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 patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient. The Care Manager will assist the provider in directing care

Customer Success Specialist (Bilingual Spanish) Job Ref 85554 Category Member Services Department MHP CUSTOMER SUCCESS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $45,277.00 Salary Range $45,277.00 $50,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communiti

Customer Success Specialist (Bilingual Korean) Job Ref 81576 Category Member Services Department MHP CUSTOMER SUCCESS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $45,277.00 Salary Range $45,277.00 $45,277.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communitie

Customer Success Specialist (Bilingual Chinese) Job Ref 81579 Category Member Services Department MHP CUSTOMER SUCCESS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $45,277.00 Salary Range $45,277.00 $50,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communiti

Customer Success Specialist (Bengali / Hindi / Urdu) Job Ref 81577 Category Member Services Department MHP CUSTOMER SUCCESS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $45,277.00 Salary Range $45,277.00 $50,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting comm

The Customer Success Specialist is responsible for supporting MetroPlusHealth members and other key stakeholders across the customer's journey. They are experts on the system and understand the NYSOH processes to quickly route members to the appropriate resolution and support. The Specialist will work as a liaison to ensure proper processes are introduced and implemented

Senior Manager of Corporate Transportation Job Ref 106724 Category Professional Department CORPORATE TRANSPORTATION Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $116,761.00 Salary Range $116,761.00 $126,761.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communiti

MetroPlusHealth is seeking a ServiceNow Team Lead position.This position will manage the ServiceNow team in the IT Department and will report directly to the AED of Application & Support. The ServiceNow Team Lead will direct the ServiceNow Team to deliver IT services on an enterprise scale. The ServiceNow Team Lead is responsible for providing technical leadership and ove

Medicare Regulatory Compliance Specialist Job Ref 106703 Category Professional Department OFFICE CORPORATE COMPLIANCE Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $75,000.00 Salary Range $75,000.00 $88,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communitie

The Regulatory Compliance Specialist reports to the Director of Regulatory Compliance. The Specialist will support the oversight and management of Medicaid regulatory compliance activities, including monitoring of all related regulatory guidance for compliance work plan activities, supporting the organization with corrective actions and regulatory disclosures, contributin

EDI Software Developer (BizTalk) Job Ref 103418 Category Information Technology Department INFORMATION TECHNOLOGY Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $120,000.00 Salary Range $120,000.00 $120,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities

Senior Account Manager, Provider Engagement Job Ref 105307 Category Professional Department Provider Network Operations Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $90,000.00 Salary Range $90,000.00 $101,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communi

Senior Account Manager, Provider Engagement Job Ref 105314 Category Professional Department Provider Network Operations Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $91,000.00 Salary Range $91,000.00 $101,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communi

The Behavioral Health UM Care Coordinator provides comprehensive service and support to providers and members as needed. The primary responsibilities include but are not limited to responding to all provider inquiries for Behavioral Health Core and HARP authorizations, documenting such contacts into the tracking clinical system, manage and maintain inbound queues for the

Under the supervision of the Director of Long Term Care Clinical Programs, the MLTC Care Manager Team Lead is responsible for the day to day supervision of a team of care managers within the MLTC department as they strive to keep our members safe and thriving at home. The Care Manager (CM) Team Lead provides comprehensive support and guidance on processes/workflows, ident