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: Participate in managing the financial risk of EmblemHealth through complex underwriting of various businesses. Underwrite existing medical and dental accounts, including Broker, Commercial...

Summary: Prepare accurate and timely financial statements in compliance with GAAP and Statutory Accounting Principles. File Statutory statements with the National Association of Insurance...

Summary of Job Develop strategy in concert with key business stakeholders across EmblemHealth enterprise. Translate strategy into defined tactics, program priorities, and timelines, and ensure...

Summary: Responsible for Financial Recovery (including Recovery Vendors) and Coordination of Benefits for the organization. Collaborate on strategic planning and provide oversight of development...

Summary: Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance. Develop studies, analyses, and presentation materials needed to...