Collaborate with the internal and external teams to develop and maintain the MLTC/MAP disenrollment operational processes and procedures. Coordinate the MLTC/MAP enrollment and disenrollment workflow. Troubleshoot cases which require further investigation by Marketing or Maximus to complete the eligibility and enrollment process Provide feedback regarding eligibility or e

Manager of Call Center Quality and Compliance Job Ref 104050 Category Call Center Department CALL CENTER 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 $85,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through car

Material/Supply Administration and Outreach/Promotional Support To deliver and distribute marketing materials, supplies and equipment as needed to Sales Representatives, Customer Success Specialists, Supervisors, and Managers at various sites. Load and unload supplies at point of pick up, delivery, and distribution. Assist Sales Representatives, Customer Success Specialis

Collaborates with IT Security management in the development of enterprise Security assessment tools and policy and procedures. Assesses information risk and facilitates remediation of identified vulnerabilities with the organization, systems and applications and vendors. Reports on findings and recommendations for corrective action. Job Description Collaborates with IT Se

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

The Care Management Associate I (CMA), under the direction of the Vice President of Clinical Services, is responsible for the daily activities of member case intake, processing functions, and associated workflow, as well as for performing other duties associated with the coordination of member care as outlined and/or assigned by their manager. Job Description Receive serv

Identify prospective enrollees and determine eligibility for participation in MetroPlusHealth's Medicare product. Understand and apply all policies and procedure pertaining to Disclosures and provisions of the MetroPlusHealth Medicare product. Enrollment and disenrollment. Conduct home visits, and personalized appointments as needed to complete the enrollment process. Mar

Manager of Long Term Services and Supports (Case Management) (RN) Job Ref 106332 Category Managed Long Term Care Department CASE MANAGEMENT PROGRAM Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $130,000.00 Salary Range $130,000.00 $140,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering

HARP Care Manager (with additional $10,000 field differential) Job Ref 106317 Category Behavioral Health Department BEHAVIORAL HEALTH HARP Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $83,000.00 Salary Range $83,000.00 $83,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers

Manager of Customer Success Concierge Services Job Ref 106345 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 $75,000.00 Salary Range $75,000.00 $85,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communiti

Lead, mentor, and manage the AI development team, emphasizing the development of conversational AI applications using OpenAI's ChatGPT and Azure technologiFoster a culture of innovation and continuous learning focused on conversational AI solutioDefine and refine the strategic direction and objectives for conversational AI projects, ensuring they align with broader organi

The Information Technology Department is eager to announce a vacancy for a MuleSoft Developer position. The ideal candidate will be pivotal in reinforcing our expansive Application Development initiatives, emphasizing API led integration using the MuleSoft platform. Given our consistent roll out of application updates, the position requires a commitment to efficient and h

Director of Provider Contract Configuration Job Ref 105818 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 $150,000.00 Salary Range $150,000.00 $165,000.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting

Educational/Enrollment Process Educate and provide assistance to qualified individuals with applying for coverage through the NY State of Health Marketplace in a Qualified Health Plan (QHP) and insurance affordability programs such as Medicaid and Child Health Plus. Assist consumers/applicants with calling the NY State of Health Customer Services Department for assistance

Manager of Behavioral Health Quality (RN, LPN or LMSW/LCSW) Job Ref 106123 Category Behavioral Health Department QUALITY MANAGEMENT Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $106,179.00 Salary Range $106,179.00 $116,179.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by u