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 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

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

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

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

Reporting to the Chief Operating Officer, the purpose of this role is to support the Chief Operating Officer (COO) and act as delegate and deputy as required. In particular, the role holder will work across Operations and the rest of the organization to progress the design and implementation of the target operating model and operational processes ensuring that the organiz

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 (QHP) and insurance affordability programs such as Medicaid and Child Health Plus. Assist consumers/applicants with calling the NY State of Health Customer Services Department for assistance

Claims Compliance Remediation Analyst Job Ref 93929 Category Claims Department CLAIMS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $81,000.00 Salary Range $81,000.00 $91,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that

Sales Representative I Bronx (Bilingual French/Wolof) Job Ref 71394 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