of Position Provide professional nursing care to patients and proactively support efforts to ensure that standards for patient satisfaction, patient safety, and quality of care are maintained, as established by AdvantageCare Physicians. Primary liaison between patients, staff and physicians and support the Advanced Care Model. Organize and provide clinical supervision to t

of Position Manage portfolio of developed and scheduled reports for Claims, FRU, G&A, Provider and UM Data. Interface with internal operations / external departmental customers to define requirements of analyses and reports. Transform requirements into actionable, high quality deliverables. Perform periodic and ad hoc operations data analysis to measure performance and con

Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies. Lead projects to analyze current rate structures and develop improvements and alternatives. Coordinate the actuarial staff as needed to support the activities of the affiliates. Lead actuarial staff as needed to support the activities of the affiliates. Respon

We are seeking Registered Nurses to join our team. The ideal candidate should have Work experience as a Nurse in a hospital or ambulatory setting preferred Patient centered approach toward a positive patient experience Excellent communication skills Interest in Population Health Responsibilities Our Registered Nurses organize and provide clinical supervision to the patien

We are seeking Registered Nurses to join our team. The ideal candidate should have Work experience as a Nurse in a hospital or ambulatory setting preferred Patient centered approach toward a positive patient experience Excellent communication skills Interest in Population Health Responsibilities Our Registered Nurses organize and provide clinical supervision to the patien

We are seeking Registered Nurses to join our team. The ideal candidate should have Work experience as a Nurse in a hospital or ambulatory setting preferred Patient centered approach toward a positive patient experience Excellent communication skills Interest in Population Health Responsibilities Our Registered Nurses organize and provide clinical supervision to the patien

Participate in managing the financial risk of EmblemHealth through complex underwriting of various businesses. Underwrite existing medical and dental accounts, including Broker, Commercial and Labor and Government accounts, within published time frames. Prepare employer reports and provides analysis for use in accessing level of risk and in consulting with clients (broker

Responsible for Financial Recovery (including Recovery Vendors) and Coordination of Benefits for the organization. Collaborate on strategic planning and provide oversight of development and implementation of best practices; establish and then maximize probability for successful achievement of goals and metrics; provide leadership across and with various internal and exter

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 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 in a timely and accurate manner. This individual will provide subject matter expertise in all areas of contract configuration, fee schedules/groupers, and rate reimbursement. The Contract

of Position The Care Team Associate II serves as a member of the Care Team in the treatment and care of patients who assists providers with clinical services and administrative tasks to support population health guided best in class care. The position works under the supervision of the Practice Administrator and in collaboration with the Nurse Manager. The Care Team Associ

Prepare accurate and timely financial statements in compliance with GAAP and Statutory Accounting Principles. File Statutory statements with the National Association of Insurance Commissioners (NAIC), New York Department of Financial Services (DFS), Department of Health (DOH), and Center for Medicare and Medicaid Services (CMS). Prepare audited financial statements includ

Collaborate with the Director and other departmental leaders in managing the budgeting and forecasting process. Act as key point person for managing the allocation of administrative expenses across the P&L. Serve as a key participant in the operating expense monthly variance meetings, annual planning, and recurring forecasting processes. Partner with business areas to ana

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

Make an Impact! Provide general nursing care to patients as well as care coordination in collaboration with other members of the care team. Ensure practices of the care team are in accordance with nursing standards local, state, and federal guidelines, and organizational policy. Develop and Enhance your Leadership Skills! Provide clinical supervision to Licensed Practical