Emblemhealth Jobs

Summary of Job Coordinate Home Infusion services that achieve optimal benefit and results from the comprehensive management of members with chronic and/or catastrophic... Read More

Summary of Position Assist the physician with daily patient care, communication, and workflow. Specific tasks include but are not limited to taking patient histories,... Read More

Summary of Job Provide confidential administrative support/assistance to the department; support the department in all aspects of daily ops. Ensure high-touch coordination... Read More

Summary of Position Utilize a collaborative process of education, assessment, planning and engagement to promote participants' adopting improved lifestyle behaviors that... Read More

Summary: Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies. Lead projects to analyze current rate structures... Read More

EmblemHealth is one of the nation's largest not-for-profit health insurers, serving more than three million people in New York City and the tristate area. For the past 80... Read More

Exciting Opportunity! Join our Facilitated Enrollment Representative Hiring Event Event Details: Date: October 10, 2024 Time: 8am-12pm 2pm-6pm Address: 55 Water Street,... Read More

Summary of Position Provide support and assistance to mainstream Medicare, Medicaid, HARP, Child Health Plus and Essential members telephonically (inbound and outbound)... Read More

Summary: Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance. Develop studies, analyses, and... Read More

Summary: Provide guidance to a team of financial analysts who provide timely, accurate, actionable data and analysis supporting the department, other business areas, and... Read More

Summary of Job Assess medical risk for each identified claimant utilizing all available information and applying appropriate guidelines to meet the financial risk... Read More

Summary of Position Manage high profile provider contracts via consistent relationship development and high touch coordination of issue resolution. Act as a liaison and... Read More

Summary of Job Responsible for the oversight of cross functional activity related to Medicaid audits conducted by OMIG, AIG and their agents for Medicaid, Child Health... Read More