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Salary
$81k – $117k per year
Location
Hybrid (United States)
Seniority
Junior · 1+ year exp
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 21, 2026. First seen by Alion on Feb 24, 2025. Healthfirst scores B on the Alion truth index.

Overview
Company
Impact
Profile match
Healthfirst is a not-for-profit health insurer based in New York City, offering Medicare Advantage, dual eligible special needs, long-term care, Medicaid managed care, Essential Plan, Child Health Plus and marketplace plans to New Yorkers. Sponsored by leading hospitals and health systems and in operation for more than 30 years, it serves members across the city, Long Island and the Hudson Valley through neighbourhood community offices, with an additional office in Lake Mary, Florida. It hires support specialists, bilingual field service agents, field assessment nurses, care coordinators, clinical pharmacy technicians, risk adjustment analysts, software engineers and cybersecurity staff.
The Senior Specialist leads special initiatives, small to mid-scale initiatives, and ad-hoc activities. This includes collaboration and coordination with internal business partners, contributors, and subject matter experts to ensure content is complete, accurate, and maximizes business opportunities. The Senior Specialist is responsible for supporting the Manager, Senior Manager, and Director with various product initiative planning and execution for initiatives included within the Healthfirst product portfolio, including collecting/organizing documentation to successful execution.

Duties & Responsibilities:

  • Participates in product driven workgroups to provide input to product designs/enhancements and implementation plans.
  • Works closely with cross functional teams such as Enrollment & Billing, Claims, Member Services, Compliance, Sales, Finance, Clinical/Network Management, and senior management in implementing new products, product enhancements, business implementations and, end to end process improvements.
  • Plans, schedules, monitors, and reports on activities related to a project or assignment.
  • Keeps all areas of the corporation informed through written and oral reports. Ensures communication to all areas impacted.
  • Serves as the subject matter expert on product requirements to other business units.
  • Must be able to perform additional duties as required
  • Participate in the CMS Bid Planning and Submission processes
  • Research and Analyze Market Trends

Minimum Qualifications:

  • High School Diploma or GED Equivalent
  • Excellent communication skills and strong analytical ability required.
  • Ability to work cross-functionally across departments.
  • Ability to adapt to constant change and competing priorities and ability to manage multiple projects simultaneously.
  • Must be able to think strategically while managing tactical execution.
  • Excellent organizational/project management skills
  • Sense of urgency necessary to meet goals, objectives and deadlines
  • 1-2 years’ experience with Managed Care Plans and Medicare Plans

Preferred Qualifications:

  • Excellent interpersonal skills
  • Able to work with people of varied management levels
  • Knowledge of Company policy, procedures and organizational structure
  • Masters degree from an accredited institution
  • Experience completing and submitting a CMS Bid

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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 [email protected] 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 Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

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.

Hiring Range*:

  • Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470

  • All Other Locations (within approved locations): $71,600 - $106,505

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

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