21 Job Openings at EmblemHealth

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Senior Specialist, Pharmacy Systems Operations - Remote
EmblemHealth $90K - $120K*
New York, NY
In-Person
Today
Join our team as a subject matter expert in pharmacy systems, focusing on medical drug claims. Drive enhancements, ensure accuracy, and collaborate effectively to support operations and optimize system integration for superior performance.
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Senior Specialist, Pharmacy Systems Operations - Remote
EmblemHealth $85K - $110K*
Virtual / Travel
Remote
Today
Shape the future of pharmacy systems by leveraging your expertise in Prior Authorization, claims processing, and technical support. Collaborate with teams to enhance operations and drive efficiency in medical drug claims and appeals.
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Lead Compliance Specialist, Medicaid - Remote
EmblemHealth $85K - $110K*
Virtual / Travel
Remote
Today
Transform regulatory compliance by partnering with departments, ensuring adherence to guidelines, and driving improvements. Manage implementation and communication of requirements while supporting audit efforts for better business outcomes.
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Lead Compliance Specialist, Medicaid - Remote
EmblemHealth $90K - $120K*
New York, NY
In-Person
Today
Drive regulatory compliance by collaborating across departments, ensuring full adherence to guidelines and enhancing operational processes. Leverage your expertise to manage projects, provide guidance, and support ongoing audits and training efforts.
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Senior Investigator
EmblemHealth $90K - $120K*
New York, NY
In-Person
Yesterday
Lead comprehensive fraud investigations across healthcare products, collaborating with law enforcement and regulatory agencies. Mentor and support Fraud Investigators while ensuring compliance and fostering continuous anti-fraud education.