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Provides actuarial services in support of Medicare business; With specific responsibilities of Medicare rate filing for both EmblemHealth and...

EmblemHealth

Manager & Professional

Summary of Job: To participate in managing the financial risk of CCI through the more complex underwriting of large group business. Responsibilities:....

ConnectiCare

Provides complex analytical and reporting/data mining support to the Enterprise Risk Adjustment Department for Medicare, Medicaid and HIX products....

EmblemHealth

Manager & Professional

Lead provider innovation, initiatives and network strategies including network provider pricing/fee schedules, cost optimization, trend analysis,...

EmblemHealth

Director and Equivalent

Lead a team that has accountability for oversight and management of specific provider contracts in Provider Network Management. Responsible for day.....

EmblemHealth

Manager & Professional

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