MetroPlus Health Plan

 
Displaying 61 - 75 of 107 Jobs.
 
Care Manager RN
New York, NY
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...

Quality Management Analytics Manager
New York, NY
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 Empl...

Manager of Claims Business Process Monitoring
New York, NY
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 Regul...

Claims Adjudication Specialist
New York, NY
This position is responsible for the data entry and system adjudication of provider claims including but not limited to professional, ancillary and facility claims. The position is respo...

Senior Medical Director
New York, NY
Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical quality, utilization, and assuring appropriate health care delivery, the Senior Medical...

Senior Director of Medical Directors
New York, NY
Senior Director of Medical Directors Job Ref 102619 Category Utilization Review and Case Management Department UTILIZATION MANAGEMENT Location 50 Water Street, 7th Floor, New York, NY 10...

Claims Quality Analyst
New York, NY
Claims Quality Auditor is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validit...

Sales Representative I (Queens)
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...

Director of Encounter Data Reporting
New York, NY
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 Empl...

Care Manager LMSW
New York, NY
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...

Sales Representative I - Staten Island
New York, NY
Sales Representative I Staten Island Job Ref 97058 Category Sales Department FACILITATED ENROLLMENT Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Ty...

Sales Representative I - Queens (Bilingual Haitian Creole)
New York, NY
Sales Representative I Queens (Bilingual Haitian Creole) Job Ref 71393 Category Sales Department FACILITATED ENROLLMENT Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type R...

Complaints Coordinator
New York, NY
The Complaints Coordinator provides comprehensive customer service to members, providers, and prospective members. The primary responsibilities include but are not limited to documenting...

Care Manager
New York, NY
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 patie...

Vice President of Medical Directors
New York, NY
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 100...