H

Healthfirst

Non-profit insurer offering MLTC, Medicare Advantage.

Bilingual Spanish Team Lead - Field Care Coordinator

Full-Time
$59.8k - $95.7k+ Incentive and recognition programs + 401(k) contributions
Mid
Bachelor's, Associate's
New York, NY, USA
HybridHybrid work combines remote work with in-field supervision and travel in the downstate New York area.
Social & Community Services
Company Does Not Provide H1B Sponsorship

About the job

Requirements
  • A high school diploma or GED is required.
  • Full fluency in Spanish is required.
  • Demonstrated professionalism with experience in direct or indirect leadership of people or projects is required.
  • Experience in a role requiring independent critical thinking, time management, problem solving, and achieving goals is required.
  • Ability to travel to the assigned downstate New York geography, including the five boroughs, Long Island, Orange County, and Westchester, is required.
  • Work experience requiring effective verbal and written communication with good grammar, spelling, and punctuation is required.
  • Proficient computer skills, including Microsoft Outlook, Word, and Excel, are required.
Responsibilities
  • Supervise, evaluate, and coordinate daily team operations and responsibilities to ensure departmental productivity goals for quality, timeliness, accuracy, and consistency are met.
  • Allocate, monitor, and assign resources while delegating and monitoring workloads.
  • Implement and support continuous process improvement and quality initiatives.
  • Provide in-field support to Field Care Coordinator staff, including supervision, coaching, and training.
  • Exercise judgment within defined procedures and policies to determine appropriate actions and administer departmental policies.
  • Develop and monitor team goals; provide ongoing feedback and coaching; conduct annual performance reviews; lead by example; and ensure an atmosphere of open communication, teamwork, and empowerment to make informed decisions.
  • Assist leadership in directing, training, and developing team members by embodying the Trailblazer mindset and leading others by example.
  • Build and develop relevant business relationships, critically think about departmental problems, and make informed recommendations on how to resolve issues.
  • Perform additional duties as assigned.
Desired Qualifications
  • An associate’s or bachelor’s degree is preferred.
  • Prior training experience is preferred.
  • Experience managing field teams is preferred.
  • Prior leadership skills and the ability to develop, direct, and support a team are preferred.
  • Adeptness at planning, organizing, and executing strategies is preferred.
  • The ability to build and enhance team productivity to achieve team goals is preferred.

About the company

H

Healthfirst

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Website

Healthfirst is a New York-based nonprofit health insurer offering MLTC, Medicare Advantage, and the Essential Plan to serve different needs. MLTC coordinates ongoing in-home and community-based care through a network of providers; Medicare Advantage combines Medicare with extra benefits; Essential Plan provides affordable coverage for income-qualified residents. It differentiates itself through nonprofit status, a strong local focus in the New York metro area, and active community outreach and provider partnerships. Its goal is to improve access to affordable, comprehensive health coverage for New Yorkers, especially vulnerable groups, by leveraging its mission and local network.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

New York City, New York

Founded

1993

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Simplify Jobs

Simplify's Take

What believers are saying

  • May 2026 CHW pediatric model expands access in Bronx and Upper Manhattan.
  • Healthfirst now partners with Somatus, Concert Genetics, Cotiviti, and Integra Partners.
  • Three 2025-2026 legal and food-access case studies strengthen employer mission branding.

What critics are saying

  • Greene v. Healthfirst PHSP Inc. targets ghost-network claims in Southern District court.
  • Essential Plan 200-250 coverage ends July 1, 2026, pressuring enrollment retention.
  • Ghost-network verdicts force restitution, sanctions, and member flight, threatening Healthfirst's core commercial model.

What makes Healthfirst unique

  • 2 million New Yorkers make Healthfirst a scale leader in Medicaid and Medicare Advantage.
  • 2026 4.5-Star CMS rating supports stronger Medicare Advantage credibility than weaker peers.
  • Hospital-system roots with Montefiore, NYC Health + Hospitals, and BMC deepen local integration.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • 401(k) Company Match
  • Performance Bonus

Company News

DistilInfo
Oct 22nd, 2026
Healthfirst sues CMS, says star rating costs $380M.

