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

Director of Long Term Care Clinical Programs Job Ref 103085 Category Utilization Review and Case Management Department MANAGED LONG TERM CARE Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $155,000.00 Salary Range $155,000.00 $170,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yo

Customer Services Representatives (CSRs) are responsible for providing comprehensive high quality service to all customers. The primary responsibilities, include but are not limited to, answering customer calls, proactively working to resolve our members and providers questions and concerns, responding to and documenting all customer encounters, intaking complaints, condu

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

Under the supervision of the Manager of MLTC PCS Care Management Associates, the CMA Supervisor is responsible for the supervision of the Care Management Associates within the MLTC Department. The CMA Supervisor monitors the CMA departmental ACD phone queue to ensure quality of calls between the Care Management Associates, members, and providers. The CMA Supervisor conduc

Under the direction of the Director of Care Management (PIC), the Health & Wellness Advisor Level 2 (RN) ensures the promotion of health and wellness of HIV positive, homeless, and transgender members through the development and oversight of an evidence informed, individualized Plan of Care that addresses their complex medical, behavioral health and social service needs.

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

MetroPlus Health is embarking on a Core Processing System transition and is seeking a highly experienced Lead Provider Business Analyst specifically focused on provider and network operations processes and contracts within government and commercial products (Medicaid, Medicare, CHP, QHP, etc.). As part of this transition, the Lead Provider Business Analyst will partner wi

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

Care Manager Registered Nurse MLTC Job Ref 95702 Category Utilization Review and Case Management Department MANAGED LONG TERM CARE Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Salary Range $96,682.00 $96,682.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through c

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

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.

The Databricks Administrator will be responsible for providing technical expertise in deploying applications on Azure Databricks platform. As a Databricks Administrator, you will be responsible for the administration, configuration, and optimization of the Databricks platform to enable data analytics, machine learning, and data engineering activities within the organizati

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

Sales Representative I Manhattan (Bilingual French) Job Ref 71391 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 $50,000.00 Salary Range $50,000.00 $50,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities t