Grievance & Appeals Specialist - Remote
Farmington, CT
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 me...

Marketplace Sales Manager - Field Sales
New York, NY
of Job Manage the day to day sales activities of the Direct to Consumer and Individual markets (Medicaid, Child Health Plus, The Essential Plan and QHP) and implement any strategic or tac...

Digital Marketing Campaign Specialist - Remote
New York, NY
of Job Responsible for implementing end to end campaign creation, execution, delivery and measurement, primarily leveraging Salesforce Marketing Cloud email/journeys, Adobe Campaign, Adob...

Supervisor, Customer Service (Hybrid)
East Syracuse, NY
Manage the day to day responsibilities of telephone performance, coaching/counseling the customer service team, and inventories of offline work including eCorrespondence, social media, a...

Training Specialist (Healthcare) - Hybrid
East Syracuse, NY
Deliver operations training programs that encompass a blended approach (instructor led modules, self paced activities, flipped classroom, group activities, videos, and eLearning). Respon...

AVP, Provider Claim Resolution
New York, NY
of Position Serve as the key operational liaison with Provider Network Management and Finance responsible for the reconciliation, reprocessing/recoupment and provider communication for cl...

Grievance & Appeals Dispute Specialist
Farmington, CT
of Position We are seeking a dynamic Grievance and Appeals Dispute Specialist who will be responsible for processing disputes submitted by contracted and non contracted providers. The typ...

Contract Specialist - Remote
New York, NY
of Position We are seeking a dynamic Contract Specialist who will be responsible for loading all Professional, Facility, and Ancillary contracts across all EmblemHealth lines of business...

Lead Training Specialist (Healthcare) - Hybrid
Albany, NY
Conceptualize, research, develop, implement, maintain, and enhance Contact Center related training programs/materials. Facilitate training classes to support the Contact Center provide t...

Actuarial Analyst - (Remote)
New York, NY
Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance. Develop studies, analyses, and presentation materials needed to a...

Sr. Actuarial Analyst - (Remote)
New York, NY
Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance. Participate in product development, pricing, filing, and rating i...

Regional Training Coach (Onsite and Field Based)
New York, NY
of Job Ideate, develop, and deliver formal and informal training for the new hire and current sales employees. Coach and mentor staff to meet sales and retention goals. Collaborate on dev...

Network Relations Account Manager (Farmington, CT location)
Farmington, CT
Serves in an account management (non sales) role as the primary business to business liaison between ConnectiCare and its provider network and is responsible for all interactions between...

Senior Marketplace Enrollment Analyst (Hybrid)
New York, NY
of Job Identify opportunities to improve efficiency; lead small to mid size projects; assist other project managers on larger, more complex projects related to operational business functi...

Nurse Practitioner Primary Care - Harlem
New York, NY
We are seeking a Nurse Practitioner to provide medical services in collaboration with our internal medicine physicians. Join us in pursuit of high quality patient care to provide full sc...