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.


To protect the health and safety of our workforce, members, patients, and the communities we serve, the EmblemHealth family of companies require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.

Supervisor, Grievance & Appeals

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Manager & Professional
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EmblemHealth
Thanks for your interest in the Supervisor, Grievance & Appeals position. Unfortunately this position has been closed but you can search our 252 open jobs by clicking here.

Education, Training, Licenses, Certifications:
Bachelor’s Degree or additional experience/specialized training may be considered in lieu of educational requirement.


Relevant Work Experience, Knowledge, Skills, and Abilities:

  • 4 – 6+ years of relevant, professional work experience required
  • 1 – 2+ years of managed care experience required
  • Staff/process management experience preferred
  • Knowledge of EmblemHealth’s programs, and of the department’s web-based programs preferred
  • In-depth knowledge of grievance and appeal processes, federal /state regulations, and contractual/processing guidelines required
  • Proficient in MS Office (Word, Excel, PowerPoint, Outlook, Teams, etc.) required
  • Supervisory skills sufficient to direct, motivate, and discipline staff required
  • Analytical and technical ability to review and analyze procedures and workflow and to make recommendations for streamlining the grievance and appeals process within the functional units of the department required
  • Strong communication skills (verbal, written, presentation, interpersonal) with all types/levels of audience required
  • Ability to organize, prioritize, and effectively manage multiple tasks/projects with competing priorities/deadlines required
  • Proven ability to manage a heavy workload in a dynamic, fast paced environment required
  • Ability to problem solve, make appropriate decisions, and seek assistance when necessary required

 

Pay Disclosure

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.

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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