Company Statement

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 EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors. 

Financial Recovery & COB Leader

Director and Equivalent
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  • Responsible for Financial Recovery (including Recovery Vendors) and Coordination of Benefits for the organization.
  • Collaborate on strategic planning and provide oversight of development and implementation of best practices; establish and then maximize probability for successful achievement of goals and metrics; provide leadership across and with various
    internal and external business partners.
  • Build relationships with Enterprise provider network (PNM) leaders: Operations, Claims, PFO, Configuration, IT, Medical Economics, etc. across the organization to develop and operationalize recovery and coordination of benefits efforts.
  • Partner with organizational leads to influence provider satisfaction by implementing projects and best practices around our policies and financial recovery practices.
  • Oversee SLA’s specific to our relationship with CTS; ensure full compliance for state or federal regulations relative to proper financial recovery activities. 


  • Direct all claims payment recovery activities (subrogation, credit balances, payment errors, etc.) to meet established financial targets.
  • Responsible for oversight and maintenance of all internal and vendor related workflows and all financial reporting requirements.
  • Responsible for the direction of all Coordination of Benefits (COB) activities for the organization including oversight and maintenance of all internal and vendor related workflows. 
  • Responsible for the direction of the recovery and collections vendor program for the organization. Identify and establish additional recovery vendor relationships in any other “gap areas” of pre- and post-payment claim recovery.
  • Utilize vendor data to identify opportunities to insource processes/functions where appropriate.
  • Daily oversight of the Cognizant vendor Financial Recovery and Coordination of Benefits activities; provide feedback to the vendor in support of these activities.
  • Responsible for development of an SLA review program.
  • Partner with Operations, Payment Integrity, and IT to identify opportunities to improve our processes, our human & technological capabilities in support of reduction of the occurrence of overpayments, and our ability to recover
    overpayments which do occur. 


  • Bachelor’s degree in Healthcare, Business, or related field required; Master’s preferred
  • 10 – 12+ years of relevant, professional work experience required
  • 8 – 10+ years’ experience in a health care environment, preferably including vendor interaction/management required
  • 5+ years’ experience managing staff/processes required
  • Working knowledge of contracts, SLAs, metrics, and other relevant means to measure performance required
  • Working knowledge of applicable regulations, best practices in financial recovery required
  • Excellent communication skills (verbal, written, interpersonal, presentation) with all types/levels of audience required
  • Ability to effectively negotiate, influence, collaborate and persuade required
  • Ability to effectively organize, prioritize, and manage multiple tasks/projects with simultaneous conflicting deadlines required
  • Strong analytic, decision-making, and problem-solving abilities required
  • Proficient with MS Office (Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc.) required
  • Demonstrated leadership skills in a matrix environment required

Security Disclosure

If you are offered a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” – Please respond online”.  


We never ask you to join a Google Hangout, request you to purchase your own equipment or pay to apply. We do not send email from a third-party email service such as Yahoo or Gmail. 

Pay Disclosure

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives, and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, national origin, disability, protected veteran status or any other characteristic protected by law.

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