of Position Support digital technology transformation through CRM platforms including Sales Cloud, Service Cloud, and Vlocity portals. Responsible for managing CRM enhancements and day to day operations across integrated Salesforce environments; and for gathering and translating constituent input and feedback into clear, concise and actionable digital platform requirements

of Position Responsible for making outbound calls to previous/current QHP, EP, Medicaid & Child Health Plus membership due to special projects, and renewal on a telephonic approach. Principal Accountabilities Receive inbound calls directly from members/prospects or transfers from member services. Educate and respond to inquiries from members about plan benefits, enrollment

of Job Participate in and drive activities related to the administration, monitoring, and oversight of the Commercial EmblemHealth Dental PPO Provider Networks. Ensure the integrity of the TruProvider provider file, compose, support and facilitate Credentialing compliance and protocols, and provide guidance for member and dental provider resolutions and grievance and appea

of Position We are seeking an experienced Internal or Family Medicine trained physician to join us in pursuit of high quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate Must Have a minimum of two to three years of primary c

of Position We are seeking an Internal or Family Medicine trained physician to join us in pursuit of high quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate Must Have a minimum of two to three years of primary clinical expe

of Position We are seeking an experienced Internal or Family Medicine trained physician to join us in pursuit of high quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate Must Have a minimum of two to three years of primary c

of Position We are seeking an experienced Internal or Family Medicine trained physician to join us in pursuit of high quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate Must Have a minimum of two to three years of primary c

of Position We are seeking an experienced Internal or Family Medicine trained physician to join us in pursuit of high quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate Must Have a minimum of two to three years of primary c

of Position We are seeking an experienced Internal or Family Medicine trained physician to join us in pursuit of high quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate Must Have a minimum of two to three years of primary c

of Position We are seeking an experienced Internal or Family Medicine trained physician to join us in pursuit of high quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate Must Have a minimum of two to three years of primary c

of Position We are seeking an experienced Internal or Family Medicine trained physician to join us in pursuit of high quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate Must Have a minimum of two to three years of primary c

Prepare journal entries, account reconciliations and other analyses as part of the month end close process. Ensure that the monthly close for EmblemHealth is performed timely, accurately and in accordance with Generally Accepted Accounting Principles (GAAP). Participate in the development and enhancement of internal controls over financial reporting and process improvemen

of Position Drive Software Development Life Cycle activities and align EmblemHealth business and technical resources. Responsible for managing systems and all technical functions related including design, develop Champion continuous quality improvement activities to increase the maturity of the IT team. Principal Accountabilities Responsible for leading the planning, execu

of Position 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 psych

of Position Responsible for executing and driving initiatives and ongoing optimization efforts that improve performance across end to end Operations, including Claims, Provider Operations, Compliance, Grievance & Appeals, Enrollment & Billing, and Call Center functions with minimal oversight. Acts as a cross functional execution lead who identifies operational challenges a