Healthfirst sues CMS, says star rating costs $380M. Healthfirst, a New York City not-for-profit plan, has sued CMS over its 2027 Medicare Advantage star ratings, saying a drop from 4.5 stars to 3.5 will cost it more than $380 million. The complaint, filed Oct. 19 in the U.S. District Court for the Southern District of New York, argues CMS scored the plan using five measures never adopted through formal rulemaking and that Healthfirst would have earned 4 stars without them, according to published reports. The suit is the latest in a wave of Medicare Advantage star ratings litigation that follows a May ruling for Clover Health. Because ratings drive quality bonus payments, benchmark calculations and marketing advantages, a half-star move can shift hundreds of millions of dollars for a large plan. What Healthfirst is claiming. Healthfirst covers more than 300,000 Medicare Advantage enrollees and more than two million members overall across New York City, Long Island and several surrounding counties. The plan was founded more than 30 years ago by downstate New York hospital systems. Its largest Medicare Advantage contract had earned 4.5 stars for two consecutive years. In an October 2025 announcement of the second 4.5-star rating, covering more than 275,000 members, President and CEO Pat Wang attributed the result to "our enterprise values" and provider partnerships. The 2027 ratings, which determine 2028 quality bonus payments, brought the contract to 3.5 stars. Healthfirst's legal theory mirrors the argument that has succeeded once already: that CMS cannot score plans on measures it did not put through notice-and-comment rulemaking. The ruling behind the Star Ratings wave. In Clover Insurance Co. v. Department of Health and Human Services, Judge Wood of the U.S. District Court for the Southern District of Georgia granted summary judgment to Clover on May 27, 2026, on two grounds, according to legal analyses of the decision: * Statutory: CMS may base quality ratings only on measures derived from data collected under the governing Medicare statute, which the court read as limiting sources to HEDIS, HOS and CAHPS, with some CAHPS data excluded. It found 10 measures outside those sources. * Procedural: the statute required notice-and-comment rulemaking before CMS adopted certain measures, and CMS did not conduct it, making those measures procedurally invalid as applied to Clover. This covered 10 additional measures. The court ordered CMS to recalculate Clover's 2026 ratings without 20 measures, including medication adherence measures, call center performance, appeals decisions, care coordination and customer service. The ruling binds only Clover and sets no precedent, though its reasoning may persuade other courts. CMS removed the measures from Clover's ratings but did not extend that relief to other plans, which is what prompted the follow-on suits. Other plans in court. Healthfirst joins several insurers challenging their Medicare Advantage star ratings: * Alignment Healthcare filed suit in federal court in the District of Columbia in October, arguing it could lose more than $200 million in 2028 bonus payments. The company said its lawsuit "seeks to ensure that the Star Ratings program operates as Congress intended." * SCAN Group and Elevance Health have pending suits over their 2026 ratings on similar grounds. CMS has appealed the Clover decision, and the agency's 2027 star ratings fact sheet makes no mention of the litigation. What the 2027 Medicare Advantage Star Ratings show. * About 71 percent of MA-PD enrollees are in contracts rated 4 stars or higher * Only about 37 percent of contracts, 188 of 508, earned 4 or more stars * The enrollment-weighted average MA-PD rating was 3.99, down from 4.01 for 2026 * Fifteen MA-PD contracts earned 5 stars, eight of them repeating from 2026 CMS also made methodology changes for 2027, adding measures on concurrent opioid and benzodiazepine use and on multiple anticholinergic medications in older adults, while raising the weight of two health-improvement measures from 1 to 3 and retiring three others. Those shifts can move a contract's overall rating independent of any change in care delivery. What it means for payers. The litigation puts CMS in a difficult position. Applying the Clover reasoning broadly would require recalculating ratings across the program and raising bonus payments; defending the current methodology means litigating plan by plan while insurers book the financial damage. For payers, the practical takeaway is that star ratings have become a legal as well as an operational exercise. Plans facing material rating drops are now weighing litigation alongside quality improvement, and the measures most vulnerable to challenge are those CMS added without rulemaking. How the Eleventh Circuit rules on the Clover appeal will shape whether this wave expands or recedes.

