United States Opportunities at EmblemHealth
Provide management and specialty clinical pharmacy services, including appropriate drug therapy recommendations and prior approvals to EmblemHealth...
Provides confidential administrative support and assistance to the department and supports the department in all aspects of daily project operations.....
Provides telephonic and in-person health navigation services to high-risk members while located in community settings such as ACPNY offices,...
Manages the daily clinical operation and administration of a Medical Management Department or function to support improved utilization results....
Work independently to oversee State Sponsored Program (SSP) revenue initiatives. Provide guidance and assistance to management in identifying...
The Manager will plan, organize and direct all aspects of the functions to ensure timely, legally compliant and accurate billing while maximizing the...
The Senior State Sponsored Program Revenue & Reconciliation Analyst supports the Billing Revenue Manager with the State Sponsored Program Revenue...
Responsibilities:Audit, monitor and track compliance of the Utilization Management, Care Management, teams adherence to the Plan, regulatory, and...
Initiates and leads activities related to the administration, monitoring, and oversight of the Commercial EmblemHealth Dental PPO Provider Networks....
Location: Facilities Operations 55 Water StreetHours: Monday-Friday 9:00 a.m. – 5:00 p.m.Description of Duties: Respond daily to a high volume of...