of Job Assess eligibility of members in need of community based long term support services (CBLTSS). Conduct UAS assessment in the members home or by telehealth (under NY State's regulations), and at skilled nursing facilities. Consult with health care providers to support assessment outcomes. Conduct needs assessment utilizing the UAS NY/DOH tool to determine members' qua

Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance. Participate in product development, pricing, filing, and rating implementation of new products and strategies. Develop studies, analyses, and presentation materials needed to appropriately inform decision makers, Answer questions of less experienced sta

Underwrite existing medical and dental accounts, including Broker, Commercial and Labor and Government accounts, within published time frames. Underwrite new business portfolio including a mix of Large Group Experience Labor and Government, Commercial, Self insured, and Large Group Community Rated accounts. Advise the Underwriters in the Underwriting Leader's absence. Sup

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

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

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

We are seeking a Physician Assistant who specializes in cardiovascular medicine and imaging to provide medical services in collaboration with our cardiology physicians. Join us to provide top notch care for cardiac patients including but not limited to conducting, recording and interpreting stress test results. Responsibilities Obtain and document patient history as appro

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

We are seeking an Internal Medicine 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. Responsibilities Review patient's history and perform physical examinations. Evaluate, d

of Position Assist the Manager, Nursing in the management and education of care team members providing professional nursing care to patients. Proactively support efforts to ensure that standards for quality of care, patient satisfaction, and patient safety are maintained, as established by AdvantageCare Physicians including best practices, regulatory requirements, and clin

of Position Assist the Manager, Nursing in the management and education of care team members providing professional nursing care to patients. Proactively support efforts to ensure that standards for quality of care, patient satisfaction, and patient safety are maintained, as established by AdvantageCare Physicians including best practices, regulatory requirements, and clin

We are seeking an Internal Medicine 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. Responsibilities Review patient's history and perform physical examinations. Evaluate, d

of Position Provide day to day operational and managerial support and oversight of non clinical staff, assisting the Practice Administrator to ensure efficiency and stability of medical operations in all areas inclusive of quality, access, and value initiatives. Facilitate high quality medical office and access center collaboration, ensuring all access center to medical of

Lead a team to create and implement sophisticated analytics and provide support for strategic and business decision making. Identify and address expected and unforeseen data complexities to mitigate their impact on the analytic outcome and associated business decisions. Responsible for the development of predictive analytics modeling to assist the company in effectively u

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 modeling analysis. Develop data driven analys