Queens Courier
Sep 21st, 2026
Healthfirst welcomes autumn with Elmhurst festival featuring cultural performances and community resources.

Healthfirst welcomes autumn with Elmhurst festival featuring cultural performances and community resources. Volunteer performers at the Sept. 12 Healthfirst Mid-Autumn Festival celebration in Elmhurst with members of the Healthfirst leadership team. Healthfirst celebrated the new fall season with its Mid-Autumn Festival on Sept. 12 at the CC Moorehead Playground in Elmhurst. Festivities included cultural performances, health education and information on social services from community-based organizations. The celebration featured a Lion dance performance, a traditional Chinese dance believed to bring good fortune, and healthy living activities for all ages such as crafting and gardening. Health services provided at the event included Medicare guidance, informing older adults about coverage options, savings programs and benefits available to eligible older adults. A Chinese chive planting activity taught attendees about healthier cooking habits while connecting wellness education to cultural traditions. A "Show Me the Sugar" activity, sponsored by Healthfirst, helped attendees identify sugars in beverages and encouraged healthy hydration choices. Representatives from the Office of Queens Borough President Donovan Richards also spoke to attendees about local resources that support their everyday well-being. Healthfirst officials in attendance included Errol Pierre, chief growth officer, Stephanie Wu, vice president of state programs, and William Wang, assistant vice president of Asian market development. "Healthfirst is dedicated to ensuring our community members have the right health plan that fits their specific healthcare needs, while also recognizing their cultural traditions," Wang said. "The Mid-Autumn Celebration connects our neighbors in Queens with health resources while providing a venue where community members can connect and celebrate. We wish our members and their neighbors a wonderful holiday filled with good health and fortune." A spokesperson for Northwell Health said the event supported its goal of breaking down barriers to healthcare by bringing its care services and wellness resources directly to the community. The healthcare provider emphasized that by providing this support, it helps ensure every family has the support and access it needs to live healthier lives. "Northwell Health is deeply honored to collaborate with the Elmhurst community for this year's Mid-Autumn Festival," the spokesperson said. "This celebration is not only a wonderful time to honor rich cultural traditions with families and neighbors, but it is also a vital opportunity for us to connect directly with residents." Alina Moran, CEO of NYC Health and Hospitals/Elmhurst, said that the hospital is committed to promoting and protecting the holistic health of community members to its fullest extent. "Events like the Healthfirst Mid-Autumn Festival support the social well-being of our patients and neighbors while expanding access to healthcare and health knowledge," Moran said. "We are proud to support this celebration, honoring the cultural traditions of many of our community members - including older adults whose healthcare needs are a top priority." All comments are subject to our Community Guidelines. Schneps Media does not endorse the views shared by readers in our comment sections.

Yonkers Times
Aug 29th, 2026
Healthfirst connects Yonkers Community with health information & access to social services on Family Fun Day.

