Summary of Job Ideate, develop, and deliver formal and informal training for the new hire and current sales employees. Coach and mentor staff to meet sales and retention goals. …
Summary of Job Identify opportunities to improve efficiency; lead small to mid-size projects; assist other project managers on larger, more complex projects related to operationa…
Summary of Job Manage the day-to-day sales activities of the Direct to Consumer and Individual markets (Medicaid, Child Health Plus, The Essential Plan and QHP) and implement any…
Summary of Position Work with the AVP to ensure successful implementation of the enterprise-wide DEI strategy. Lead and manage DEI initiatives and action plans to drive accountab…
Summary of Position: Manage portfolio of developed and scheduled reports for Claims, FRU, G&A, Provider and UM Data. Interface with internal operations / external departmental c…
Summary: Responsible for Financial Recovery (including Recovery Vendors) and Coordination of Benefits for the organization. Collaborate on strategic planning and provide oversig…
Summary of Job: Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members’…
Summary of Job: Assess eligibility of members in need of community based long term support services (CBLTSS). Conduct UAS assessment in the members home or by telehealth (under N…
Summary: Underwrite existing medical and dental accounts, including Broker, Commercial and Labor and Government accounts, within published time frames. Underwrite new business p…
Summary: Participate in managing the financial risk of EmblemHealth through complex underwriting of various businesses. Underwrite existing medical and dental accounts, includin…
Summary of Position Oversee accounting and analysis functions for premium revenue and medical expense. Ensure that the monthly close for EmblemHealth is performed timely, accurat…
Summary of Job Ensure prompt, efficient, accurate and timely claims adjudication of high dollar claims in accordance with the current policy benefits, limitations or exclusions. …
Summary: Work with other team leaders to improve operational efficiencies and resource allocations for improved performance of the EmblemHealth plans. Responsible for running qu…
Summary of Job Conduct industry analysis and research to identify insights and recommend solutions that will support the enterprise strategic objectives. Proactively lead a progr…