Senior Specialist, Pharmacy Systems Operations - Remote
New York, New York
Summary of Job Serve as pharmacy systems coding subject matter expert for Prior Authorization with a focus on medical drug claim processing, review of utilization management, PA processing, and appeals; as well as the following: claims proc...
5h
| Job Type | Full Time |
2027 Summer Healthcare Data Analytics - Healthcare Economics Intern (Remote)
New York, New York
2027 Healthcare Data Analytics - Healthcare Economics Internship - Remote EmblemHealth is one of the nation's largest not-for-profit health insurers, serving members across New York's communities with a full range of commercial and governme...
5h
| Job Type | Full Time |
2027 Healthcare Data Analytics Underwriting Intern (Remote)
New York, New York
2027 Healthcare Data Analytics Underwriting Internship - Remote EmblemHealth is one of the nation's largest not-for-profit health insurers, serving members across New York's communities with a full range of commercial and government-sponsor...
5h
| Job Type | Full Time |
Talent Development Manager - Hybrid
New York, New York
Summary of Position Responsible for execution of our organization-wide talent and performance management program(s). Provide project management, coordination, delivery of talent lifecycle offerings and initiatives. Work with business partne...
5h
| Job Type | Full Time |
New York, New York
Summary of Position Lead the strategic redesign, operational performance, and day-to-day management of the health plan's Utilization Management function across Medicaid, Commercial, and Medicare lines of business. Provide senior clinical an...
5h
| Job Type | Full Time |
New York, New York
Summary of Position Develop data-driven analysis for decision making on how EmblemHealth purchases, manages, and influences the cost of care for current and prospective members. Extract, analyze, and interpret data to produce insights relat...
5h
| Job Type | Full Time |
Provider Contract Specialist - Hybrid
New York, New York
Summary of Job Act as a liaison and operate as a vital link between specific Facility, Ancillary, Delegated and/or Professional providers and EmblemHealth. Responsible for day-to-day operations for all activities related to contracts with m...
5h
| Job Type | Full Time |
Value Based Contracting Leader - Hybrid
New York, New York
Summary of Job Responsible for negotiating and managing competitive and complex value-based relationships with EmblemHealth multispecialty groups, FQHCs, IPAs, and hospital provider partners. Develop and utilize internal guidelines, strateg...
5h
| Job Type | Full Time |
Product Supportability Program Manager
Phoenix, Arizona
To make electronics, you need chips, wafers, transistors, reticles, and... To make these, you must see, test and manufacture them at scale-faster and better than ever before. That's where KLA comes in. Whether you're early in your career or...
5h
| Job Type | Full Time |
Product Supportability Program Manager
Ann Arbor, Michigan
To make electronics, you need chips, wafers, transistors, reticles, and... To make these, you must see, test and manufacture them at scale-faster and better than ever before. That's where KLA comes in. Whether you're early in your career or...
5h
| Job Type | Full Time |