Emblemhealth jobs in New York, NY

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Grievance & Appeals Specialist

EmblemHealth - 332 reviews - New York, NY
Serves as liaison with EmblemHealth departments, delegated entities, medical groups and network physicians to ensure timely resolution of cases....

Lead, Stars Initiatives

EmblemHealth - 332 reviews - New York, NY
Ensure cross-functional collaboration among internal EmblemHealth departments on shared goals/measure responsibilities....

Lead, Clinical Quality Initiative

EmblemHealth - 332 reviews - New York, NY
Analyze trends in performance including evaluation of current performance against EmblemHealth goals and national and regional benchmarks....

Dir., Product Performance

EmblemHealth - 332 reviews - New York, NY
Review key financial performance metrics and identify unit cost and utilization savings opportunities. Work cross functionally with Care Management, Network

Complex Care Manager

EmblemHealth - 332 reviews - New York, NY
Support EmblemHealth population health complex care management initiatives by providing care management services engaging with complex individuals enrolled in...

Clinical Health Navigator

EmblemHealth - 332 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. Receivables Analyst

EmblemHealth - 332 reviews - New York, NY
Develop a strong working knowledge of all EmblemHealth products and their applicable governmental regulatory guidelines regarding receivables in order to...

Care Manager, Behavioral Health

EmblemHealth - 332 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

Product Manager (Medicare)

EmblemHealth - 332 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 - 332 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

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