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Product Implementation Specialist
MetroPlus Health Plan
-
New York, NY
Product Implementation Specialist Job Ref 103924 Category Professional Department MHP PRODUCT Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $75,000.00 Salary Range $75,000.00 $85,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We belie
Email Job
Posted 27 days ago
Provider Education Trainer
MetroPlus Health Plan
-
New York, NY
Responsible for providing provider onboarding, training for claims and billing procedures, contract compliance, Product, medical management, and pharmacy issues. Promotes provider compliance with local/state/region/federal regulations through provider forums and training opportunities, inclusive of behavioral health network. Job Description Provide provider onboarding alo
Email Job
Posted 28 days ago
Quality Management Analytics Manager
MetroPlus Health Plan
-
New York, NY
Quality Management Analytics Manager Job Ref 102881 Category Quality Assurance Department QUALITY MANAGEMENT Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $121,000.00 Salary Range $121,000.00 $131,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities thro
Email Job
Posted 28 days ago
MLTC Sales Representative I
MetroPlus Health Plan
-
New York, NY
Educate and enroll Medicaid eligible for the MetroPlusHealth Managed Long Term Care product. Identify eligible Medicaid consumers via Home Care Agencies, Adult Day Care Centers, DME Provider offices, Caregiver Resources Centers, specialty provider offices, HHC Long Term Care Facilities, etc. Understand and apply all policies and procedures pertaining to Disclosures and pr
Email Job
Posted 28 days ago
Project Manager II
MetroPlus Health Plan
-
New York, NY
The Project Manager II (PM II) will be responsible for developing and overseeing the operational aspects and scope of a project, generally with system wide implications. The PM II creates and executes project plans and business requirements. They also effectively apply project methodology and enforce standards while ensuring quality assurance procedures. Job Description O
Email Job
Posted 28 days ago
Medicare Sales Representative II
MetroPlus Health Plan
-
New York, NY
Medicare Sales Representative II Job Ref 105948 Category Sales Department FACILITATED ENROLLMENT Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $64,911.00 Salary Range $64,911.00 $64,911.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We be
Email Job
Posted 30 days ago
Contract Operations Analyst
MetroPlus Health Plan
-
New York, NY
The purpose of this position is to provide analysis as well as monitor, guide and enhance the processes related to the assessment, build and ongoing maintenance of providers, groups, and IPAs for new and existing contracts. This role requires intra departmental communication, process management and collaboration with our Contracting, Credentialing, Provider Network Operat
Email Job
Posted 30 days ago
Care Manager LMSW/LCSW
MetroPlus Health Plan
-
New York, NY
The Care Manager Level II is the experienced, role model, and efficient member of the Case Management Program team. The Care Manager II works hand and hand to provide support and assistance to Level 1 Care Managers when needed, acting as a preceptor in the Department. With the goal of optimizing members' health care and delivery of care experience and improving quality of
Email Job
Posted 30 days ago
Provider Network Reimbursement Analyst
MetroPlus Health Plan
-
New York, NY
Provider Network Reimbursement Analyst Job Ref 105872 Category Professional Department Provider Network Operations Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $65,000.00 Salary Range $65,000.00 $75,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities t
Email Job
Posted 1 month ago
Care Manager RN
MetroPlus Health Plan
-
New York, NY
The primary goal of the Care Manager is to optimize members' health care and delivery of care experience with expected cost savings due to improved quality of care. This is accomplished through engagement and understanding of the member's needs, environment, providers, support system and optimization of services available to them. Care Manager is expected to assess and ev
Email Job
Posted 1 month ago
Care Manager LMSW
MetroPlus Health Plan
-
New York, NY
The primary goal of the Care Manager is to optimize members' health care and delivery of care experience with expected cost savings due to improved quality of care. This is accomplished through engagement and understanding of the member's needs, environment, providers, support system and optimization of services available to them. The Care Manager is expected to assess an
Email Job
Posted 1 month ago
IT Security Engineer
MetroPlus Health Plan
-
New York, NY
The security engineer is responsible for implementing, maintaining, monitoring and managing secure solutions. The engineer delivers these solutions in accordance with the organization's architectural designs, best practices, and regulatory or compliance requirements. As risks change, the security engineer is responsible for recommending modifications and enhancements to e
Email Job
Posted 1 month ago
Finance Data Reconciliation Analyst
MetroPlus Health Plan
-
New York, NY
Finance Data Reconciliation Analyst Job Ref 99202 Category Finance Department ANALYTICS AND REPORTING Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $80,000.00 Salary Range $80,000.00 $90,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care.
Email Job
Posted 1 month ago
Chief People Officer
MetroPlus Health Plan
-
New York, NY
The Chief People Officer is a strategic leader who is responsible for reimagining MetroPlus Health 's people function, culture, structure, and policies. They will play a key role in developing and implementing best practices and strategies that advance Metroplus Health 's efforts to be a high performance organization that is fueled by a skilled, engaged, and diverse workf
Email Job
Posted 1 month ago
Director of Care Management (PIC)
MetroPlus Health Plan
-
New York, NY
Director of Care Management (PIC) Job Ref 98420 Category Utilization Review and Case Management Department PARTNERSHIP IN CARE Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $150,000.00 Salary Range $150,000.00 $157,236.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by unitin
Email Job
Posted 1 month ago
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