MetroPlus Health Plan

 
Displaying 61 - 75 of 103 Jobs.
 
Provider Education Trainer
New York, NY
Responsible for providing provider onboarding, training for claims and billing procedures, contract compliance, Product, medical management, and pharmacy issues. Promotes provider compli...

Manager of Call Center Quality and Compliance
New York, NY
Manager of Call Center Quality and Compliance Job Ref 104050 Category Call Center Department CALL CENTER Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employme...

Sales Representative II (Bronx)
New York, NY
Educational/Enrollment Process Educate and provide assistance to qualified individuals with applying for coverage through the NY State of Health Marketplace in a Qualified Health Plan (Q...

Business Transformation Lead
New York, NY
MetroPlus Health is seeking a Business Transformation Lead who will help drive the way we conduct and operate traditional business functions, challenging the status quo and injecting inn...

Payment Integrity Analyst
New York, NY
The Payment Integrity (PI) Analyst will assist in the development of a strategic roadmap to recover, eliminate, and prevent unnecessary medical expense spending and support the execution...

Care Manager RN
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...

Quality Management Analytics Manager
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 Empl...

Manager of Claims Business Process Monitoring
New York, NY
Manager of Claims Business Process Monitoring Job Ref 102920 Category Claims Department OFFICE CORPORATE COMPLIANCE Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regul...

Senior Medical Director
New York, NY
Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical quality, utilization, and assuring appropriate health care delivery, the Senior Medical...

Senior Director of Medical Directors
New York, NY
Senior Director of Medical Directors Job Ref 102619 Category Utilization Review and Case Management Department UTILIZATION MANAGEMENT Location 50 Water Street, 7th Floor, New York, NY 10...

Claims Quality Analyst
New York, NY
Claims Quality Auditor is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validit...

Sales Representative I (Queens)
New York, NY
Educational/Enrollment Process Educate and provide assistance to qualified individuals with applying for coverage through the NY State of Health Marketplace in a Qualified Health Plan (Q...

Director of Encounter Data Reporting
New York, NY
Director of Encounter Data Reporting Job Ref 102396 Category Professional Department ANALYTICS AND REPORTING Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Empl...

Care Manager LMSW
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...

Sales Representative I - Staten Island
New York, NY
Sales Representative I Staten Island Job Ref 97058 Category Sales Department FACILITATED ENROLLMENT Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Ty...