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

MetroPlusHealth is seeking an IT Business Analyst to join our team. We are looking for a professional with experience in healthcare business systems and analysis. The successful applicant will serve as the liaison between the executive/business areas and the IT department of MHP, leveraging the tools and processes developed and managed by the IT department, while analyzin

Health & Wellness Advisor I (Partnership in Care) Job Ref 106294 Category Professional Department PARTNERSHIP IN CARE Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $55,323.00 Salary Range $55,323.00 $55,323.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communitie

The Customer Services Quality Assurance Analyst (QAA) is responsible for assessing the quality of the performance of our call center representative who deal with our existing and potential customer. The QAA will be responsible for ensuring that our Customer Services Representatives are meeting expectations as detailed in the departmental policies and procedures. This indi

Provide technical administrative support for all network development and contracting activities. The primary focus of the position will be on outreach, recruitment, and contracting of Behavioral Health providers Job Description Research and Prepare provider contracts after credentialing is completed in Contract Lifecycle Management System (CLM). Build and maintain relatio