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Careers @ Health Right, Inc.

Health Right, Inc. offers great career opportunities. But most essentially, it offers an opportunity to help maintain a legacy of being the "caring choice" for over 35,000 Medicaid and Alliance users.

Health Right, Inc. is an equal opportunity employer that believes in growing and promoting a diverse workforce. We offer a competitive compensation and benefits package, designed to help employees meet various needs throughout their careers and lives.

Our benefits include:
  • Medical, Vision, and Dental Insurance
  • 401 K Retirement Plan
  • Life Insurance
  • Short and Long Term Disability
  • Tuition Reimbursement
  • Flexible Spending Account
  • Employee Assistance Program
  • and much more!


  • How to Apply

    Health Right, Inc. is committed to attracting, encouraging, and retaining a highly qualified workforce to support our mission of being the "caring choice for medicaid and alliance users." We encourage you to apply with Health Right Inc., if you would like to:

  • Work at a great place with great people.
  • Make a positive impact on the community.
  • Have the opportunity to build a solid career.

  • Here are three easy steps to apply for a career opportunity at Health Right, Inc:

    Step 1: Explore HRI's Career opportunities.
    Review the list of career opportunities.

    Step 2: Apply for one of HRI's Career Opportunities.
    Submit resumes, with a cover letter and your salary requirements to careers@healthright-dc.com. Include the vacancy number on the subject line of your e-mail.

    Step 3: Invest in Yourself.
    Take the time to be as complete as possible when e-mailing your cover letter, resume, and salary requirements. This will enable us to quickly and efficiently match your background to our needs. Make sure your resume is current. Current and accurate information increases your opportunity for possible interview and employment.

    Please Note: Due to the overwhelming response, only applicants that best meet the requirements will be contacted. All resumes will remain on file for six months. We encourage applicants to reapply if they have not been contacted after the six month time period has lapsed, or if you are applying for a newly posted position. No phone calls please.

    Title: Member Services Representative
    Vacancy Number: MS-003
    Date Posted: January 11, 2010
    Department: Member Services
    Schedule: Full Time
    Shift: Days
    Hours: 8:00am - 5:00pm; 8:30am - 5:30pm
    Job Details: Job Details: The Member Services Representative primary responsibilities include but are not limited to serving as the initial point of contact to the members. He/She will provide information and guidance on claim payments status to PCP, education about benefits offered, company policies, procedures, and practices along with facilitating interpretation. This will also include providing professional and efficient member service via the telephone, assisting members with general information regarding their accounts, members rights/responsibilities, plan policies and services in an effectively and timely manner; Log all calls in member tracking database; Be detailed oriented with very strong organizational skills; Must be able to work quickly and provide callers with accurate information; Possess data entry skills and working knowledge of Microsoft Office; Ability to maintain records of member interactions, recording details of inquiries, claims, complaints, and comments, as well as actions taken; Resolve member services or billing complaints and Perform other duties as assigned.

    Position Requirements: Possess a high school education or equivalent; Associates degree highly preferred. Possess professional demeanor, excellent telephone etiquette, time management and data entry skills; Excellent writing, grammar and customer service skills a must; 5 years of work experience in a high volume Customer Service Call Center and/or managed care environment, required. Working well with others in teams and the ability to multitask is important. Experienced in Microsoft Office product including intermediate experience in the use of databases is required; Medical Terminology preferred; Bilingual is a plus!
    EOE: Health Right is an Equal Opportunity Employer.
    Mission Statement: "Our mission is to provide the best comprehensive, cost effective, quality patient care through an integrated-delivery health care system in a culturally sensitive manner to the residents of the District of Columbia."
    Internal Applicant Procedures: Health Right, Inc is dedicated to assisting employees to reach their professional goals through internal promotion and transfer opportunities. One of the tools the company makes available to employees in managing their career is Health Right, Inc internal job posting. This procedure enables current employees to apply for any available position either before or at the same time the position is advertised outside of the company.

