AVP Payment Configuration

Healthfirst; New York (NY); Hybrid; USD 150,000 - 230,000; Full time

Job summary

Healthfirst is seeking an Assistant Vice President of Provider Payment to partner with senior leadership in designing and implementing methodologies for accurate claims processing, provider onboarding, and maintenance of provider records. The AVP will provide strategic direction to achieve timely, high‑quality payer outcomes while ensuring compliance with federal and state laws and Healthfirst policies.

This role requires three in‑office days per week at 100 Church Street, NYC, and offers

Responsibilities

• Lead provider payment strategy and operations to ensure accurate claims processing and timely payments.
• Oversee provider onboarding and maintenance of provider records to support payer integrity.
• Collaborate with senior leadership to design and implement compliant processes aligned with federal and state laws.

Job description

Overview

The Assistant Vice President (AVP) of Provider Payment partners with senior leadership to design and implement the methods and procedures essential for successful claim and benefit configuration, provider onboarding, and maintenance of provider records. The incumbent provides strategic leadership and oversight to establish plans and objectives that enable accurate, timely, and quality claims and provider payment practices. The role ensures business outcomes are consistent with Healthfirst’s values, policies, and procedures and complies with relevant federal and state laws and regulations. This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church Street, NYC.