EmblemHealth Jobs

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

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

AdvantageCare Physicians (ACPNY) is one of the largest primary and specialty care practices in New York City. With more than 30 medical offices and over half a million patients across all five...

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...

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...

Job Summary We are seeking a non-invasive Cardiology trained physician to join us in pursuit of high quality patient care to provide Cardiology services including but not limited to diagnosis,...