Healthfirst
The Manager, Clinical Appeals & Grievances leads a fast‑paced team responsible for handling clinical appeals and grievances, ensuring timely case resolution, compliance, and quality. This role collaborates with multiple leaders, vendors, and providers to standardize processes, drive performance, and develop innovative tools while maintaining regulatory adherence.
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.
3% below the average for this role
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