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.

Provider Network Compliance Specialist

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Manager & Professional
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191EU Requisition #
Thanks for your interest in the Provider Network Compliance Specialist position. Unfortunately this position has been closed but you can search our 191 open jobs by clicking here.
Qualifications:
  • A Bachelor’s degree in Health Care related field, Public Administration, or Management
  • 3-5 years’ in a Managed Care Health Plan environment required
  • Ability to work well with various departments is instrumental in the effectiveness of the position required
  • Excellent communication skills, written and verbal, to ensure that the appropriate requests are articulated and that problems are accurately represented for resolution required
  • Time management skills and flexibility to work on multiple projects/assignments simultaneously, with ability to change focus in a crisis required
  • Interpersonal skills to effectively maintain positive working relationships to get issues resolved or to obtain information through people, and to represent the Plan and the Department in a favorable light required
  • Ability to work independently on assignments required
  • Analytical and problem-solving skills to make recommendations as projects develop and follow through to resolution using available resources to achieve a solution required
  • PC skills including proficiency in email, spreadsheets, and word documents 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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