EmblemHealth Jobs in New York
Jobs 1 to 11 of 29
EmblemHealth Jobs in New York
Jobs 1 to 11 of 29
Summary: Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies. Lead projects to analyze current rate structures and develop improvements...
YesterdaySummary of Position: Manage portfolio of developed and scheduled reports for Claims, FRU, G&A, Provider and UM Data. Interface with internal operations / external departmental customers to define...
YesterdaySUMMARY OF POSITION : * Provide oversight and leadership for the creation and utilization of key performance indicators for clinical/business ownersand senior executive management that continuously...
YesterdaySummary: Conceptualize, research, develop, implement, maintain, and enhance Contact Center related training programs/materials. Facilitate training classes to support the Contact Center: provide...
YesterdaySummary We are seeking a dynamic Expedited Appeals Specialist responsible for processing expedited appeals: those that are complex, require multiple hand-offs, and tend to have extremely tight...
YesterdaySummary: Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance. Participate in product development, pricing, filing, and rating...
YesterdaySummary of Job Responsible for the oversight of the claims inventory management by our external vendor (CTS): develop, implement and manage the claims oversight department, to monitor and evaluate...
YesterdaySummary: Prepare accurate and timely financial statements in compliance with GAAP and Statutory Accounting Principles. File Statutory statements with the National Association of Insurance...
YesterdaySummary of Job Develop strategy in concert with key business stakeholders across EmblemHealth enterprise. Translate strategy into defined tactics, program priorities, and timelines, and ensure...
YesterdaySummary of Position Interact face-to-face with customers, assisting in providing complete resolution of customer concerns including claims,benefit and enrollment inquiries through health plan...
Yesterday