United States Opportunities at EmblemHealth
Summary of Job Assist the entire BH Care Management interdisciplinary team in managing members with Care Management needs. Ensure work is...
Summary of Job Responsible for overseeing the day-to-day operations of the Grievance and Appeal Specialists, ensuring adherence to department...
Remote Position Summary: Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies; Lead...
Summary:• Provide strategic guidance, lead, direct and manage EmblemHealth’s budgeting and forecasting processes by incorporating industry...
Summary of Job Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or...
Summary: • Manage and drive activities related to the development and delivery of the Solutions Architecture domain.• Collaborate with IT...
Summary of Job Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. Ensure accurate...
Summary of Job Responsible for timely and accurate load of all Professional, Facility, and Ancillary contracts across all EmblemHealth lines of...
Summary of Job Identify, develop, execute, evaluate and provide oversight of quality and process improvement projects required to support public...
Summary • Serve as a key participant in the operating expense monthly close, annual planning, and recurring forecasting processes.• Partner...