Company Statement
EmblemHealth is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, EmblemHealth partners with top hospitals and doctors, including its own AdvantageCare Physicians, to deliver quality, affordable, convenient care. At over a dozen EmblemHealth Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visit emblemhealth.com.
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AVP, Member Experience
Education, Training, Licenses, Certifications
• Bachelor’s degree in clinical specialty, healthcare, business, or other related area; Master’s degree in healthcare or business preferred.
Relevant Work Experience, Knowledge, Skills, and Abilities
• 12 – 15+ years’ related experience in positions of increasing responsibility/complexity, including stakeholder experience.
• 5 – 10+ years’ managed healthcare experience.
• Experience articulating a vision, garnering business buy-in, carrying out corporate-wide projects, delegating responsibility,
and holding teams (and oneself) accountable for results.
• Experience managing a diverse and distributed team; ability to manage multiple locations and remote staff.
• Experience in the development and implementation of metrics and analytics to measure performance.
• Ability to interpret & implement federal, state and local guidelines for all aspects of the member and provider processes.
• Proven ability in the development and implementation of metrics and analytics to measure performance.
• Proven experience in cost containment for a large division, department, or company.
• Excellent communication skills (verbal and written) with a proven track record of effectively interfacing, training, presenting
information to multiple levels of the organization.
• Proficient in MS Office (Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc.).
• Ability to work successfully with key stakeholders.
• Understanding of industry regulatory environment and experience working with regulators at the state and federal levels.
• Subject matter expert in insurance operations including enrollment and billing, customer service, medical management, and
claims processing.
• Previous experience with Genesys, CRM SF Service/Mktg/CDP/Exp Cloud
• Previous experience with Adobe Experience Manager (AEM), Salesforce (Marketing Cloud, Experience Cloud (portals), Service Cloud/Health Cloud, and Consumer Data Platform segmentation engine.
Security Disclosure
If you receive a job offer from EmblemHealth, the email will be from “HRTalentAcquisition” with the subject: “Offer of Employment for (job title) – Please respond online.” We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like Yahoo or Gmail.
Pay Disclosure
At EmblemHealth, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at EmblemHealth, where your contributions are valued and supported by fair compensation.
EEOC Statement
We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, age, creed, citizenship status, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.
Sponsorship Statement
At EmblemHealth, we are committed to building a diverse and talented workforce. However, we are unable to consider applicants who require, or are likely to require, either before or after hire, visa sponsorship for work authorization in the United States, including but not limited to H-1B, F-1 (STEM OPT), TN, or any other non-immigrant status. Some extremely rare exceptions may apply based on critical business needs.