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ConnectiCare

ConnectiCare in United States

18 jobs at ConnectiCare in United States

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  • ConnectiCare

    Facilitated Enrollment Representative

    1 week ago

    ConnectiCare New York, United States

    **Come Join Us On-site Interviews for Marketplace Sales** · **Wednesday, May 1, 2024** · **55 Water Street, New York, NY 10041** · **8:00am to 12:00pm & 2:00pm to 6:00pm** · Our on-site interviews include a presentation from the business on the role, meet with one of our sales le ...

  • ConnectiCare

    Contract Specialist

    3 days ago

    ConnectiCare New York, United States

    Summary of Position · Roles and Responsibilities · - Participate in all aspects of provider, facility, and ancillary rate configurations in Network within set deadlines, while ensuring full accuracy of contract loads. · - Collaborate with Network Management and Analytics to ensur ...

  • ConnectiCare

    Grievance & Appeals Dispute Specialist

    3 days ago

    ConnectiCare Farmington, United States

    Summary of Position · We are seeking a dynamic Grievance and Appeals Dispute Specialist who will be responsible for processing disputes submitted by contracted and non-contracted providers. The types of correspondence handled by the individual will include, but is not limited to; ...

  • ConnectiCare

    Uas Assessment Nurse, Ltss

    3 days ago

    ConnectiCare New York, United States

    Summary 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 sup ...

  • ConnectiCare

    Diversity Initiatives Manager

    3 weeks ago

    ConnectiCare New York, United States

    Summary of Position · **Responsibilities**: · Enterprise Strategy · - Support the AVP of DEI on implementation on DEI strategies designed to advance the EmblemHealth family of companies. · - Manage the consultation process with the HRBPs team across the business by collaborating ...

  • ConnectiCare

    Digital Marketing Campaign Specialist

    6 days ago

    ConnectiCare New York, United States

    Summary of Job · **Responsibilities**: · - Contribute to the creation, execution, delivery, and measurement of campaigns within Salesforce Marketing Cloud. · - Create data segments and automations that support recurring campaigns and journeys. · - Work with internal stakeholders ...

  • ConnectiCare

    Lead Training Specialist

    3 weeks ago

    ConnectiCare Albany, United States

    Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. WellSpark is a digital wellness company and national subsidiary of ...

  • ConnectiCare

    Lead Training Specialist

    4 weeks ago

    ConnectiCare Albany, United States

    Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. WellSpark is a digital wellness company and national subsidiary of ...

  • ConnectiCare

    Facilitated Enrollment Representative

    3 weeks ago

    ConnectiCare New York, United States

    **Come Join Us On-site Interviews for Marketplace Sales** · **Wednesday, May 1, 2024** · **55 Water Street, New York, NY 10041** · **8am to 12:00pm & 2pm to 6pm** · Our on-site interviews include a presentation from the business on the role, meet with one of our sales leaders, an ...

  • ConnectiCare

    Claims Inventory Manager

    2 days ago

    ConnectiCare New York, United States

    Summary 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 ( ...

  • ConnectiCare

    Network Relations Account Manager

    5 days ago

    ConnectiCare Farmington, United States

    Summary: · Serves in an account management (non-sales) role as the primary business to business liaison between ConnectiCare and its provider network and is responsible for all interactions between the organizations. Continuously educates provider community about ConnectiCare and ...

  • ConnectiCare

    Associate Underwriter

    1 week ago

    ConnectiCare New York, United States

    Summary: · - Underwrite EmblemHealth's existing and new business accounts, including Broker Accounts within published time frames. · - Process sold new business groups. · - Maintain logs and complete various reports as needed. · Responsibilities: · - Underwrite new and existing l ...

  • ConnectiCare

    Lead Training Specialist

    3 days ago

    ConnectiCare Albany, United States

    Summary: · - Conceptualize, research, develop, implement, maintain, and enhance Contact Center related training programs/materials. · - Facilitate training classes to support the Contact Center: provide technical, administrative, and other support as needed. · Responsibilities: · ...

  • ConnectiCare

    Actuarial Analyst

    3 weeks ago

    ConnectiCare New York, United States

    Summary: · - Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance. · - Develop studies, analyses, and presentation materials needed to appropriately inform decision makers. · - Complete pricing analysis, experienc ...

  • ConnectiCare

    Avp, Provider Claim Resolution

    3 days ago

    ConnectiCare New York, United States

    Summary of Position · Serve as the key operational liaison with Provider Network Management and Finance: responsible for the reconciliation, reprocessing/recoupment and provider communication for claim payment integrity challenges. Oversee contract review; ensure that contract pr ...

  • ConnectiCare

    Healthcare Claims Review Analyst

    4 days ago

    ConnectiCare New York, United States

    Summary 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 ...

  • ConnectiCare

    Customer Care Navigator

    3 days ago

    ConnectiCare New York, United States

    Summary 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 re ...

  • CONNECTICARE

    Sr. Accountant

    3 days ago

    CONNECTICARE Township of New York, United States

    · Summary: · 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). Partici ...