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...

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...

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...

Director of Claims Quality
New York, NY
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 pro...

Medicare Sales Representative I
New York, NY
Identify prospective enrollees and determine eligibility for participation in MetroPlusHealth's Medicare product. Understand and apply all policies and procedure pertaining to Disclosure...

IT Security Engineer
New York, NY
The security engineer is responsible for implementing, maintaining, monitoring and managing secure solutions. The engineer delivers these solutions in accordance with the organization's...

Finance Data Reconciliation Analyst
New York, NY
Finance Data Reconciliation Analyst Job Ref 99202 Category Finance Department ANALYTICS AND REPORTING Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment...

Salesforce Architect (Vlocity)
New York, NY
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...

Medicaid Care Manager Team Lead (RN)
New York, NY
Medicaid Care Manager Team Lead (RN) Job Ref 98746 Category Utilization Review and Case Management Department CASE MANAGEMENT PROGRAM Location 50 Water Street, 7th Floor, New York, NY 10...

Chief People Officer
New York, NY
The Chief People Officer is a strategic leader who is responsible for reimagining MetroPlus Health 's people function, culture, structure, and policies. They will play a key role in deve...

Director of Care Management (PIC)
New York, NY
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...

Deputy Chief Operating Officer
New York, NY
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 hol...