Responsible for Financial Recovery (including Recovery Vendors) and Coordination of Benefits for the organization. Collaborate on strategic planning and provide oversight of development and implementation of best practices; establish and then maximize probability for successful achievement of goals and metrics; provide leadership across and with various internal and exter

Come Join Us! On site Interviews for Marketplace Sales Wednesday, May 1, 2024 55 Water Street, New York, NY 10041 8 00am to 12 00pm & 2 00pm to 6 00pm EmblemHealth is seeking innovative and dynamic Sales Professionals to assist and enroll potential members to Individual Medicaid, Essential Plan, Qualified Health Plan (QHP) and Child Health Plus (CHP) products. In this rol

of Position The Care Team Associate II serves as a member of the Care Team in the treatment and care of patients who assists providers with clinical services and administrative tasks to support population health guided best in class care. The position works under the supervision of the Practice Administrator and in collaboration with the Nurse Manager. The Care Team Associ

of Position The Care Team Associate II serves as a member of the Care Team in the treatment and care of patients who assists providers with clinical services and administrative tasks to support population health guided best in class care. The position works under the supervision of the Practice Administrator and in collaboration with the Nurse Manager. The Care Team Associ

of Position We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations. They will process appeals and grievances to facilitate the accurate administration of benefits and clinical

of Job Provide care management, as part of a multi disciplinary care team, that includes care coordination, performing telephonic or face to face assessments of members' health care needs, identifying gaps in care and needed support, administering/coordinating implementation of interventions. Support and enable members to manage their physical, environmental and psycho soc

Make an Impact! Provide general nursing care to patients as well as care coordination in collaboration with other members of the care team. Ensure practices of the care team are in accordance with nursing standards local, state, and federal guidelines, and organizational policy. Develop and Enhance your Leadership Skills! Provide clinical supervision to Licensed Practical

of Position The Care Team Associate II serves as a member of the Care Team in the treatment and care of patients who assists providers with clinical services and administrative tasks to support population health guided best in class care. The position works under the supervision of the Practice Administrator and in collaboration with the Nurse Manager. The Care Team Associ