Company Statement

For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.

Grievance and Appeals Specialist

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Manager & Professional
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190O8 Requisition #
Thanks for your interest in the Grievance and Appeals Specialist position. Unfortunately this position has been closed but you can search our 248 open jobs by clicking here.
Qualifications:
  • Bachelors or Associates Degree
  • 2-3 years of work experience in a related field required
  • Additional years of experience or specialized training/experience may be considered in lieu of educational requirements required
  • Excellent verbal and written skills required
  • Experience in a managed care/compliance environment preferred
  • Experience in comprehending and producing grammatically accurate and error-free business correspondence required
  • Customer service experience preferred
  • Proficiency in MS Office applications (especially word processing, and database/spreadsheet) required
  • Excellent product knowledge preferred
  • Excellent problem solving and analytical skills required
  • Ability to work under pressure and deliver complete, accurate, and timely results required
  • Excellent organization and time management skills required

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.

Sponsorship Statement

Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.

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