Operations Opportunities at EmblemHealth
Summary of Position Provide Claims project management oversight to ensure that outcomes are within defined parameters of cost, efficacy, and...
Summary of Position To oversee the performance of vendors who are delegated for the claims processing function to ensure delegates meet and are...
Summary of PositionIndependently investigate and respond to written/verbal appeals submitted by members, employees, contracted and non-contracted...
Summary of JobResponsible for management of all Provider Claims resolutions; ensure that all claims are handled timely and accurately. Maintain...
Summary of Position Support contract performance management of a large health system. ; Review and analyze suspected underpaid and overpaid claims...
Summary of JobContinuously and proactively assess and monitor pharmacy operations performance to achieve contractual targets on a daily basis....
Summary of Position Drive organizational efficiency and effectiveness by optimizing business processes. Lead teams, develop strategies, and...