New Jobs
Check out the New Jobs at EmblemHealth.
16 results
Summary of Position Support contract performance management of a large health system. ; Review and analyze suspected underpaid and overpaid claims...
EmblemHealth
Operations
Summary: Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies. ; Lead projects to...
EmblemHealth
REMOTESummary: Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies. ; Lead projects to.....
EmblemHealth
Summary of JobHighly visible, external-facing, field-based role, serving as the primary contact and resource for fee-for-service or value-based...
EmblemHealth
Network & Contracting
Summary of PositionWork across the enterprise to ensure effective process and management of utilization management, implement strategic process...
EmblemHealth
Summary of PositionResponsible for the execution of the non-clinical aspects of the Utilization Management process. Ensure information is...
EmblemHealth
Clinical Operations
Summary of PositionPerform clinical reviews within the Medical Management Operations Concurrent Review utilization management department.Ensure...
EmblemHealth
Clinical
Summary of JobContinuously and proactively assess and monitor pharmacy operations performance to achieve contractual targets on a daily basis....
EmblemHealth
Operations
Summary of PositionIdentify, develop and conduct appropriate training programs, including working with the Instructional Designer and Business...
EmblemHealth
Clinical Operations
Summary of PositionSupport the department’s quality of care and cost containment. Provide utilization management as needed to ensure coordination of.....
EmblemHealth
Clinical Operations