MetroPlus Health Plan Jobs in United States

Behavioral Health Claims Supervisor Role · The Behavioral Health Claims Supervisor oversees personnel involved in adjudicating behavioral health-related medical claims at MetroPlusHealth. · Supervises daily workload including task assignments · Detects issues with claim submissio ...

Health and Recovery Plan Care Manager · Job Ref: 127673 · Category: Utilization Review and Case Management · Department: BEHAVIORAL HEALTH HARP · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Salary Range: $95, $95 ...

Vice President of Provider Contracting and Value-Based Partnerships · Job Ref: TE0001 · Category: Finance · Department: PROVIDER CONTRACTING · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Salary Range: $260, $274, ...

Job Description: · The Support Driver reports to the Corporate Transportation Supervisor and is responsible for operating and maintaining company vehicles. · Primary responsibilities include providing support to Sales and Customer Success Departments' outreach efforts, · includin ...

Empowering New Yorkers through care is MetroPlusHealth's mission. We unite communities by providing quality healthcare services. · Behavioral Health Utilization Management Clinician · Conduct telephonic reviews using InterQual with Secondary Dimensions & LOCADTR and OMH Criteria ...

Claims Administrative Analyst · Job Ref: TE0029 · Category: Claims · Department: CLAIMS · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Work Arrangement: Hybrid · Salary Range: $65, $70,000.00Position Overview · Th ...

Director of Integrated Case Management for Medicare · Empower New Yorkers by uniting communities through care with MetroPlusHealth. · Develops strategic direction for integrated case management · Servé as clinical lead overseeing staff managing members' medical, behavioral and so ...

Claims Supervisor · Job Ref: TE0049 · Category: Claims · Department: CLAIMS · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Work Arrangement: Hybrid · Salary Range: $60, $70,000.00Position Overview · The Claims Sup ...

At MetroPlusHealth,Empower. Unite. Care. · MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. · We believe that Health care is a right, not a privilege. · If you have compassion and a collaborative spirit, work with us. · You can come to w ...

Job Description: · Provide provider onboarding along with any on-going trainings either at provider sites or remotely. · Organize training schedules, tracking attendees, setting up classroom and practicum trainings, finalizing the training content and handouts etc. · Supports and ...

Behavioral Health Utilization Management Clinician - Fully Remote LMSW, LCSW, LMHC · Job Ref: TE0057 · Category: Behavioral Health · Department: BEHAVIORAL HEALTH HARP · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Temporary · Employment Type: Full-Tim ...

About MetroPlusHealth · MetroPlusHealth is a healthcare organization committed to empowering New Yorkers through care, uniting communities, and providing high-quality services. · Job Overview · The Medicaid Care Manager Team Lead Registered Nurse ensures that staff adhere to Medi ...

Accounts Payable Analyst · Job Ref: TE0051 · Category: Finance · Department: FINANCE · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Work Arrangement: Hybrid · Salary Range: $55, $65,000.00Position Overview · The A ...

Job Title: Quality Management Outreach Specialist · The primary function of this position is to provide support for internal and external requirements related to improving quality performance in programs. · ...

Quality Management Clinical Outreach Specialist (LMSW/LCSW/LMHC) · Job Ref: TE0055 · Category: Quality Assurance · Department: QUALITY ASSURANCE · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Work Arrangement: Hyb ...

About MetroPlusHealth · We believe that health care is a right, not a privilege. · Job Overview · The HARP Care Manager develops plans of care with members and their assigned Health Home providers. · Clinically assesses members' acute behavioral and physical health needs. · ...

Human Resources Information Systems (HRIS) Analyst - PeopleSoft Experience Preferred · Job Ref: TE0028 · Category: Human Resources · Department: HR OPERATIONS · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Work Ar ...

Salesforce Architect · Job Ref: 126806 · Category: Information Technology · Department: INFORMATION TECHNOLOGY · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Salary Range: $176, $186,920.00Empower. Unite. Care. Me ...

Behavioral Health Care Manager · Job Ref: 127428 · Category: Utilization Review and Case Management · Department: BEHAVIORAL HEALTH HARP · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Salary Range: $83, $83,000.00 ...

Community Liaison Worker Level 2 · Job Ref: 131189 · Category: Utilization Review and Case Management · Department: PARTNERSHIP IN CARE · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Salary Range: $55, $55,000.00E ...