Care Management Support Specialist

EmblemHealth; New York (NY); Remote; USD 42,000 - 70,000; Full time

Job summary

EmblemHealth is seeking a Care Management Administrative Specialist to handle non-clinical care management tasks and front-line support. You will enter information, originate authorizations, and coordinate with clinicians to ensure members receive the needed services.

The role requires data entry accuracy, strong communication, and the ability to work with a diverse care team in a fast-paced environment. Evening, weekend, and holiday hours may be required.

Qualifications

• 1-2+ years of client-facing or data entry experience in health care (Required).
• Strong verbal, written and interpersonal communication skills (Required).
• Proficiency with MS Office and electronic records systems (Required).
• Ability to work independently and in teams (Required).
• Knowledge of medical terminology and medical payment (Preferred).

Responsibilities

• Perform clerical and administrative processes within the Care Management team.
• Enter data and process referrals for all lines of business.
• Conduct member outreach for program enrollment and retention.
• Triage cases and route to appropriate teams.
• Maintain documentation in electronic records and support care plans.
• Coordinate with clinicians and social supports to address member needs.

Skills

Health care data entry

MS Office

Communication

Task prioritization

Electronic health records

Education

Bachelor's degree

Medical Assistant certification

Job description

EmblemHealth is seeking a Care Management Administrative Specialist to handle non-clinical care management tasks and front-line support. You will enter information, originate authorizations, and coordinate with clinicians to ensure members receive the needed services.

The role requires data entry accuracy, strong communication, and the ability to work with a diverse care team in a fast-paced environment. Evening, weekend, and holiday hours may be required.