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© All Rights Reserved. ApplyBlast.com
Healthfirst
The A&G Clinical Specialist serves as a subject matter expert responsible for developing and resolving clinical cases, including appeals and grievances, while ensuring compliance with federal and state regulations. The role involves managing a caseload, investigating member or provider-initiated issues, and preparing cases for Medical Director review or external appeals. This is a fully remote position with flexible weekend shift options.
Headquarters
New York, New York, United States
Company Size
1001-5000 employees
Founded
1993
Healthfirst is a New York-based health insurer offering Medicare Advantage, Medicaid, Essential Plans, Child Health Plus, and other individual and family plans, along with long-term care options. Serving New York City, Long Island, Westchester, Rockland, Sullivan and surrounding areas, Healthfirst emphasizes a broad provider network, care coordination, and member resources to help New Yorkers access affordable health coverage.