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 scope internal medicine services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. Responsibilities Obtain and document patient

of Position Oversee accounting and analysis functions for premium revenue and medical expense. Ensure that the monthly close for EmblemHealth is performed timely, accurately and in accordance with generally accepted accounting principles (GAAP). Review and approve journal entries, account reconciliations and other analyses. Participate in the development and enhancement of

of Job To disrupt the traditional wellness point solutions model by growing the revenue and membership of WellSpark Health's products and services. This consists of increasing market awareness of WellSpark Health capabilities, as well as sourcing and adding new clients across multiple sales channels, including direct to employer, through brokers, consultants and associatio

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

Perform Sales Support functions for Small Group Sales Department that aids in the sales process. Provide technical and administrative support to maximize opportunities for meeting and exceeding new membership sales targets. Prepare new business and renewal proposals for delivery. Gather, review, and analyze information; prepare and deliver reports. Responsibilities Facili

We are seeking a non invasive Cardiology trained physician to join us in pursuit of high quality patient care to provide Cardiology services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate One to three years of cardiology clinical experience in an outpatient setting. Ability to diagnose a

of Job Ensure prompt, efficient, accurate and timely claims adjudication of high dollar claims in accordance with the current policy benefits, limitations or exclusions. Provide resolution of provider inquiries and collaborate with internal departments. Provide feedback or suggestions to enhance current processes and/or systems. Responsibilities Research and adjudicate hig

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 trained in ophthalmology with subspecialty training in medical and/or surgical retina to join us in pursuit of high quality patient care to provide Ophthalmology services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate Seeking both experienced 2 years or above,

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 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 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

of Position Utilize a collaborative process of education, assessment, planning and engagement to promote participants' adopting improved lifestyle behaviors that support achieving and maintaining optimal health status. Empower participants to develop the skills and confidence required to effectively self manage their health and wellbeing. Act as a coach and mentor to staff