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

Customer Success Specialist (Bilingual Russian) Job Ref 91920 Category Professional 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 communities

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

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

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

. This position will be responsible for the onboarding of new hires, training of existing staff, residual, and advanced skills training. They will be responsible for delivering all departmental system procedures, policies, etc. training in support of the MetroPlus Health 's efforts in achieving key performance goals. Job Description Identify and assess training needs with

Medicare Care Managment Team Lead (RN) Job Ref 96281 Category Utilization Review and Case Management Department CASE MANAGEMENT PROGRAM Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Salary Range $100,000.00 $110,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities th

Vice President of Business Transformation Job Ref 104258 Category Professional Department OFFICE OF THE COO Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $215,000.00 Salary Range $215,000.00 $230,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities throu

The Director of Claims Quality has responsibility for the creation, delivery, and ongoing facilitation of a data and metrics driven Claims Quality Assurance and Performance oversight program, which includes defining frameworks/benchmarks, calibration, and reporting of a program towards set benchmarks while promoting a continuous improvement culture. Furthermore, the Direc

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 Regular Employment Type Full Time Hire In Rate $100,000.00 Salary Range $100,000.00 $115,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communiti

The Salesforce Architect will lead efforts to adapt and Salesforce, offer support to our business and responsible for a wide variety of critical applications built on Salesforce platform. The Salesforce Architect will also provide oversight and responsibility for the performance and operation of the Salesforce Development team through management, leadership, and mentorshi

Senior Director of Customer Service Job Ref 104260 Category Call Center Department CALL CENTER Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $185,000.00 Salary Range $185,000.00 $200,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We b

Claims Relationship Representative Job Ref 104172 Category Claims Department CLAIMS 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 $55,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that He