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Summary of Job Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. Ensure accurate....

EmblemHealth

Clinical

Summary of Job Responsible for the day-to-day operation and performance of the care management team providing care management services to...

EmblemHealth

Clinical

Summary of Job Provide active oversight and ongoing direction for the utilization management of Pharmacy vendors and quality assurance process...

EmblemHealth

Summary of Job Responsible for overseeing the day-to-day operations of the Grievance and Appeal Specialists, ensuring adherence to department...

EmblemHealth

Operations

Summary of Job Process disputes submitted by contracted and non-contracted providers. Types of correspondence handled by the individual will include,....

EmblemHealth

Operations

NOTICE TO ALL AGENCY RECRUITERS

EmblemHealth does not accept unsolicited resumes from recruiters. Unsolicited resumes will not be considered services rendered for payment. EmblemHealth will NOT pay any charges or fees to any recruiter who provides an unsolicited resume, even if EmblemHealth ultimately hires the individual whose resume was provided.

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