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

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 for a comprehensive claim accuracy program. The incumbent will optimize pre/post claim editing, auditing, and claim recovery programs that will drive incremental value year over year. The

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

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

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

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

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

Sales Representative I (All Borough's) Job Ref 65968 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 through care.

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

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

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 Commercial Sales Supervisor will take on multiple roles in the development and implementation of prospecting & the RFP process. This role will demonstrate an understanding the employee benefits consultant, broker, and underwriting environment. The Commercial Sales Supervisor will manage a team responsible for supporting the early stages of prospecting (e.g. internal m

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 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