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...
and/or Professional providers and EmblemHealth. Develop provider contracting efforts, including but not limited to process oversight... EmblemHealth departments, including grievances, disputes, and provider/member billing complaints. “Provider†can include managing...
on weekends and holidays to ensure EmblemHealth remains complaint as applicable. Responsible for identification and root cause... required Knowledge of EmblemHealth’s programs, and of the department’s web-based programs preferred In-depth knowledge of grievance...