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Our Members’ First Line of Support

Healthfirst provides members with quality care. Our Call Center Operations team is the first line of support directly assisting our members. Dafne helps call center representatives stay informed and inspired to provide the best possible member experience. Interested in joining our Operations team? Check out our available positions listed below.

Open Positions in Operations

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Sr. Claims Examiner

FL Req ID: R020069 Remote
Duties and Responsibilities:Reviewing and investigating claims and encounters for medical, facility, pharmacy, dental and vision services including contractual provisions, authorizations and Healthfirst Policy and Procedure.Subsequent auditing and handling of specific claims and appeal requests...
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Sr. Service Agent

NY Req ID: R020121 Remote
Duties and Responsibilities ·       Provides high quality assistance to the team via phone, chat, video call, email, in person, and/or other communication channels related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats,...
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Sr. Service Agent - CCO

FL Req ID: R020157 Remote
Duties and Responsibilities ·       Provides high quality assistance to the team via phone, chat, video call, email, in person, and/or other communication channels related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats,...
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Team Lead

NY Req ID: R018772 Hybrid
Duties and Responsibilities ·       Leads and directs teams and functions related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats, onsite/remote/virtual/field location, onshore/offshore, on behalf of CCO. ·       Ensures KPIs...
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Team Lead Contact Center

NY Req ID: R018710 Hybrid
Duties and Responsibilities ·       Leads and directs teams and functions related to servicing our members and/or providers. May include but is not limited to inbound/outbound calls/emails/chats, onsite/remote/virtual/field location, onshore/offshore, on behalf of CCO. ·       Ensures KPIs...
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Test - Per Diem Care Manager

NY Req ID: R016161 Remote
Duties/Responsibilities: Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention. Develops care plans that align with the physician’s treatment plans and recommends...
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Test - Per Diem Care Manager

NY Req ID: R016376 Remote
Duties/Responsibilities: Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention. Develops care plans that align with the physician’s treatment plans and recommends...
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Test - Per Diem Care Manager

NY Req ID: R016381 Remote
Duties/Responsibilities: Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention. Develops care plans that align with the physician’s treatment plans and recommends...
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Test - Per Diem Care Manager

NY Req ID: R016445 Remote
Duties/Responsibilities: Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention. Develops care plans that align with the physician’s treatment plans and recommends...
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Test 2 - Per Diem Care Manager

NY Req ID: R016452 Remote
Duties/Responsibilities: Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention. Develops care plans that align with the physician’s treatment plans and recommends...
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Test Req - CCO - James

IN Req ID: R001500 Remote
The Operations Contact Center Service Agent is responsible for assisting members & providers with issues and inquiries about our members and their insurance, applications and/or claims in one or more families of products, i.e., Medicare, Medicaid. The Service Agent is also responsible for...
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TL Claims

FL Req ID: R018718 Hybrid
Duties & Responsibilities:Monitors staff production and performance in order to meet corporate performance goals. Provides ongoing coaching and feedback to staff.Ensures the accurate and timely adjudication of claimsPlans and organizes the daily operation of the Service Department, including...
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TL Claims

FL Req ID: R018720 Hybrid
Duties & Responsibilities:Monitors staff production and performance in order to meet corporate performance goals. Provides ongoing coaching and feedback to staff.Ensures the accurate and timely adjudication of claimsPlans and organizes the daily operation of the Service Department, including...
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TL Claims

FL Req ID: R018714 Hybrid
Duties & Responsibilities:Monitors staff production and performance in order to meet corporate performance goals. Provides ongoing coaching and feedback to staff.Ensures the accurate and timely adjudication of claimsPlans and organizes the daily operation of the Service Department, including...
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TL Claims

FL Req ID: R018716 Hybrid
Duties & Responsibilities:Monitors staff production and performance in order to meet corporate performance goals. Provides ongoing coaching and feedback to staff.Ensures the accurate and timely adjudication of claimsPlans and organizes the daily operation of the Service Department, including...
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TL Claims

FL Req ID: R016454 Hybrid
Duties & Responsibilites: Monitors staff production and performance in order to meet corporate performance goals. Provides ongoing coaching and feedback to staff. Ensures the accurate and timely adjudication of claims Plans and organizes the daily operation of the Service Department, including...
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