MetroPlusHealth Jobs in United States

+Product Manager,Audit and Complaints+The Product Manager, Audit and Complaints ensures operational excellence and regulatory compliance in working with cross departmental teams to ensure Regulatory and Compliance Audits and Complaints are researched and responded to timely. · +L ...

The Accounts Payable Analyst manages payment obligations for accuracy and timeliness. · Processes invoices for accuracy. · Maintains vendor records. · Ensures adherence to internal controls. · ...

The Information Technology department is eager to announce a vacancy for a MuleSoft Developer position. · This position requires a commitment to efficient and high-quality delivery for our end-users. ...

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 work being proud of what you do every day. · The S ...

Sales Associate · MetroPlusHealth empowers New Yorkers by uniting communities through care. Health care is a right, not a privilege. · We believe that those with compassion and a collaborative spirit can come to work being proud of what they do every day. · Key Responsibilities: ...

This position is responsible for the accurate and timely response to Behavioral Health claim inquiries received from external entities and internal MetroPlusHealth departments. · Research and analyze BH claims inquiries and adjustment requests to determine payment accuracy. · ...

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. · ...

Network Security Engineer Role at Metroplus Health · We are seeking a highly skilled Network Security Engineer to join our team. This role is ideal for a candidate with hands-on analytical experience in network security engineering, including: · Network routing and switching · Ne ...

Claims Supervisor · The Claims Supervisor oversees the daily Medicare claims processes, including inquiry and resolution, adjudication, user acceptance testing, quality assurance, training, and reporting. This role also assists the Claims Manager with queue management to ensure t ...

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. · Provides clinical guidance and supervision to all care management programs. · Mentor Health and Wellness Advisors and Clinical Ca ...

Position Overview · The Accounts Payable Analyst is responsible for managing and ensuring the accuracy and timeliness of the company's payment obligations. This role involves processing invoices, reconciling vendor accounts, ensuring compliance with company policies, and analyzi ...

The Quality Health Pharmacy Technician will support the Medicare Pharmacy Operations Manager in enhancing Medicare Star Ratings and CAHPS results through member pharmacy and provider outreach to coordinate care and address health benefit inquiries.Member pharmacy and provider out ...

Position Overview · 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 work being proud of what you d ...

The Behavioral Health Utilization Management (BH UM) Clinician is responsible for conducting utilization and quality management activities in accordance with New York State and MetroPlusHealth Utilization Management policies and procedures. · Performs telephonic review for inpati ...

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. · ...

The Claims Supervisor is responsible for the daily oversight of Medicare claims processes including but not limited to the inquiry and resolution process, · adjudication process,user acceptance testing and quality assurance training,and reporting.Liaises between claims staff and ...

We are committed to empowering New Yorkers by uniting communities through care. · MetroPlusHealth is seeking a Clinical Care Manager who will ensure the promotion of health and wellness of HIV-positive, homeless, and transgender members through evidence-informed individualized Pl ...

Review claims to determine if payments have been made correctly and identify trends for ongoing Claims Examiner training needs · ...

The Quality Management Clinical Outreach Specialist is responsible for telephonically outreaching members who were recently discharged from Inpatient Care, Emergency Rooms and Outpatient Programs with a principal Behavioral Health diagnosis. The specialist will assess the member' ...

body{font-family:Arial}h1{color:#00698f}h2{color:#00698f}p,li,h3{text-align:left;font-size:14px}MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. · Job Title · BH Utilization Management ClinicianWe believe that Health care is a right, not ...