MetroPlus Health Plan

 
Displaying 46 - 60 of 109 Jobs.
 
Senior Director of Customer Service
New York, NY
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 Fu...

Claims Relationship Representative
New York, NY
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 Hir...

Vice President of Program Management
New York, NY
Vice President of Program Management Job Ref 104144 Category Professional Department MHP PMO Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full...

Senior Medical Payments and Fee Schedule Analyst
New York, NY
Senior Medical Payments and Fee Schedule Analyst Job Ref 104157 Category Professional Department CLAIMS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employmen...

Inpatient/Outpatient Coder
New York, NY
The Inpatient/Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diag...

Claims User Acceptance Tester
New York, NY
The Claims User Acceptance Tester (UAT) will be responsible for validating whether all the business requirements have been fulfilled before releasing the actual product to production. Th...

Claims Supervisor
New York, NY
The Claims Supervisor is responsible for the daily oversight of claims processes including but not limited to the inquiry and resolution process, adjudication process, user acceptance te...

Claims Adjustment Specialist I
New York, NY
As a Claims Adjustment Specialist I, this individual will be responsible for analyzing standard to complex post paid healthcare claims that require in depth research to determine accurac...

Health & Wellness Advisor I
New York, NY
Under the direction of the Team Lead and Care Manager, the Health & Wellness Advisor I (HWA I) is a member of a team that provides care management services to our high risk Medicaid memb...

Provider Education Trainer
New York, NY
Responsible for providing provider onboarding, training for claims and billing procedures, contract compliance, Product, medical management, and pharmacy issues. Promotes provider compli...

EDI Software Developer
New York, NY
Information Technology Department has an immediate opening for an EDI Software Developer on the EDI development team. The successful candidate will be responsible for BizTalk administrat...

Behavioral Health Care Manager (LMSW, LCSW)
New York, NY
Behavioral Health Care Manager (LMSW, LCSW) Job Ref 103419 Category Utilization Review and Case Management Department BEHAVIORAL HEALTH HARP Location 50 Water Street, 7th Floor, New York...

Sales Representative II (Bronx)
New York, NY
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 (Q...

Claims Service Correspondent
New York, NY
The Claims Service Correspondent is responsible for accurate and timely response to written claim inquiries received from providers. This individual provides support regarding the adjudi...

Business Transformation Lead
New York, NY
MetroPlus Health is seeking a Business Transformation Lead who will help drive the way we conduct and operate traditional business functions, challenging the status quo and injecting inn...