    Internal job opportunities are regularly posted on the "Career Opportunities" bulletin board on the right side of the HR office, and on Health Right, Inc's web page under the "Career Tab." To apply for an opening:

    Step 1: Ensure that you meet the following eligibility requirements.
    • You are a current, regular full- or part-time employee.
    • You have been in your current position for at least six months. (Exceptions to this six-month requirement can be made by CEO and CHRO and should be consistent with company business needs.)
    • Your performance meets performance development plan standards or established work standards in your current position.
    • You have not had an employee counseling or corrective action within six months. You are not following a performance improvement plan for your current position.
    • You meet the qualifications listed for the position on the job posting.
    Step 2: Complete an Internal Job Application form.
    • Applications are available from Human Resources, and in the form bins on the right wall of the HR Office. Attach your resume, if you have one, to the completed application.
    Step 3: Submit the Internal Job Application to your supervisor for approval.
    Step 4: Submit you're completed and approved Internal Job Application to HR.
    Step 5: Candidates who are qualified will participate in an initial interview with the supervisor of the position, if they have not interviewed with that particular supervisor within the past six months. Finalists may participate an additional interview with an HR representative and with a manager. The selected person will be notified by HR of the position.


    Title: Outreach Representative
    Vacancy Number: OI-001
    Date Posted: January 11, 2010
    Department: Quality Improvement
    Schedule: Full Time
    Shift: Days
    Hours: 8:00am - 5:00pm
    Job Details: Job Details: The Outreach Representative primary responsibilities include but are not limited to providing high-quality member service by telephone, at clinical sites and in homes. Duties also include documentation of outreach activities and collaboration with other clinical staff in meeting members' needs through outreach activities; Meeting all corporate and state requirements and ensures Medicaid beneficiaries understand the products and services they are receiving, including guiding beneficiaries through the enrollment process; Prepare reports of progress, trends, and recommendations; Identify problems, troubleshoots, and provides guidance to members; Maintains working knowledge of Medicaid regulations, managed care industry, pertinent legislation, and the competitive environment; Educate Members on required information, Members Rights & Responsibilities and assist the member and/or other parties in accessing medical and health related services from the plan; 70-80% Local Travel; May be required to work weekends and evenings for special events; and Perform other duties as assigned.

    Position Requirements: Associates degree required, bachelors degree preferred; Minimum 3 years outreach/customer service experience, preferably with Medicaid; Strong communication skills; competent public speaker; Organized and detail oriented; Experience with Windows-based applications; Bilingual a plus!
    EOE: Health Right is an Equal Opportunity Employer.
    Mission Statement: "Our mission is to provide the best comprehensive, cost effective, quality patient care through an integrated-delivery health care system in a culturally sensitive manner to the residents of the District of Columbia."
    Internal Applicant Procedures: Health Right, Inc is dedicated to assisting employees to reach their professional goals through internal promotion and transfer opportunities. One of the tools the company makes available to employees in managing their career is Health Right, Inc internal job posting. This procedure enables current employees to apply for any available position either before or at the same time the position is advertised outside of the company.

    Internal job opportunities are regularly posted on the "Career Opportunities" bulletin board on the right side of the HR office, and on Health Right, Inc's web page under the "Career Tab." To apply for an opening:

    Step 1: Ensure that you meet the following eligibility requirements.
    • You are a current, regular full- or part-time employee.
    • You have been in your current position for at least six months. (Exceptions to this six-month requirement can be made by CEO and CHRO and should be consistent with company business needs.)
    • Your performance meets performance development plan standards or established work standards in your current position.
    • You have not had an employee counseling or corrective action within six months. You are not following a performance improvement plan for your current position.
    • You meet the qualifications listed for the position on the job posting.
    Step 2: Complete an Internal Job Application form.
    • Applications are available from Human Resources, and in the form bins on the right wall of the HR Office. Attach your resume, if you have one, to the completed application.
    Step 3: Submit the Internal Job Application to your supervisor for approval.
    Step 4: Submit you're completed and approved Internal Job Application to HR.
    Step 5: Candidates who are qualified will participate in an initial interview with the supervisor of the position, if they have not interviewed with that particular supervisor within the past six months. Finalists may participate an additional interview with an HR representative and with a manager. The selected person will be notified by HR of the position.


