Healthfirst
A Regulatory Specialist at Healthfirst promotes compliance with CMS and State DOH regulations across Utilization Management, Care Management, Appeals, and Pharmacy departments. The role involves managing audit deliverables, monitoring corrective action plans, ensuring regulatory updates are implemented, and acting as a liaison between business units and regulatory bodies.
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.
22% above the average for this role