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Healthfirst Healthfirst Cares Program Director in Home Office, New York

The Director of Healthfirst Cares is responsible for ensuring the execution of the strategy, design, and operations for Healthfirst’s enterprise-wide clinical strategy. The Director will work with the SVP of Clinical Operations, VP of Clinical Business Management, and all other functional areas impacted by the strategy and operations: examples include Care Management, Utilization Management, Enterprise Delivery Solutions, Marketing, Technology and Digital partners, Member experience and member messaging owners, Network and provider partnerships, Medical Directors, Enterprise Analytics, Product owners, and more. The ability to collaborate and influence indirect leaders is essential to the role.

Job Description

  • Work with leadership to establish sizing and sequencing of clinical program development priorities; continually assesses the health status of members and target populations with opportunity to impact for education

  • Work across constituents to design and deploy industry-leading interventions across the risk continuum, in alignment with Healthfirst’s mission of serving vulnerable populations, local New Yorkers, in alignment with members’ preferences and ethnic concordance

  • Establish and communicate current and long-range program goals and objectives and monitor results on an ongoing basis, adjusting plans and performance expectations to achieve targeted performance improvement results

  • Demonstrated experience in managing medical cost savings in range of $100M-$200M across several years

  • Develop, formulate, recommend and implement decisions regarding clinical strategies, interventions, and technology business requirements related to all Healthfirst Cares member impacting activities

  • Ensure business excellence practices are in support of all NY state and federal compliance, audit and regulatory requirements, as applicable

  • Develops an effective team through hiring, training, coaching and providing ongoing and constructive feedback

  • Communicates results to executive leadership using standardized reports, dashboards and frequent verbal updates through participation in management meetings and operational review processes

  • Stays current with technology, processes and best practices and leverage knowledge to identify opportunities for training and process improvement

  • Performs other duties as necessary or assigned

  • Strategic planning no less than annually to set milestones and objectives for departmental performance

  • Participates as needed in Healthfirst regulatory, professional and community activities

    Minimum Qualifications:

  • Bachelor’s Degree from accredited institution or equivalent work experience

  • Extensive experience with clinical program design processes and member engagement channels

  • Leadership experience in change management and organizational transformation

    Preferred Qualifications:

  • Clinical degree and/ or advanced degree from an accredited institution

  • Population health experience

  • Medicaid, Medicare, vulnerable populations clinical program experience

Please note: Since we care so greatly about our employees' and members' wellbeing, Healthfirst is moving to a fully vaccinated in-office environment. You must be vaccinated to work in our offices, even if you are partially remote. If you are selected to interview for this role, we will explain our vaccination policy and ensure you are comfortable moving forward with further interviews based on your work location.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement (

All hiring and recruitment at Healthfirst is transacted with a valid “” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.