    Title: Quality Improvement Manager
    Vacancy Number: QI/RM-004
    Date Posted: December 28, 2009
    Department: Quality Improvement/Risk Management
    Schedule: Full Time
    Shift: Days
    Hours: 8:30am - 5:30pm
    Job Details: Job Details: The Quality Improvement Manager's primary responsibilities include, but are not limited to managing and coordinating specific Health Right Inc activities related to the goals of the Quality Management Program and NCQA Accreditation. He/She would also mange annual HEDIS reporting activities; Develop and implement interventions for improvement of HEDIS scores; Manage the NCQA Accreditation survey for 2010, and every 3 years; Coordinate DHCF?s CQI projects with other DC MCOs and DHCF; Manage Performance Improvement Plan (PIP) activities; Manage quality related audits; Supervise the QI Coordinator and credentialing activities; Collaborate with IT to produce QI reports for DHCF and respond to ad hoc requests; Manage and evaluate internal quality initiatives for HRI departments; Track and analyze data in relation to continuous quality improvement; Collaborate with EPSDT/Health Education Manger and Marketing/Outreach Manager; and Perform other duties as assigned.

    Position Requirements: Bachelor of Science in health related field required; nursing preferred; Masters Degree preferred; Managed care quality improvement experience; Clinical background in managed care; Expertise in NCQA and HEDIS requirements for managed care; Credentialing experience; MS Office proficiency, including Word and Excel; Knowledge of health systems, specifically managed care Health care regulatory experience, particularly Medicaid; Understanding of provider credentialing; Quality improvement initiative experience; HEDIS (Healthcare Effectiveness Data and Information Set) exposure; Accredited HMO experience; Experience working with Providers; and experience in Document and database preparation and reporting.
    EOE: Health Right is an Equal Opportunity Employer.
    Mission Statement: "Our mission is to provide the best comprehensive, cost effective, quality patient care through an integrated-delivery health care system in a culturally sensitive manner to the residents of the District of Columbia."
    Internal Applicant Procedures: Health Right, Inc is dedicated to assisting employees to reach their professional goals through internal promotion and transfer opportunities. One of the tools the company makes available to employees in managing their career is Health Right, Inc internal job posting. This procedure enables current employees to apply for any available position either before or at the same time the position is advertised outside of the company.

    Internal job opportunities are regularly posted on the "Career Opportunities" bulletin board on the right side of the HR office, and on Health Right, Inc's web page under the "Career Tab." To apply for an opening:

    Step 1: Ensure that you meet the following eligibility requirements.
    • You are a current, regular full- or part-time employee.
    • You have been in your current position for at least six months. (Exceptions to this six-month requirement can be made by CEO and CHRO and should be consistent with company business needs.)
    • Your performance meets performance development plan standards or established work standards in your current position.
    • You have not had an employee counseling or corrective action within six months. You are not following a performance improvement plan for your current position.
    • You meet the qualifications listed for the position on the job posting.
    Step 2: Complete an Internal Job Application form.
    • Applications are available from Human Resources, and in the form bins on the right wall of the HR Office. Attach your resume, if you have one, to the completed application.
    Step 3: Submit the Internal Job Application to your supervisor for approval.
    Step 4: Submit you're completed and approved Internal Job Application to HR.
    Step 5: Candidates who are qualified will participate in an initial interview with the supervisor of the position, if they have not interviewed with that particular supervisor within the past six months. Finalists may participate an additional interview with an HR representative and with a manager. The selected person will be notified by HR of the position.


    Title: Director of Claims & Cost Containment
    Vacancy Number: FIN-009
    Date Posted: June 15, 2009
    Department: Finance
    Schedule: Full Time
    Shift: Days
    Hours: 8:30am - 5:30pm
    Job Details: Job Details: The Director of Claims & Cost Containment primary responsibilities include, but are not limited to, leading the department in the accurate and timely processing of claims in accordance with contracts, fee schedule requirements and established departmental and governmental guidelines. He/She will also be responsible for technical claims oversight; employee development; management practices; systems utilization and financial controls for multiple products; systematically auditing of the HMO's claim payment system and processing; managing overpayments identification and recovery; Ensuring compliance with contractual requirements; working with management to reduce errors and improve processing performance and performing other duties as assigned.

