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...
REMOTESummary: Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies. ; Lead projects to...
Summary of Position Responsible for processing expedited appeals: those that are complex in nature, require multiple hand-offs, and tend to have...
Summary of PositionManage the day-to-day responsibilities of telephone performance, coaching/counseling the customer service team, and inventories of...
Summary of Position Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. ; Ensure...
Summary of Position Work closely with onsite sales colleagues to identify customers in need of enrollment services and provide post salescustomer...
REMOTESummary: Drive Software Development Life Cycle activities and align EmblemHealth business and technical resources. ; Responsible for managing...
Summary of Position Present and successfully close client renewals by carefully analyzing the renewal prior to release to the client and preparing...
REMOTESummary of Position Lead technology architecture (business, data, application, integration, and platform) for healthcare payer organization,...
Summary of PositionDevelop, supervise, and audit the telephone call center staff to consistently achieve departmental goals and create an effective...