Operations Opportunities at EmblemHealth
Directs and coordinates ConnectiCare’s compliance activities to ensure ongoing compliance with applicable state and federal laws and...
Proactively assess and monitor vendor Provider File Operations performance to achieve contractual targets on a daily basis. Frequently interface...
Load all Professional, Facility, and Ancillary contracts across all EmblemHealth lines of business in a timely and accurate manner. Provide subject...
Load all Professional, Facility, and Ancillary contracts across all EmblemHealth lines of business in a timely and accurate manner. Provide subject...
Develop, supervise, and audit the telephone call center staff to consistently achieve departmental goals and create an effective interface between...
Summary of Job: To provide high quality service to ConnectiCare members, acting as a customer advocate in providing high quality, accurate, concise,...
Summary of Job: To provide telephonic customer service to members, providers and facilities. Responsibilities: Receives and responds to telephone...
Summary of Job: Handle incoming inquiries through multiple contact channels for our CNY HMO members. Be able to effectively and efficiently...
Perform periodic and ad-hoc operations data analysis to measure performance and conduct root cause analysis. ; Compile, analyze and provide...
Summary: Responsible for development and maintenance activities for formularies on the following lines of business: Medicare Part D, Medicaid,...