    Position Requirements: Bachelor's Degree in business administration, accounting, or finance; Master's degree preferred; Experience with Medicaid, Manage Care Operations, Government Contracting, FAR regulations; Expert knowledge of Microsoft Office Suite (Word, Excel, Outlook), QuickBooks, and other accounting applications; Knowledge of database and accounting computer application systems to supply the most accurate financial information; and Eight (8) to ten (10) years of experience in financial management with increasing responsibilities for multi-faceted direction and planning.
    EOE: Health Right is an Equal Opportunity Employer.
    Mission Statement: "Our mission is to provide the best comprehensive, cost effective, quality patient care through an integrated delivery health care system in a culturally sensitive manner to the residents of the District of Columbia."
    Internal Applicant Procedures: Health Right, Inc is dedicated to assisting employees to reach their professional goals through internal promotion and transfer opportunities. One of the tools the company makes available to employees in managing their career is Health Right, Inc internal job posting. This procedure enables current employees to apply for any available position either before or at the same time the position is advertised outside of the company.

    Internal job opportunities are regularly posted on the "Career Opportunities" bulletin board on the right side of the HR office, and on Health Right, Inc's web page under the "Career Tab." To apply for an opening:

    Step 1: Ensure that you meet the following eligibility requirements.
    • You are a current, regular full- or part-time employee.
    • You have been in your current position for at least six months. (Exceptions to this six-month requirement can be made by CEO and CHRO and should be consistent with company business needs.)
    • Your performance meets performance development plan standards or established work standards in your current position.
    • You have not had an employee counseling or corrective action within six months. You are not following a performance improvement plan for your current position.
    • You meet the qualifications listed for the position on the job posting.
    Step 2: Complete an Internal Job Application form.
    • Applications are available from Human Resources, and in the form bins on the right wall of the HR Office. Attach your resume, if you have one, to the completed application.
    Step 3: Submit the Internal Job Application to your supervisor for approval.
    Step 4: Submit you're completed and approved Internal Job Application to HR.
    Step 5: Candidates who are qualified will participate in an initial interview with the supervisor of the position, if they have not interviewed with that particular supervisor within the past six months. Finalists may participate an additional interview with an HR representative and with a manager. The selected person will be notified by HR of the position.


    Title: IT Data Analyst
    Vacancy Number: IT-101
    Date Posted: June 12, 2009
    Department: IT Department
    Schedule: Full Time
    Shift: Days
    Hours: 8:30am - 5:30pm
    Job Details: Job Details: The IT Data Analyst primary responsibilities include but are not limited to analyzing workflows for various projects; Extract data, provide analysis and interpretation; summarize findings; Report and present results using available or developed tools; Develop new methods for presentation of data; Clearly and thoroughly document all steps; Improve the quality of information and data by working with users to identify reporting needs, defining report specifications, developing reports to meet business requirements; Develop reports and processes that can be turned over to end-users? control whenever possible; Conduct quantitative and qualitative analyses on various business issues, disciplines, projects and functional areas as assigned; Serve as primary liaison between the Health IT Data Analysis department and all other business units within the company with respect to design, enhancement and maintenance of reporting; Manage project tasks, schedules, scope change, and timelines to ensure business needs are met; Design and build sophisticated data models, formulate recommendations and suggest alternatives; Assist in training and mentoring of new staff; Maintain a knowledge base with a thorough understanding of the range of applications and tools used throughout the organization and how they affect business operations and Perform other duties as assigned.

    Position Requirements: Minimum Bachelor's degree in Mathematics, Statistics, Computer Science or in a related field required; degree; minimum of 2-3 years of direct experience; proficient with the following work tools: Excel, SAS, Mathematical modeling tools, regression analysis, Pivot Tables, tec.; prepare analysis in support of key corporate initiatives; experience in Healthcare industry required, Managed care desired and must demonstrate excellent oral and written communication and interpersonal skills.
    EOE: Health Right is an Equal Opportunity Employer.
    Mission Statement: "Our mission is to provide the best comprehensive, cost effective, quality patient care through an integrated delivery health care system in a culturally sensitive manner to the residents of the District of Columbia."
    Internal Applicant Procedures: Health Right, Inc is dedicated to assisting employees to reach their professional goals through internal promotion and transfer opportunities. One of the tools the company makes available to employees in managing their career is Health Right, Inc internal job posting. This procedure enables current employees to apply for any available position either before or at the same time the position is advertised outside of the company.

