Nonprofit health insurer serving 2M New Yorkers across Medicare, Medicaid, and ACA plans
Healthfirst is a nonprofit health insurer operating across New York State with a data infrastructure built on AWS (Glue, EMR, Redshift, Athena, Iceberg) and containerization via Kubernetes and Docker. The tech stack reveals a migration toward modern cloud-native analytics—adopting Docker and OpenShift while maintaining legacy governance layers (ServiceNow, Workday, Pega). Active hiring is concentrated in healthcare operations (92 roles) with emerging investment in data (24 roles) and engineering (23 roles), reflecting pressure to industrialize data science and eliminate manual operations across claims, appeals, and medication management workflows.
Notable leadership hires: Utilization Management Director
Healthfirst is a New York-based nonprofit health insurer founded in 1993, serving nearly 2 million members across New York City, Long Island, and surrounding counties (Westchester, Rockland, Sullivan, Orange). The organization offers Medicaid, Medicare Advantage, Child Health Plus, Essential Plans, and Long-Term Care insurance products. Operations span clinical criteria development, member outreach, medication therapy management, and care gap resolution. The company prioritizes value-based payment models and works through a partnership structure with hospitals and health systems, positioning health outcomes over margin as its operational mandate.
Healthfirst uses AWS (Glue, EMR, Lambda, Redshift, Athena, Iceberg), Kubernetes for orchestration, Splunk for monitoring, Prometheus and Grafana for observability, ServiceNow for ITSM, Workday for HR, Pega for claims, MuleSoft for integration, Salesforce for CRM, and Tableau for analytics.
Healthfirst is headquartered in New York, NY. It serves members in NYC, Long Island, and Westchester, Rockland, Sullivan, and Orange counties in New York State.
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