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Mltc Business Manager

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MetroPlus Health PlanNew York, NY
  • Care. 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.
  • About NYC Health + HospitalsMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
  • As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics.
  • For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
  • The MLTC Business Manager will be responsible for ensuring the efficiency of MLTC business operations including overseeing the enrollment/disenrollment process and ensuring that claims paid and premiums received are regularly reconciled.
  • They will be responsible for reviewing the financial performance of the MLTC & MAP plans and identify areas for optimization and/or improvement.
  • They will be a competent leader with the financial acumen needed to provide operational guidance and oversee the routine execution of high-performing operations.
  • Job Description Oversee the enrollment and disenrollment process Reconcile premiums vs.

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