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EmblemHealth

Supervisor, Customer Retention & Loyalty (Hybrid)

New York, New York

EmblemHealth

Summary of Position Drive a team of navigators who are responsible for providing a superior member experience. Ensure that the team executes on all elements required to maximize member satisfaction, with a focus on increasing retention, and...

Job Type Full Time
New
EmblemHealth

Lead Clinical Pharmacy Specialist - Hybrid

New York, New York

EmblemHealth

This is a community based field opportunity with travel within New York City. Must reside in NY and be willing to travel 3 days per week Summary of Position In support of the EmblemHealth Pharmacy Quality program focused on initiatives to m...

Job Type Full Time
New
EmblemHealth

Member Navigator

New York, New York

EmblemHealth

Summary of Position Provide support and assistance to mainstream Medicare, Medicaid, HARP, Child Health Plus and Essential members telephonically (inbound and outbound) with a variety of non-clinical healthcare and membership needs: complet...

Job Type Full Time
New
EmblemHealth

Genesys Cloud Engineer

New York, New York

EmblemHealth

REMOTE Summary of Position Design, implement, and operate a Genesys Cloud environment. Act as technical interface between the business and various IT teams to develop business solutions delivered via the Genesys contact center application u...

Job Type Full Time
New
EmblemHealth

Technology Architect

New York, New York

EmblemHealth

REMOTE Summary of Position Lead technology architecture (business, data, application, integration, and platform) for healthcare payer organization, ensuring scalable, secure, and compliant systems that support core health plan operations an...

Job Type Full Time
New
EmblemHealth

CUSTOMER SERVICE REPRESENTATIVES (NEW YORK)

New York, New York

EmblemHealth

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 N...

Job Type Full Time
New
EmblemHealth

Technology Manager

New York, New York

EmblemHealth

REMOTE Summary: 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 qua...

Job Type Full Time
New
EmblemHealth

Care Manager, UM (NYCE) - REMOTE

New York, New York

EmblemHealth

Summary of Position Support the department's quality of care and cost containment. Provide utilization management as needed to ensure coordination of health care delivery. Conduct medical appropriateness evaluations of acute care hospital a...

Job Type Full Time
New
EmblemHealth

Customer Service Representative

Farmington, Connecticut

EmblemHealth

*** Must be able to commute to work location at 195 Scott Swamp Road, Farmington, CT 06302*** We are seeking dynamic Call Center Professionals to join our Call Center in Farmington, CT starting 2026! Our Call Center professionals provide te...

Job Type Full Time
New
EmblemHealth

Quality Outreach Specialist - Remote

New York, New York

EmblemHealth

Summary of Job Perform provider and member outreach to reconcile member records and validate data entry to support continuous quality improvement in Healthcare Effectiveness Data and Information Set (HEDIS) rates and STAR measures for the e...

Job Type Full Time

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