Emblemhealth jobs in United States

Provide professional nursing care to patients and proactively support efforts to ensure that standards for patient satisfaction, patient safety, and quality of care are maintained, as established by AdvantageCare Physicians.Primary liaison between patients, staff and physicians and support the Ad...

Current unencumbered New York State Registered Nurse license (R). Provide clinical supervision to the Licensed Practical Nurses (LPNs) and Care Team Associate IIs (CTA II) on the Care Team. May function as the Lead Nurse in the medical office when the Manager, Nursing (and/or Assistant Manager, N...

Provide professional nursing care to patients and proactively support efforts to ensure that standards for patient satisfaction, .Primary liaison between patients, staff and physicians and support the Advanced Care Model.Organize and provide clinical supervision to the patient care team including...

With more than 35 medical offices across New York City and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. We're bringing together an amazing Care Team to work with our patients in Long Island. ...

Perform Sales Support functions for Small Group Sales Department that aids in the sales process. Provide technical and administrative support to maximize opportunities for meeting and exceeding new membership sales targets. Facilitate the small group new business quoting process through the Conne...

Perform periodic and ad-hoc operations data analysis to measure performance and conduct root cause analysis for Claims, FRU, G&A, Provider and UM data. Identify and collect internal historical data; research and collect external benchmark data; devise more efficient and accurate approaches to vet...

Advise the Underwriters in the Underwriting Leader's absence. Serve as technical resource and mentor for lower-level Underwriters. ...

New We are seeking dynamic Customer Service Representatives to join our Call Center in Albany, NY starting February 2022! The Customer Service Representative will provide customer service support to EmblemHealth members. Customer Service Representatives (Multiple Positions)**. A minim...

In this role, you will play an integral part in assisting individuals with completing the appropriate application forms, obtain required documentation necessary for enrollment, and meeting necessary enrollment targets. Assist and enroll individuals by completing the appropriate application forms,...

Advise the Underwriters in the Underwriting Leader's absence. Serve as technical resource and mentor for lower-level Underwriters. ...

RN required, with current active RN license for New York. Support an integrated care model tapping into appropriate resources both internally and external to the organization (Required). Support and enable members to manage their physical, environmental and psycho-social concerns, understand and ...

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as ...

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as ...

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as ...

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as ...

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as ...

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as ...

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as ...

... health for the communities we serve. This vision is accomplished through a "whole you" care ... system and Microsoft Office. Competitive Benefit Package · Competitive Base Salary · Sign-on ...

Proofread and edit vendor translations and desktop publishing of print and digital materials for EmblemHealth, ConnectiCare, and AdvantageCare Physicians to ensure accurate and appropriate translations and formatting for the US-based market.Audit vendor performance in adhering to the enterprise’s...

Load all Professional, Facility, and Ancillary contracts across all EmblemHealth lines of business in a timely and accurate manner. Provide subject matter expertise in all areas of contract configuration, fee schedules/groupers, and rate reimbursement. Collaborate on workflows and business proces...

Develop informational presentations as requested by the Medicare Implementation Leader and AVP of Product Administration: provide updates, train and/or communicate status pertaining to Medicare Products and the activities of the Medicare Team. Develop and maintain an in-depth knowledge of Medicar...

Perform periodic and ad-hoc operations data analysis to measure performance and conduct root cause analysis for Claims, FRU, G&A, Provider and UM data. Identify and collect internal historical data; research and collect external benchmark data; devise more efficient and accurate approaches to vet...

We are seeking a dynamic Expedited Appeals Specialist who will be responsible for processing expedited appeals: those that are complex in nature, require multiple hand-offs, and tend to have extremely tight deadlines. Due to regulatory requirements and turn-around times of the Expedited Appeal un...