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MetroPlusHealth jobs

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BEHAVIORAL HEALTH CARE MANAGER (LMSW, LCSW)

401(k). Dental insurance. Flexible schedule. Health insurance. Paid time off. Professional development assistance. Vision insurance. Geriatrics. Psychiatry. Monday to Friday. No weekends. Hybrid work. New York, NY 10004: Relocate...

CompanyMetroplushealth
AddressNew York, NY
CategoryInformation Technology
SalaryUp to $83,000 a year
Job typeFull-time
Date Posted 6 days ago See detail

Behavioral Health Care Manager (LMSW, LCSW)

Metroplushealth

New York, NY

Up to $83,000 a year

401(k). Dental insurance. Flexible schedule. Health insurance. Paid time off. Professional development assistance. Vision insurance. Geriatrics. Psychiatry. Monday to Friday. No weekends. Hybrid work. New York, NY 10004: Relocate...

6 days ago seen See more...

Quality Management Analytics Manager

Metroplushealth

New York, NY

Bachelors degree in public health, health administration, business administration or information technology required. Masters degree preferred. A minimum of 5 years programming, application or reporting development experience...

a week ago seen See more...

Claims Adjustment Specialist I

Metroplushealth

New York, NY

Research and analyze medical Claims Adjustment requests along with related documentation to determine payment accuracy and adjust/adjudicate as needed using multiple systems and platforms. Ensure that the proper payment guidelines...

2 weeks ago seen See more...

Claims Relationship Representative

Metroplushealth

New York, NY

Act as a key liaison for claims and providers inquiries and problem resolution via telephone/correspondence. Respond to claim inquiries from providers including physicians, clinical staff, and site administrators. Coordinate and...

3 weeks ago seen See more...

MuleSoft Developer

Metroplushealth

New York, NY

Lead the design and development of MuleSoft applications, ensuring they align with the business needs and IT strategies. Collaborate with cross-functional teams to define, design, and ship new features. Provide technical leadershi...

4 weeks ago seen See more...

Vice President of Business Transformation

Metroplushealth

New York, NY

Partner with senior leadership and cross-functional stakeholders on transformational efforts. Work with Senior Operations and IT leadership in the flawless transition of plans core processing system. Work with cross-functional pa...

4 weeks ago seen See more...

Senior Medical Director

Metroplushealth

New York, NY

Reviews cases, determines medical necessity, and consults with physicians to review length of stay and reimbursement documentation. Supports Utilization Management (UM) department staff and nurse Care Managers on concurrent review...

a month ago seen See more...

Behavioral Health Utilization Management Clinician - Fully remote

Metroplushealth

New York, NY

Performs telephonic review for inpatient and outpatient services using InterQual & LOCADTR. Contributes to UM program goals and objectives in containing health care costs and maintains a high-quality medical delivery system throug...

a month ago seen See more...

MetroPlusHealth Summer Internship: MLTC Medical Archives

Metroplushealth

New York, NY

Reviews member and non-member files in the extensive online archives (H drive).. Determines whether the files belong to a current member.. Based on the persons membership status as well as the type of file identified, correct...

a month ago seen See more...

Commercial Sales Supervisor

Metroplushealth

New York, NY

Supervise and drive prospecting account engagement. Lead team meetings (weekly/bi-weekly) on a consistent basis (or as needed). Develop and monitor staff performance on a routine basis (monthly or as needed). Provide and/or coordi...

a month ago seen See more...

Manager of Call Center Quality and Compliance

Metroplushealth

New York, NY

Manage the day-to-day operations of the Quality Assurance and Compliance team. Ensure that quality audits are performed according to the Quality Assurance Scoring Guidelines. Provide monthly feedback to all direct reports through...

a month ago seen See more...

MetroPlusHealth Summer Internship: Utilization Management

Metroplushealth

New York, NY

The intern will help the UM department obtain and organize data and then analyze the data. One main emphasis will be to obtain data on patients with peripheral vascular disease and the use of topical oxygen therapy. Much of the...

a month ago seen See more...

Claims Supervisor

Metroplushealth

New York, NY

Liaises between claims staff and stakeholders, including providers, members, and internal MetroPlusHealth staff. Participates in claims related workgroups designed to address claims issues and improve processes. Prepares routine r...

a month ago seen See more...

Care Management Associate - MLTC

Metroplushealth

New York, NY

$50,000 a year

Handles both incoming and outgoing calls on the MLTC/PCS ACD. Schedule appointments for Care management staff. Maintain files on members and tracked the status of membership. Liaison between MetroPlus and HHA/PCA vendors re: commu...

a month ago seen See more...

MetroPlusHealth Summer Internship: Credentialing

Metroplushealth

New York, NY

Data entry provider information in the credentialing and other pertinent databases. Combine, review and upload provider credentials file into the OnBase file repository. Outreach, collect and update required documents such as Annu...

a month ago seen See more...

MetroPlusHealth Summer Internship: Provider Network Operations

Metroplushealth

New York, NY

Assist Provider Network Operations Department with the provider portal registrations and support and triaging provider service inquires from Salesforce.. Research and outreach providers for returned correspondence, demographic ve...

2 months ago seen See more...

MetroPlusHealth Summer Internship: IT Desktop Support

Metroplushealth

New York, NY

Note: This is a paid internship program. Prospective interns must be current students attending an accredited College or University and must be 18 years or older to be considered.. Acts as the first point of contact for all IT i...

2 months ago seen See more...

MetroPlusHealth Summer Internship: Human Resources Recruitment

Metroplushealth

New York, NY

With guidance from the recruitment team, screen resumes and candidates against specific job requirements. Coordinate and schedule interviews maintaining effective communication with candidates. Assist in organizing and participati...

2 months ago seen See more...

Sr Technical Program Manager

Metroplushealth

New York, NY

Formulates the project or program management plan, in accordance with the scope, budget, timing, and quality as set by stakeholders. Coordinates multiple complex projects simultaneously managing priorities and interdependencies. C...

2 months ago seen See more...

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