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 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 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 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 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

of Position Interact face to face with customers, assisting in providing complete resolution of customer concerns including claims,benefit and enrollment inquiries through health plan navigation, health and wellness coaching and community referrals. Proactively research Emblem Health member issues utilizing multiple enterprise systems and data to explain and resolve compli

of Job Responsible for the oversight of the claims inventory management by our external vendor (CTS) develop, implement and manage the claims oversight department, to monitor and evaluate all aspects of claim inventory (volumes, age, quality, outcomes) for enterprise (HMO, CCI & PPO, Medical, Dental and Hospital) to ensure corporate objectives & targets are met. Ensure reg

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

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

Manage complex analyses and reporting of All Payer Database (APD), and MMCOR responses to/from State of NY, and correction data. Plan and execute projects including building repeatable SAS projects, train less experienced team members in SAS. Review APD submissions and make necessary enhancements to improve MMCOR accuracy, speed, and better visualizations. Responsibilitie

of Job Support contract performance management of a large health system. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines. Identify and analyze single issues and trends to determine root causes. Provide recommendations for solutions to minimize errors and delays in systems

Prepare and support reconciliation, and other analyses as part of the regulatory reporting. Ensure accuracy of submissions reconciled to general ledger and/or statutory reports within process and postmortem audits. Participate in the development and enhancement of internal controls over financial reporting and process improvements to streamline the reporting and review pr

We are seeking a Gynecologic surgeon to perform Gynecologic surgeries. Come join us in pursuit of high quality outpatient care, utilizing the latest developments and advanced surgical techniques and treatment. There will be no Obstetrical responsibilities. The Ideal Candidate A minimum of two to four years of gynecologic surgery experience. Ability to diagnose and treat a