthfirst jobs include:
Infographic showing various Healthfirst job openings in the United States as of May 2026, with employment types broken down into 96% Full Time, 3% Part Time, and 1% Contract. Highlights an 86% Physical, 5% Hybrid, and 9% Remote job distribution.

Director, Clinical Operations Children's Services

Healthfirst., Inc.

New York, NY โ€ข On-site

Full-time

Posted 14 hours ago


Job description

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.
Know Your Rights
All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.