United States Opportunities at EmblemHealth
Summary of Job Build relationships with external providers and vendors to create shared understanding of organizational quality goals. Identify,...
We are seeking dynamic Call Center Professionals to join our Call Center in Farmington, CT starting March 17, 2025!
Summary of Job Assist the entire BH Care Management interdisciplinary team in managing members with Care Management needs. Ensure work is...
Summary of Job Respond to written/verbal grievances, complaints, appeals and disputes submitted by members and providers in accordance with NCQA,...
Summary of Job Respond to written/verbal grievances, complaints, appeals and disputes submitted by members and providers in accordance with NCQA,...
Summary of Job Identify, develop, execute, evaluate and provide oversight of quality and process improvement projects required to support public...
Summary of Position: Perform administration functions for financial systems (Oracle Cloud) for all phases of the Record to Report and Procure to Pay...
Summary of Job Oversee and actively participate in quality improvement projects. Contribute to the overall success of Quality Programs by promoting...
Remote Position Summary: Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies; Lead...
Summary of Job Coordinate all phases of Grievance and Appeal regulatory and accreditation audits including universe generation and case file...