Care Management Administrative Specialist

EmblemHealth; New York (NY); On-site; USD 39,960 - 70,200; Full time

Job summary

EmblemHealth is seeking a non-clinical Care Management Support professional in New York. You will execute desk-level procedures behind member care plans, originate authorizations, coordinate with care teams, and provide confidential administrative assistance.

You will perform outreach to members, document activities, and ensure compliance with NYCE contract requirements. The role requires a Bachelor’s degree, healthcare data-entry experience, and strong communication skills.

Qualifications

• Bachelor’s degree required.
• Medical Assistant certification preferred.
• 1–2+ years of client-facing or data-entry experience in a healthcare setting.
• Strong verbal and written communication skills.
• Ability to work independently and with others.
• Experience with electronic health record systems.
• Proficiency in MS Office (Word, Excel, PowerPoint, Teams, Outlook).
• Knowledge of medical terminology and medical payments.
• Ability to prioritize multiple tasks.
• Flexible schedule including weekends, nights, and holidays.

Responsibilities

• Perform clerical and administrative processes within the Medical Management team.
• Enter intake and data for Care Management requests and referrals.
• Conduct member outreach and enrollment activities for the program.
• Triage cases and assign to appropriate teams.
• Communicate with providers, facilities, and members.
• Maintain documentation in electronic records within required timeframes.
• Manage phone queue for inbound/outbound calls.
• Assist with care plan updates and coordination with the clinical team.
• Support community resource coordination and referrals.

Skills

Verbal communication

Interpersonal skills

Independent and collaborative work

Multitasking

MS Office proficiency

Schedule flexibility

Education

Bachelor’s Degree

Medical Assistant certification

Healthcare data-entry experience (1–2 yrs)

Medical terminology knowledge

Tools

MS Office Suite

Job description

EmblemHealth is seeking a non-clinical Care Management Support professional in New York. You will execute desk-level procedures behind member care plans, originate authorizations, coordinate with care teams, and provide confidential administrative assistance.

You will perform outreach to members, document activities, and ensure compliance with NYCE contract requirements. The role requires a Bachelor’s degree, healthcare data-entry experience, and strong communication skills.