    Internal job opportunities are regularly posted on the "Career Opportunities" bulletin board on the right side of the HR office, and on Health Right, Inc's web page under the "Career Tab." To apply for an opening:

    Step 1: Ensure that you meet the following eligibility requirements.
    • You are a current, regular full- or part-time employee.
    • You have been in your current position for at least six months. (Exceptions to this six-month requirement can be made by CEO and CHRO and should be consistent with company business needs.)
    • Your performance meets performance development plan standards or established work standards in your current position.
    • You have not had an employee counseling or corrective action within six months. You are not following a performance improvement plan for your current position.
    • You meet the qualifications listed for the position on the job posting.
    Step 2: Complete an Internal Job Application form.
    • Applications are available from Human Resources, and in the form bins on the right wall of the HR Office. Attach your resume, if you have one, to the completed application.
    Step 3: Submit the Internal Job Application to your supervisor for approval.
    Step 4: Submit you're completed and approved Internal Job Application to HR.
    Step 5: Candidates who are qualified will participate in an initial interview with the supervisor of the position, if they have not interviewed with that particular supervisor within the past six months. Finalists may participate an additional interview with an HR representative and with a manager. The selected person will be notified by HR of the position.



    Title: IT Project Manager
    Vacancy Number: IT-106
    Date Posted: June 12th, 2009
    Department: IT Department
    Schedule: Full Time
    Shift: Days
    Hours: 8:30am - 5:30pm
    Job Details: Job Details: The IT Project Manager primary responsibilities include but are not limited to plan, execute, and finalize projects according to budgets/deadlines; Determine scope, goals, and project deliverables that support business goals in collaboration with Sr. Management and stakeholders; Plans and oversees the preparation and dissemination of project communications; Identifies resources needed and assigns individual responsibilities; Ensures project documents are complete, accurate, and current; Creates and executes project work plans and revises to meet changing needs/requirements; Effectively apply our methodology and enforce project standards; Work with senior managers, project teams and stakeholders to identify project risks and develop appropriate risk mitigation plans; Ensure project objectives are met by monitoring and measuring progress regularly to identify variances from the plan and take corrective action as necessary; Schedule and facilitate project team meetings to ensure all project requirements are effectively communicated to team members; Track project spending and ensure project costs managed against budget; Monitor project risks and coordinate the execution of the risk mitigation plan; and Perform other duties as assigned.

    Position Requirements: Bachelor's degree in related field required; Minimum 6-8 years experience in Project Management, working directly with clients on project initiatives; Proficiency in Microsoft Word, Excel, PowerPoint, Project and Visio; Familiarity with client/server technology and healthcare software systems; Understanding of project management methodologies; Ability to partner across multiple organizations; Problem solving, change management, issue prioritization and conflict resolution abilities; Knowledge of IT applications, processes, software, and equipment; Must demonstrate excellent written and verbal communication and interpersonal skills and Experience in Healthcare industry required, Managed Care preferred.
    EOE: Health Right is an Equal Opportunity Employer.
    Mission Statement: "Our mission is to provide the best comprehensive, cost effective, quality patient care through an integrated-delivery health care system in a culturally sensitive manner to the residents of the District of Columbia."
    Internal Applicant Procedures: Health Right, Inc is dedicated to assisting employees to reach their professional goals through internal promotion and transfer opportunities. One of the tools the company makes available to employees in managing their career is Health Right, Inc internal job posting. This procedure enables current employees to apply for any available position either before or at the same time the position is advertised outside of the company.

    Internal job opportunities are regularly posted on the "Career Opportunities" bulletin board on the right side of the HR office, and on Health Right, Inc's web page under the "Career Tab." To apply for an opening:

    Step 1: Ensure that you meet the following eligibility requirements.
    • You are a current, regular full- or part-time employee.
    • You have been in your current position for at least six months. (Exceptions to this six-month requirement can be made by CEO and CHRO and should be consistent with company business needs.)
    • Your performance meets performance development plan standards or established work standards in your current position.
    • You have not had an employee counseling or corrective action within six months. You are not following a performance improvement plan for your current position.
    • You meet the qualifications listed for the position on the job posting.
    Step 2: Complete an Internal Job Application form.
    • Applications are available from Human Resources, and in the form bins on the right wall of the HR Office. Attach your resume, if you have one, to the completed application.
    Step 3: Submit the Internal Job Application to your supervisor for approval.
    Step 4: Submit you're completed and approved Internal Job Application to HR.
    Step 5: Candidates who are qualified will participate in an initial interview with the supervisor of the position, if they have not interviewed with that particular supervisor within the past six months. Finalists may participate an additional interview with an HR representative and with a manager. The selected person will be notified by HR of the position.



