Manager & Professional Opportunities at EmblemHealth
Respond to written/verbal grievances, complaints, appeals and disputes submitted by members and providers in accordance with NCQA, CMS, NY State and...
To prepare accurate and timely financial statements in compliance with statutory accounting principles which are filed with the National Association...
The basic function of the Senior Financial Accountant is to support all of the GAAP and to coordinate external audit requests such as the preparation...
Provides in person and or telephonic Care Management Services to identified high risk members within the community including but not limited to...
Research, outreach and market the OEHC to obtain new clients and maintain relationships with existing clients. Review, maintain and update client...
Lead the Pharmacy Analytics team, directing the Rebates & Audit functions effectively across Pharmacy and the other departments in the enterprise....
Make outreach to EmblemHealth members to help them with barriers to care and provide positive experience with EmblemHealth. Responsible for direct...
Oversee and implement the ongoing management of Medicare plan design and benefit changes as they impact EmblemHealth and CCI operational departments....
New York’s largest non-profit health insurer seeks a strategic self-starter with regional marketing experience to drive the expansion of...
Support and collaborate on enterprise-wide strategic initiatives to drive change in the care delivery system through innovative payment, Network and...