EmblemHealth Jobs in New York

Summary: Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies. Lead projects to analyze current rate structures and develop improvements...

Summary of Position: Manage portfolio of developed and scheduled reports for Claims, FRU, G&A, Provider and UM Data. Interface with internal operations / external departmental customers to define...

SUMMARY OF POSITION : * Provide oversight and leadership for the creation and utilization of key performance indicators for clinical/business ownersand senior executive management that continuously...

Summary: Conceptualize, research, develop, implement, maintain, and enhance Contact Center related training programs/materials. Facilitate training classes to support the Contact Center: provide...

Summary We are seeking a dynamic Expedited Appeals Specialist responsible for processing expedited appeals: those that are complex, require multiple hand-offs, and tend to have extremely tight...

Summary: Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance. Participate in product development, pricing, filing, and rating...

Summary of Job Responsible for the oversight of the claims inventory management by our external vendor (CTS): develop, implement and manage the claims oversight department, to monitor and evaluate...

Summary of Position * Develop, implement, and administer the vision, strategy, and goals of the department. * Provide leadership over the Accounts Payable Team: ensure the timeliness and accuracy...

Summary of Position * Develop cash forecasting models to ensure adequate liquidity.* Work with business areas across the enterprise to understand the impact of business activity on the cash flow...

Summary of Position * Assist the Manager, Nursing in the management and education of care team members providing professional nursing care to patients. Proactively support efforts to ensure that...