Displaying 61 - 75 of 103 Jobs.
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
Manager of Call Center Quality and Compliance
New York, NY
Manager of Call Center Quality and Compliance Job Ref 104050 Category Call Center Department CALL CENTER Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employme...
New York, NY
Manager of Call Center Quality and Compliance Job Ref 104050 Category Call Center Department CALL CENTER Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employme...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...