Search the 9 jobs at EmblemHealth

Identify opportunities to reduce medical expenses, develop pricing analysis, and run data queries for actuarial tasks in a healthcare environment.

Analyzing hospital, professional, and drug claim trends, developing studies, reports, and analyses, providing support for valuation methodologies, and performing monitoring processes for trends and risk valuation calculations.

Prepare journal entries, account reconciliations and financial analyses, ensure timely and accurate monthly close processes, collaborate with internal departments, and support business processes.

Manage complex analyses and reporting of All Payer Database (APD) and MMCOR responses to/from State of NY. Develop and maintain business process and technical workflow documents for State filing APD data submission. Assist with Government audits and reporting responses. Maintain industry level knowledge of trends and practices.

Prepare and support reconciliation, regulatory reporting, and process improvements for State sponsored programs. Partner with internal departments to streamline reporting processes and ensure compliance with State regulatory changes.

Responsible for implementing end-to-end digital marketing campaign creation, execution, delivery, and measurement using Salesforce Marketing Cloud, Adobe Campaign, Adobe Experience Manager, and Adobe Analytics. Create data segments, automations, and performance reports. Collaborate with internal stakeholders and external partners to ensure campaign success. Bachelor's degree in marketing or related field required. 3-5+ years of professional experience and expertise in Salesforce Marketing Cloud development.

Represents EmblemHealth to Key Accounts, managing client portfolio, renewing memberships, and upselling products. Focus on client satisfaction, growth, and retention. Stay current with benefits, industry trends, and regulations. Generate reports and assist with complex customer issues. Bachelor's degree in related field and 5 years of health insurance experience required.

Develop and implement business strategies and project plans to achieve enterprise goals. Lead and oversee multiple complex projects aligned with the overall enterprise strategy. Provide strategic guidance, manage project resources, and ensure timely project completion. Serve as a liaison to executive sponsors and senior leaders, monitor project performance, and drive decision-making on project resources.

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 improvements to streamline the monthly close process. Support business processes by partnering with FP&A, IT, Operations, HR, and other internal business departments.