Healthfirst connects Yonkers Community with health information & access to social services on Family Fun Day. August 29, 2026 New York State Senator Andrea Stewart-Cousins (center right) at Healthfirst's annual Yonkers Family Fun Day on August 26th. She is joined by team members of Healthfirst and St. John's Church Getty Square. New York State Senator Andrea Stewart-Cousins (center) participates in "Show Me the Sugar," an interactive game used to show the amounts of added sugar in common beverages. Healthfirst's health educators led the game, bringing awareness to Yonkers residents about healthy hydration and reducing sugar consumption to boost health. Also pictured are Dr. Susan Beane (far right), Healthfirst's Executive Medical Director, and Russell Carter (far left), Healthfirst's Manager of Community Engagement Programs. The community event brought together local nonprofits to support Yonkers residents while hosting family-friendly activities Healthfirst held its annual Yonkers Family Fun Day on August 26th, empowering members of the community with health information including "Rethink Your Drink" - an interactive workshop on identifying added sugar in beverages. This year's event was held at St. John's Church Getty Square, and Healthfirst was joined by community organizations including the Yonkers YWCA, Yonkers Library, the Yonkers Community Action Program, and Westchester Jewish Community Services who shared information about behavioral health, food assistance and youth development programs with families. Providers from Westchester Community Health Center also conducted health screenings on site, and local residents enjoyed a bounce castle, corn hole toss, and free haircuts. Notable attendees: * New York State Senator Andrea Stewart-Cousins * Beatrice Miller, Legislative Aide, Office of Yonkers Councilmember Deana R. Norman * Office of Yonkers Mayor Michael Spano * Dr. Susan Beane, Healthfirst Executive Medical Director "Yonkers Family Fun Day is a great example of what we can accomplish through strong community collaborations. We thank Healthfirst and our community organizations for connecting Yonkers families with valuable health resources and information, and the Mayor's Office of Constituent Services and Minority Affairs for being on site to help families access the services they need." - Yonkers Mayor Mike Spano "I was glad to join Healthfirst for their annual Yonkers Family Fun Day, and proud to see my staff sharing information and resources with families and connecting residents with services available to them. Thank you to Healthfirst and the many organizations that came together to ensure Yonkers families have access to resources that make a significant impact. When we make essential health and social services more accessible for our community, we help build a stronger and healthier Yonkers." - New York State Senator Andrea Stewart-Cousins "Yonkers Family Fun Day was a valuable opportunity to connect with our members, build relationships with our neighbors, and share important information such as how to choose drinks with less added sugar. We're appreciative of our local collaborators and community organizations in Yonkers for their commitment to developing programs and resources that serve youth and adults alike." - Dr. Paul Amajor, Director of Strategic Health Initiatives, Healthfirst "Yonkers Public Library is grateful to be part of this event to celebrate the many resources available to our community members. Every week, we welcome families for a variety of programs including crafting, story time, and art exhibits and are proud to be part of this Family Fun Day that supports the well-being of the entire family." * Yonkers Public Library Photos & Captions: Judeson Saintil (right), Healthfirst Community Relations Manager, distributes free backpacks to school-aged attendees at the Yonkers Family Fun Day on August 26th held at St. John's Church Getty Square. New York State Senator Andrea Stewart-Cousins (center) participates in "Show Me the Sugar," an interactive game used to show the amounts of added sugar in common beverages. Healthfirst's health educators led the game, bringing awareness to Yonkers residents about healthy hydration and reducing sugar consumption to boost health. Also pictured are Dr. Susan Beane (far right), Healthfirst's Executive Medical Director, and Russell Carter (far left), Healthfirst's Manager of Community Engagement Programs. New York State Senator Andrea Stewart-Cousins (center right) at Healthfirst's annual Yonkers Family Fun Day on August 26th. She is joined by team members of Healthfirst and St. John's Church Getty Square. Russell Carter (left), Healthfirst's Manager of Community Engagement Programs, leads Yonkers Family Fun Day attendees in "Show Me the Sugar," an interactive game used to show the amounts of added sugar in common beverages. Held at St. John's Church Getty Square on Wednesday, August 26th, Yonkers Family Fun Day included health education, access to resources, and back-to-school giveaways for local residents. - Advertisement -

Queens Courier
Oct 29th, 2025
Nonprofit recognizes Queens pharmacies for improving health of members with Medicare

