United States Opportunities at EmblemHealth
Summary of Position Drive the transformation process for one of three business segments: Commercial (fully insured large group, individual exchange,...
Summary of Position Provide Claims project management oversight to ensure that outcomes are within defined parameters of cost, efficacy, and...
Summary of Position Work closely with onsite sales colleagues to identify customers in need of enrollment services and provide post salescustomer...
Summary of PositionProvide vision and leadership for Care Management, ensuring integration into EmblemHealthâs broader population health strategy....
Summary of Position Support contract performance management of a large health system. ; Review and analyze suspected underpaid and overpaid claims...
Summary of PositionWork closely with onsite sales colleagues to identify customers in need of enrollment services and provide post sales customer...
REMOTESummary: Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies. ; Lead projects to...
Summary of PositionResponsible for receiving, researching and resolving provider inquiries received from UMR or internal departments and business...
We are seeking dynamic Call Center Professionals to join our Call Center in Farmington, CT starting 2026! Our Call Center professionals provide...
Summary of PositionResponsible for overseeing the day-to-day operations of the Grievance and Appeal Specialists, ensuring adherence to department...