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Health & Wellness Advisor I
MetroPlus Health Plan
-
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 members to ensure the promotion of their health and wellness. As an integral team member, the HWA I will work in conjunction with the Care Manager to ensure the member receives Comprehensive o
Email Job
Posted 2 days ago
Children's Care Manager (Registered Nurse)
MetroPlus Health Plan
-
New York, NY
Children's Care Manager (Registered Nurse) Job Ref 106940 Category Utilization Review and Case Management Department MHP CHILDRENS PROGRAM Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Salary Range $96,682.00 $96,682.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities t
Email Job
Posted 3 days ago
Senior Director of Behavioral Health Strategy
MetroPlus Health Plan
-
New York, NY
Senior Director of Behavioral Health Strategy Job Ref 105750 Category Behavioral Health Department BEHAVIORAL HEALTH HARP Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $200,000.00 Salary Range $200,000.00 $216,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting com
Email Job
Posted 3 days ago
Senior Medical Director
MetroPlus Health Plan
-
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 Director serves in a policy, operational and strategic capacity. The Senior Medical Director overall purpose is to work across medical management functions, with a focus on Utilization Ma
Email Job
Posted 3 days ago
Senior Director of Medical Directors
MetroPlus Health Plan
-
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 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 thro
Email Job
Posted 3 days ago
Claims Quality Analyst
MetroPlus Health Plan
-
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 validity of payment of claims and reports overpayments, underpayments and other irregularities based upon benefit configuration, compliance with provider contract agreements, and Federal, State a
Email Job
Posted 3 days ago
MuleSoft Solution Architect & Manager
MetroPlus Health Plan
-
New York, NY
MuleSoft Solution Architect & Manager Job Ref 105687 Category Information Technology Department INFORMATION TECHNOLOGY Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $170,000.00 Salary Range $170,000.00 $180,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting commun
Email Job
Posted 4 days ago
BH Care Manager Team Lead
MetroPlus Health Plan
-
New York, NY
Under the supervision of the Director of Clinical Case Management in the Behavioral Health HARP department, the Behavioral Health (BH) Care Manager Team Lead is responsible for the supervision of Care Managers (CM) within the BH Mainstream CORE Unit including coordinating daily operations and overseeing case management. The BH CM Team Lead monitors the CM departmental ACD
Email Job
Posted 4 days ago
Creative Services Communications Manager
MetroPlus Health Plan
-
New York, NY
Creative Services Communications Manager Job Ref 106819 Category Marketing Department TELECOMMUNICATIONS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $95,000.00 Salary Range $95,000.00 $105,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through ca
Email Job
Posted 5 days ago
BH Care Manager
MetroPlus Health Plan
-
New York, NY
The BH Care Manager develops, facilitates, and communicates a plan of care in partnership with the member, their assigned Health Home, primary caregiver, the primary and attending physicians, and various Behavioral Health and/or substance use disorder providers. This position collaborates with the aforementioned parties to assess, plan, facilitate, and advocate for option
Email Job
Posted 5 days ago
Salesforce Marketing Cloud Campaign Manager
MetroPlus Health Plan
-
New York, NY
Salesforce Marketing Cloud Campaign Manager Job Ref 106787 Category Marketing Department MARKETING ADMINISTRATION MHP Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $62,941.00 Salary Range $62,941.00 $120,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communiti
Email Job
Posted 5 days ago
Sales Representative I
MetroPlus Health Plan
-
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 (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
Email Job
Posted 5 days ago
QM Health Navigator
MetroPlus Health Plan
-
New York, NY
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
Email Job
Posted 5 days ago
Director of Encounter Data Reporting
MetroPlus Health Plan
-
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 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
Email Job
Posted 5 days ago
Complaints Coordinator
MetroPlus Health Plan
-
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 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
Email Job
Posted 5 days ago
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