    Title: Senior Database Analyst
    Vacancy Number: IT-103
    Date Posted: June 12th, 2009
    Department: IT Department
    Schedule: Full Time
    Shift: Days
    Hours: 8:30am - 5:30pm
    Job Details: Job Details: The IT Senior Database Analyst primary responsibilities include but are not limited to reviews, evaluates, designs, implements and maintains company database[s];identifies data sources, constructs data decomposition diagrams, provides data flow diagrams and documents the process; writes codes for database access, modifications, and constructions including stored procedures; possess working knowledge of the Microsoft .NET framework, and implementation experience with C# and VB.NET; possess familiarity with Database administration on a Microsoft SQL 2000 and 2005 Database; extract data from application databases into a data warehouse and various other transactional data sources, and develops innovative approaches and methods for assessing and analyzing data; create and debug complex SQL queries to perform these extractions, as well as designs and maintains the tables to store the results; and perform other duties as assigned

    Position Requirements: Minimum Bachelor's degree in Computer Science or in a related field required; Master's preferred; Equivalent work experience maybe substituted in lieu of a degree; Minimum of 6 years of direct experience with RDBMS with SQL Server; Direct experience with Business Objects and Change Manager is desirable; Skilled knowledge of DTS, PL/SQL, SQL*Loader, OPS, OEM, and Windows 2000 environments is also highly desired; Five years or more of strong customer service skills, teaming skills, training and the ability to collaborate within a cross functional team; Excellent communication skills, both verbal and written; Ability to compose, edit, and organize documentation in clear language with judicious use of diagrams and graphics utilizing MS based tools; Ability to handle multiple complex projects, to work independently, have excellent follow-up, and meet tight deadlines for deliverables; Excellent analytical and problem solving abilities; Ability to deal effectively with ambiguity and constant change; Excellent interpersonal skills and be able to work in a team environment and Health Care experience desired.
    EOE: Health Right is an Equal Opportunity Employer.
    Mission Statement: "Our mission is to provide the best comprehensive, cost effective, quality patient care through an integrated-delivery health care system in a culturally sensitive manner to the residents of the District of Columbia."
    Internal Applicant Procedures: Health Right, Inc is dedicated to assisting employees to reach their professional goals through internal promotion and transfer opportunities. One of the tools the company makes available to employees in managing their career is Health Right, Inc internal job posting. This procedure enables current employees to apply for any available position either before or at the same time the position is advertised outside of the company.

    Internal job opportunities are regularly posted on the "Career Opportunities" bulletin board on the right side of the HR office, and on Health Right, Inc's web page under the "Career Tab." To apply for an opening:

    Step 1: Ensure that you meet the following eligibility requirements.
    • You are a current, regular full- or part-time employee.
    • You have been in your current position for at least six months. (Exceptions to this six-month requirement can be made by CEO and CHRO and should be consistent with company business needs.)
    • Your performance meets performance development plan standards or established work standards in your current position.
    • You have not had an employee counseling or corrective action within six months. You are not following a performance improvement plan for your current position.
    • You meet the qualifications listed for the position on the job posting.
    Step 2: Complete an Internal Job Application form.
    • Applications are available from Human Resources, and in the form bins on the right wall of the HR Office. Attach your resume, if you have one, to the completed application.
    Step 3: Submit the Internal Job Application to your supervisor for approval.
    Step 4: Submit you're completed and approved Internal Job Application to HR.
    Step 5: Candidates who are qualified will participate in an initial interview with the supervisor of the position, if they have not interviewed with that particular supervisor within the past six months. Finalists may participate an additional interview with an HR representative and with a manager. The selected person will be notified by HR of the position.


    "An accreditation status of 'Commendable' from NCQA is a sign that a health plan is awarded to plans whose service and clinical quality meet or exceed NCQA's rigorous requirements for consumer protection and quality improvement."

    Margaret E. O'Kane
    President of NCQA