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25
Dec

Care Manager, LTSS Enrollment

Summary of Position Coordinate intake functions with New York Independent Assessor (NYIA) clinical program for members who are requesting LTSS program enrollment. Complete Time Tasking Tool (TTT) for members who […]
24
Dec

2026 Hybrid Summer Associate Program – Strategy & Innovation

2026 Summer Associate ProgramEmblemHealth is one of the nation’s largest not-for-profit health insurers, serving members across New York’s communities with a full range of commercial and government-sponsored health plans for […]
22
Nov

Staff Actuary – Medicare

REMOTE Summary: 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 […]
22
Nov

Staff Actuary – CNY

Summary: 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 […]
16
Nov

Care Manager, Medical Management Operations

Summary of Position Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department.Ensure accurate administration of benefits, execution of clinical policy and timely access to appropriate levels […]
16
Nov

Performance Analyst, Pharmacy Operations – Remote

Summary of Job Continuously and proactively assess and monitor pharmacy operations performance to achieve contractual targets on a daily basis. Frequently interface with counterparts across the organization to continuously identify […]

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