United States Opportunities at EmblemHealth
Summary of Position Provide Claims project management oversight to ensure that outcomes are within defined parameters of cost, efficacy, and...
We are seeking dynamic Call Center Professionals to join our Call Center in Farmington, CT starting 2026! Our Call Center professionals provide...
Summary of Position Support contract performance management of a large health system. ; Review and analyze suspected underpaid and overpaid claims...
Summary of PositionResponsible for overseeing the day-to-day operations of the Grievance and Appeal Specialists, ensuring adherence to department...
REMOTESummary of Position Lead technology architecture (business, data, application, integration, and platform) for healthcare payer organization,...
Summary of Position Drive the transformation process for one of three business segments: Commercial (fully insured large group, individual exchange,...
REMOTESummary: Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies. ; Lead projects to...
Summary of Position Drive a team of navigators who are responsible for providing a superior member experience. ; Ensure that the team executes on...
Summary of Position Present and successfully close client renewals by carefully analyzing the renewal prior to release to the client and preparing...
Summary of Position Responsible for processing expedited appeals: those that are complex in nature, require multiple hand-offs, and tend to have...