Emblemhealth jobs in New York, NY

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Director, Formulary Management

EmblemHealth - 352 reviews - New York, NY
Directly responsible for oversight and day-to-day management of all functions related to EmblemHealth formulary and pharmacy utilization management programs....

Lead, Clinical Quality Initiative

EmblemHealth - 352 reviews - New York, NY
Analyze trends in performance including evaluation of current performance against EmblemHealth goals and national and regional benchmarks....

Director, Hospital Contracting

EmblemHealth - 352 reviews - New York, NY
Leads health care cost containment initiatives that impact all product lines offered by EmblemHealth in NY (Commercial, Medicare, and State Sponsored Programs)....

Sr. Vendor Specialist

EmblemHealth - 352 reviews - New York, NY
Knowledge of EmblemHealth claims operating platforms and CPF systems (desirable, but not required). Conducts various vendor related analyses and ad hoc projects...

Dir., Product Performance

EmblemHealth - 352 reviews - New York, NY
Review key financial performance metrics and identify unit cost and utilization savings opportunities. Work cross functionally with Care Management, Network

Care Manager, Behavioral Health (LMSW)

EmblemHealth - 352 reviews - New York, NY
• Provide care management services for the chronically or at-risk mentally ill population with an overall objective to reduce the need for psychiatric re

Case Manager - Social Worker

EmblemHealth - 352 reviews - New York, NY
Knowledge of community-based and EmblemHealth network based resources. This position is community-based....

Product Manager (Medicare)

EmblemHealth - 352 reviews - New York, NY
Review key financial performance metrics and identify unit cost and utilization savings opportunities. Work cross functionally with Care Management, Network

Provider Contract Administrator

EmblemHealth - 352 reviews - New York, NY
Negotiate contracts with new and existing providers to fill network gaps and to address business needs. Develop new, effective contract supporting tools to

Clinical Health Navigator

EmblemHealth - 352 reviews - New York, NY
Proactively outreach to a set of EmblemHealth members to provide education regarding services and care needed, work closely with EmblemHealth colleagues and...
Sr. Medicare Sales Representative
EmblemHealth - 352 reviews - New York, NY
$52,972 - $100,651 a year
Function as a liaison between all EmblemHealth departments to help identify and resolve prospect’s problems or concerns....
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