Operations Opportunities at EmblemHealth
Summary of PositionPerform high dollar claim audits and provide oversight and guidance to claim analysts. ; Determine the root cause of errors and...
Summary of PositionResponsible for overseeing the day-to-day operations of the Grievance and Appeal Specialists, ensuring adherence to department...
Summary of Position Support contract performance management of a large health system. ; Review and analyze suspected underpaid and overpaid claims...
Summary of PositionResponsible for receiving, researching and resolving provider inquiries received from UMR or internal departments and business...
Summary of Position Provide Claims project management oversight to ensure that outcomes are within defined parameters of cost, efficacy, and...
Summary of Position Process disputes submitted by contracted and non-contracted providers. Types of correspondence handled by the individual will...
Summary of JobManage the relationship between Cognizant and Provider Network Management. Outreach to providers as needed when discrepancies in...
Summary: Collaborate with AVP to maximize organizational efficiency and effectiveness through the optimization of business processes. ; Identify...