Company Statement
EmblemHealth is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, EmblemHealth partners with top hospitals and doctors, including its own AdvantageCare Physicians, to deliver quality, affordable, convenient care. At over a dozen EmblemHealth Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visit emblemhealth.com.
If you’re an EmblemHealth employee, unlock your career potential by signing in at the top of this page. Access your employee profile to view internal job postings and explore new opportunities.
Admin. Project Coord., FRU
- 📁
- Operations
- 💼
- EmblemHealth
- 📅
- Jul 08, 2026 Post Date
Summary of Position
- Responsible for managing the manual check workflow, ensuring appropriate documentation, quality review, and reconciliation of recovery payments.
- Coordinate key departmental meetings, maintaining agendas, task outlines and task follow-up.
- Manage escalated financial recovery issues, and ensure administrative processes operate efficiently and in compliance with regulatory and organizational standards.
- Responsible for supporting the operational integrity of financial recovery processes while ensuring administrative coordination, compliance, and effective departmental communication.
Principal Accountabilities
- Provide administrative oversight of the manual check process, ensuring submissions meet documentation and approval requirements prior to processing. Conduct quality reviews of manual check requests to confirm accuracy, completeness, and compliance with internal financial recovery procedures.
- Research and investigate recovery checks received without supporting documentation to determine appropriate claim attribution and disposition. Work independently to analyze data to identify trends and quality improvement opportunities. Track issues and monitor trends to support their resolution. Identify potential process gaps and document root cause analysis; present findings to management, and work with CTS for resolution.
- Support governance and operational initiatives such as Mass Recycle Governance and Negative Balance Improvement efforts by coordinating materials, reporting updates, and monitoring progress against action plans.
- Maintain organized records and documentation related to recovery activities, vendor payments, and operational initiatives.
- Collaborate with Claims, Finance, Compliance, and Operations teams to ensure alignment on recovery processes and administrative workflows. Serve as key contact to internal and external stakeholders to ensure deadlines are met; provide recommendations for problem resolution; direct/escalate inquiries and issues if needed; ensure proper implementation of needed actions; follow up with appropriate actions to ensure resolution.
- Perform active research to prepare and present new ideas to improve current processes which impact the business.
- Provide support on all administrative matters, recording meeting minutes and following up on important internal and external meetings; perform reporting and other tasks as needed.
- Coordinate and track escalated issues related to financial recoveries, working with internal teams and external partners to ensure timely resolution Process and approve vendor invoices related to recovery operations, ensuring proper documentation, coding, and alignment with contractual agreements
- Identify opportunities to improve administrative efficiency and support continuous process improvement within the department.
- Perform other duties as assigned or required.
Qualifications
Education, Training, Licenses, Certifications
- Bachelor’s degree, preferably in healthcare administration, finance, operations, business administration, or a related field required.
Relevant Work Experience, Knowledge, Skills, and Abilities
- 2 – 3+ years of relevant, professional work experience including positions handling confidential information.
- Experience as a project analyst in a related field; strong understanding of project management.
- Additional years of experience/specialized training may be considered in lieu of educational requirements.
- Familiarity with CMS regulations and healthcare payer operational standards.
- Proficiency with healthcare claims processing platforms such as FACETS and related operational systems.
- Attention to detail; ability to identify and resolve issues; ability to perform data analysis.
- Experience in the health care industry.
- Strong proficiency with MS Office (Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc.).
- Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences.
- Ability to maintain a calm, professional demeanor, confidentiality, and to effectively complete multiple tasks/projects with competing priority levels and deadlines.
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 value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, age, creed, citizenship, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.
Sponsorship Statement
Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, Emblemhealth may provide work visa sponsorship for certain positions.