Operations Opportunities at EmblemHealth
Summary of PositionResponsible for processing expedited appeals: those that are complex in nature, require multiple hand-offs, and tend to have...
REMOTESummary of Position Responsible for ongoing business support of the Operational functions, including new or revised product implementations,...
Summary of Position Support contract performance management of a large health system. ; Review and analyze suspected underpaid and overpaid claims...
Summary of Position Support digital technology transformation through CRM platforms including Sales Cloud, Service Cloud, and Vlocity portals. ;...
REMOTESummary of Position Responsible for investigating common and complex coordination of benefits and other party liability issues, determining,...
REMOTESummary of Position Develop/gather business requirements for queries needed to analyze vendor payment data. ; Utilize pre/post claim editing,...
REMOTESummary of Position Responsible for leading and optimizing the organization’s secondary payer and revenue recovery processes across all lines...
Summary: Facilitate Operations training programs; evaluate and maintain those programs to ensure they are current and effective. ; Responsible for...
Summary of Position Responsible for assessing the quality of performance of employees who handle calls from our existing and potential members,...