Nonprofit recognizes Queens pharmacies for improving health of members with Medicare. Edgar Gutierrez, left, and his wife Mireya Gutierrez, owners and pharmacists of Victory Pharmacy in Queens, were recognized for their work improving community health for members on Medicare. Three pharmacies in Queens were recognized by Healthfirst, a nonprofit health insurer serving more than two million New Yorkers, for their work to improve the health of members covered under the nonprofit's Medicare plan. Winners of the nonprofit's inaugural Pharmacy Excellence Awards, which were presented to 12 community pharmacies across the city, were announced by Healthfirst Oct. 14. The Queens winners include All RX Pharmacy 1 and Arcadia Health Pharmacy, both located in Flushing, and Victory Pharmacy in Jackson Heights. Recipients of the awards, who were among hundreds of participating community pharmacies, were honored for achieving the city's highest rates of medication adherence and proactive pharmacy interventions to close gaps in care in 2024. The awards align with the mission of the Healthfirst program, which is aimed at equipping community and independent pharmacists with new tools and technology to help close care gaps, improve medication adherence and provide timely support for members on Medicare. According to the nonprofit, the winning pharmacies across Queens, the Bronx, Brooklyn and Manhattan are trusted healthcare partners in their neighborhoods. Together, they have helped thousands of older adults better manage chronic conditions, avoid hospitalizations and stay on track with vital prescriptions. Get the full story. News, events, culture and more - delivered to you. "Community pharmacies know their patients by name and understand the challenges they face every day, and that they want more time to educate patients with medication management but also have the demands of running a small business," said Bhavesh Modi, vice president of pharmacy at Healthfirst. "Through this program, we're giving pharmacists the tools and resources they need to make an even greater impact on the health of their communities." Medication adherence is one of the most important factors in improving long-term health outcomes for Medicare members, according to the nonprofit. Pharmacies enrolled in the program have helped significantly boost adherence rates, ensuring more Medicare members are taking their medications as prescribed. "It can be daunting to manage several medications without support, especially for our seniors," said Bronx state Sen. Gustavo Rivera, who chairs the Senate Health Committee. "I extend my congratulations to the local pharmacies being honored and commend Healthfirst for recognizing the role that independent pharmacies play in helping New Yorkers lead healthier lives." Edgar and Mireya Gutierrez, who are owners and pharmacists of Victory Pharmacy and recipients of this year's award for their work, said their partnership with Healthfirst has helped the couple better serve their patients. "As pharmacists, we believe we are often the first point of contact for care in our neighborhoods," the couple said in a joint statement. "Working with Healthfirst gives us new ways to strengthen that connection - whether it's checking in on a member's medication or helping them understand their benefits. It's collaboration that makes a real difference." The announcement was made during American Pharmacists Month, observed annually in October, just ahead of Medicare open enrollment, which began Oct. 15 and ends on Dec. 7. The nonprofit said the awards underscore the critical role pharmacists play in educating older New Yorkers about their healthcare decisions. By honoring community pharmacies with the Pharmacy Excellence Awards, Healthfirst is reinforcing its commitment to empowering local providers to deliver personalized, high-quality care. Healthfirst was founded in 1993 by leading hospital systems in downstate New York. Its partnership model drives collaboration across the hospitals, health systems and community providers in its network, which is aimed at advancing care quality and improving health outcomes for its members. The nonprofit currently serves more than two million members in New York City, on Long Island, and in Westchester, Rockland, Sullivan and Orange counties. Healthfirst offers plans for members of all ages including Medicaid, Medicare Advantage, Child Health Plus, Essential Plan, Long-Term Care and Qualified Health plans. For more information on Healthfirst, please visit Healthfirst.org.

New Castle News
Aug 21st, 2025
Healthfirst Ranked #1 in Quality Among New York State Medicaid Plans

Healthfirst, a leading not-for-profit health plan serving more than two million New Yorkers, has been recognized as the top-performing Medicaid Managed Care plan in New York State's Department of Health Medicaid Quality Incentive Program results for 2023, which were released in August 2025.