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

The primary function of the Quality Management (QM) Health Navigator is to outreach members missing important health screenings (i.e., HEDIS/QARR gaps in care) to assist in coordinating needed appointments for a variety of clinical and social services and ensuring maintenance medications are filled regularly. The QM Health Navigator will serve as a source of empowerment f

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

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 Employment Type Full Time Hire In Rate $140,000.00 Salary Range $140,000.00 $150,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities thro

The Complaints Coordinator provides comprehensive customer service to members, providers, and prospective members. The primary responsibilities include but are not limited to documenting all customer contacts into the tracking system, process complaints, assisting supervisory staff with complaints review, handle escalated issues and assist the management team with special

The Care Manager under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient. The Care Manager will assist the provider in directing care

Customer Success Specialist (Bilingual Spanish) Job Ref 85554 Category Member Services Department MHP CUSTOMER SUCCESS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $45,277.00 Salary Range $45,277.00 $50,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communiti

Customer Success Specialist (Bilingual Korean) Job Ref 81576 Category Member Services Department MHP CUSTOMER SUCCESS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $45,277.00 Salary Range $45,277.00 $45,277.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communitie

Customer Success Specialist (Bilingual Chinese) Job Ref 81579 Category Member Services Department MHP CUSTOMER SUCCESS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $45,277.00 Salary Range $45,277.00 $50,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communiti

Customer Success Specialist (Bengali / Hindi / Urdu) Job Ref 81577 Category Member Services Department MHP CUSTOMER SUCCESS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $45,277.00 Salary Range $45,277.00 $50,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting comm

The Customer Success Specialist is responsible for supporting MetroPlusHealth members and other key stakeholders across the customer's journey. They are experts on the system and understand the NYSOH processes to quickly route members to the appropriate resolution and support. The Specialist will work as a liaison to ensure proper processes are introduced and implemented

Senior Account Manager, Provider Engagement Job Ref 105307 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 $90,000.00 Salary Range $90,000.00 $101,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communi

Senior Account Manager, Provider Engagement Job Ref 105314 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 $91,000.00 Salary Range $91,000.00 $101,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communi

Vice President of Medical Directors Job Ref 100616 Category Utilization Review and Case Management Department UTILIZATION MANAGEMENT Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Salary Range $340,000.00 $350,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities throu

The Manager of Provider Relations will serve as the point person for managing the day to day relationship between MetroPlus Health and top level administrators at each assigned network facility and community providers. Responsible for overall provider satisfaction regarding assigned network segment and will manage respective network support team. Please note All qualified