Medicaid Liability Leader

. Responsible for ensuring that EmblemHealth and its delegates comply with encounter data submissions & reconciliation... conducted by DOH, OMIG, HMS and AG for audit types: Third Party Health Insurance; EmblemHealth and external Plans, Retroactive...

Lugar: New York City, NY | 22/09/2024 01:09:45 AM | Salario: S/. $86000 - 165000 per year | Empresa: EmblemHealth

Spanish Speaking - Nurse Wellness Coach (remote)

EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation... to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors...

Lugar: Farmington, CT | 20/09/2024 03:09:04 AM | Salario: S/. $63000 - 110000 per year | Empresa: EmblemHealth

Spanish Speaking - Health Coach Educator (remote)

a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the... compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation...

Lugar: Farmington, CT | 20/09/2024 00:09:08 AM | Salario: S/. $52000 - 92000 per year | Empresa: EmblemHealth

Grievance & Appeals Specialist

and obtaining responses and information from internal and external entities. Serve as liaison with EmblemHealth departments... EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation...

Lugar: Farmington, CT | 12/09/2024 06:09:57 AM | Salario: S/. $45000 - 77000 per year | Empresa: EmblemHealth

Grievance & Appeals Specialist

and obtaining responses and information from internal and external entities. Serve as liaison with EmblemHealth departments... EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation...

Lugar: Farmington, CT | 11/09/2024 03:09:03 AM | Salario: S/. $45000 - 77000 per year | Empresa: EmblemHealth

Client Associate

satisfaction, retention, and growth by collaborating effectively with other areas of EmblemHealth to proactively prevent... of business. Remain current with EmblemHealth’s benefits and capabilities, industry trends, competitive strategies...

Lugar: Albany, NY | 11/09/2024 00:09:33 AM | Salario: S/. $24.95 - 50.79 per hour | Empresa: EmblemHealth

Member Navigator - Remote

of EmblemHealth’s products, complex processes, and multiple systems to enhance member’s health journey. Responsible to grow/increase... of normal business hours. Participate in state meetings as needed. Ongoing learning of EmblemHealth and Connecticare products...

Lugar: New York City, NY | 05/09/2024 23:09:24 PM | Salario: S/. $52000 - 92000 per year | Empresa: EmblemHealth

Provider Contract Manager

and/or Professional providers and EmblemHealth. Develop provider contracting efforts, including but not limited to process oversight..., as well as communication of Plan policies and procedures. Contact for all escalated issues from the Provider and internal EmblemHealth...

Lugar: New York City, NY | 05/09/2024 00:09:03 AM | Salario: S/. $72000 - 138000 per year | Empresa: EmblemHealth

Managed Care Liaison - Remote

a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the... compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation...

Lugar: New York City, NY | 30/08/2024 05:08:21 AM | Salario: S/. $63000 - 110000 per year | Empresa: EmblemHealth