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EmblemHealth is a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. As one of the nation’s largest not-for-profit health insurers, we serve more than three million people in the New York tristate area.

Summary: • Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance. • Develop studies, analyses, and presentation materials needed to appropriately inform decision makers. • Complete pricing analysis, experience analysis and studies, financial projections, and other actuarial/financial...

Summary of Position • Work closely with onsite sales colleagues to identify customers in need of enrollment services and provide post salescustomer service follow-up. • Interact face‐to‐face with customers, assisting in providing complete resolution of customer concerns including claims, benefit and enrollment inquiries through health...

Summary: • Underwrite EmblemHealth’s existing and new business accounts, including Broker Accounts within published time frames. • Process sold new business groups. • Develop and maintain good working relationships between Underwriting and Marketing. • Maintain logs and complete various reports as needed.

Summary of Job Respond to written/verbal grievances, complaints, appeals and disputes submitted by members and providers in accordance with NCQA, CMS, State and other regulations. Process appeals and grievances to facilitate the accurate administration of benefits and clinical policy; ensure compliance of the appeal and grievance...

Summary of Position • Work closely with onsite sales colleagues to identify customers in need of enrollment services and provide post sales customer service follow-up. • Interact face-to-face with customers, assisting in providing complete resolution of customer concerns including claims, benefit and enrollment inquiries through health...

Summary of Position • Work closely with onsite sales colleagues to identify customers in need of enrollment services and provide post salescustomer service follow-up. • Interact face‐to‐face with customers, assisting in providing complete resolution of customer concerns including claims, benefit and enrollment inquiries through health...

Summary: • Work with other team leaders to improve operational efficiencies and resource allocations for improved performance of the EmblemHealth plans. • Responsible for running queries and providing required analysis to understand related drivers (such as medical cost and utilization), and to provide insightful commentary and sensitivity...

Summary of Position • Present and successfully close client renewals by carefully analyzing the renewal prior to release to the client and preparing material to support the renewal proposal • Routinely visit clients and/or their consultants, and keep clients informed of issues that may impact benefits and rates.

Summary of Job Support the Quality Management department in the development and maintenance of a monitoring and reporting structure for data reports and analysis related to the HEDIS-QARR project, pharmacy adherence initiatives, and other performance improvement initiatives related to Medicare Stars and Medicaid QIA.

Summary of Position • Responsible for managing, tracking, and maintaining inventory/assets/materials that support Marketplace Sales field ops. • Coordinate with sales teams, mobile units, events, and community partners to ensure that they have the equipment, marketing materials, and fleet-related supplies necessary to operate efficiently...

Summary of Job Lead and develop meaningful insights, actionable analytics and applicable plans and /or corrective actions through appropriate advanced statistical and/or modeling analyses. Incorporate diverse data sources across internal and external platforms to continuously improve the plan’s healthcare qualitymetric performance...

Summary 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.

Blackstone is the world’s largest alternative asset manager. We seek to create positive economic impact and long-term value for our investors, the companies we invest in, and the communities in which we work. We do this by using extraordinary people and flexible capital to help companies solve problems.

Blackstone is the world’s largest alternative asset manager. We seek to create positive economic impact and long-term value for our investors, the companies we invest in, and the communities in which we work. We do this by using extraordinary people and flexible capital to help companies solve problems.

Blackstone is the world’s largest alternative asset manager. We seek to create positive economic impact and long-term value for our investors, the companies we invest in, and the communities in which we work. We do this by using extraordinary people and flexible capital to help companies solve problems.

Blackstone is the world’s largest alternative asset manager. We seek to create positive economic impact and long-term value for our investors, the companies we invest in, and the communities in which we work. We do this by using extraordinary people and flexible capital to help companies solve problems.

Blackstone is the world’s largest alternative asset manager. We seek to create positive economic impact and long-term value for our investors, the companies we invest in, and the communities in which we work. We do this by using extraordinary people and flexible capital to help companies solve problems.

Blackstone is the world’s largest alternative asset manager. We seek to create positive economic impact and long-term value for our investors, the companies we invest in, and the communities in which we work. We do this by using extraordinary people and flexible capital to help companies solve problems.

Blackstone is the world’s largest alternative asset manager. We seek to create positive economic impact and long-term value for our investors, the companies we invest in, and the communities in which we work. We do this by using extraordinary people and flexible capital to help companies solve problems.