Healthfirst

Data Engineer

• Lead and oversee the daily operations and activities of the team
• Ensure timely support and resolution on system requests/inquiries raised by employees
• Manage the reporting catalog in partnership with HRSS and People Analytics
• Partner with People Analytics, CBT and HRSS for data governance alignment
• Manage and maintain the EIB mass upload process in Workday
• Liaise with CBT and HR SMEs on requirements interpretation and configuration
• Inform and encourage technology enhancements with HR stakeholders
• Proactively identify processes and technology opportunities for improvement

Manager, HR Technology, Data Architecture

Analyst

• Analyze the financial performance of all Healthfirst products, identify favorable and unfavorable trends, develop recommendations to improve trends, and communicate recommendations to management.
• Create financial models to evaluate the impact of provider reimbursement changes
• Gather data and conduct ad hoc analyses as directed by other department team members and assist with the development and presentation of analytical data reports
• Support department projects related to medical cost reduction initiatives
• Assist with Return on Investment (ROI) analyses for vendors to determine if their financial and clinical performance is achieving desired results
• Keep abreast of New York Medicaid and Medicare reforms and their impact on Healthfirst and their owner hospital performance

Healthcare Analyst

Call Center Representative

• Handling inbound and outbound calls to and from customers to address their needs while adhering to internal Service Levels standards.
• Creates and/or follow ups for up to 90 days on Long-Term Care (LTC) Leads and Opportunities entered in Salesforce.
• Answer all calls or complete outbound calls according to approved scripts.
• Searches ePACEs for Medicaid eligibility, exclusion, and exemption codes.
• Achieves daily, weekly, and monthly growth goals.
• Handle all calls to maximize productivity and optimal operational efficiency.
• Connects consumers seeking personal care/long term care services with the State broker to complete the initial evaluation.
• Schedules Clinical Assessors to complete Community Health Assessments for Mainstream/HARP members requesting Personal Care Services at home.
• Troubleshoots and follows up on LTC enrollment rejections.
• Engage in mastering Divisions' impact on all Healthfirst Plans and its members.

Bilingual Call Center Rep – Relationship Coordinator

Infrastructure Engineer

• Work horizontally across the Infrastructure and Operations portfolio supporting private/public cloud systems, operating systems, middleware, storage, database platforms, and other key infrastructure products.
• Develop repeatable automation to efficiently deliver capabilities.
• Drive solutions to problems impacting mission critical systems and implement automation to prevent reoccurrence.
• Execute changes on production systems in accordance with Change Management standards.
• Support and implement private cloud HCI components.
• Work in a Center of Excellence for cloud usage and cloud development standards.
• Maintain an accurate picture of existing server, storage, networking software and hardware and virtual environments to support scaling against various project requirements.
• Ensure all usage of cloud environments meets governance standards and contributes to improving standards for security and operational efficiency.
• Create standard operating procedures for Healthfirst operations teams to support the operations of the products.
• Act as an escalation point for operations teams for incident and ticket resolution and participate in an on-call rotation as an escalation point.

Infrastructure Operations Engineer – Enterprise Storage, Backups

Operations

• Work horizontally across the Infrastructure and Operations portfolio supporting private/public cloud systems, operating systems, with a focus on remediation of security vulnerabilities
• Develop repeatable automation to efficiently deliver capabilities, inclusive of patching, software updates, etc.
• Drive solutions to problems impacting mission critical systems and implement automation to prevent reoccurrence
• Execute changes on production systems in accordance with Change Management standards
• Participate in a Center of Excellence for cloud usage and cloud standards
• Maintain an accurate picture of existing server, storage, networking software and hardware and virtual environments to support scaling against various project requirements
• Ensure all usage of cloud environments meets governance standards and contributes to improving standards for security and operational efficiency
• Create standard operating procedures for Healthfirst operations teams to support the operations of the products
• Act as an escalation point for operations teams for incident and ticket resolution and participate in an on-call rotation as an escalation point

Infrastructure and Operations Engineer, System Admin, Monitoring

• Improve the value and utility of provider data and provider data products
• Create high-impact data products in the service of our internal business and external provider partners
• Collaborate internally to build and maintain provider data assets and documentation
• Manage and ensure data quality and assurance for the Provider Analytics team
• Collaborate with the Provider Analytics team and Hyphen to build ML-based and provider facing decision support tools
• Collaborate with the broader data management and data engineering teams to establish standards and practices around ML Ops

Senior Manager, Data Engineering, Provider Analytics

Customer Support

• Manages designated caseload of members who could benefit from Peer Support services
• Schedules and conducts multiple field-based visits per day (clustered by geographic areas)
• Completes assessments and questionnaires to identify barriers and opportunities for intervention
• Works telephonically when not in the field to make outreach calls and receive incoming calls to/from members regarding benefit questions/issues
• Generates referrals to providers, community-based resources, and appropriate services and other resources
• Collaborates as part of the multi-disciplinary health care team to ensure care needs are addressed within members’ care plans
• Documents all encounters with providers, members, and vendors in accordance with internal and established documentation procedures

Peer Support Specialist

AI Engineer

• Proactively and holistically works with enterprise delivery program leaders to define and maintain the architectural runway for business initiatives enabled by emerging AI technologies
• Leads the technical integration design supporting implementation of agentic AI systems, including autonomous and semi-autonomous agents, multi‑agent orchestration, Agent‑to‑Agent (A2A) communication patterns, and AI‑enabled business process transformation
• Partners with Enterprise Analytics, Security, and I&O programs to develop and govern AI‑focused architectural designs that incorporate Model Context Protocol (MCP)–based tool integrations
• Ensures agents operate safely within enterprise boundaries, follow standardized integration patterns, and enhance business capability maturity
• Identifies emerging AI and agentic technology trends that enable future‑state business capabilities and optimizes business processes for AI‑native execution
• Coaches architects, product owners, delivery teams, and business partners to build competency in AI architecture and agentic design patterns

Enterprise AI Architect

Full-stack Engineer

• Operate with intellectual curiosity and critically assess existing processes and procedures to identify opportunities for improvement
• Hold oneself accountable for the accuracy, completeness, quality, and relevance of deliverables to own responsibility for work product
• Exhibit collaborative attitude, willingness to work with others on features that included working team(s) made of cross departmental/interdisciplinary users
• Additional duties as assigned