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83 Jobs
Recipient Restriction Program Care Manager (Registered Nurse)
MetroPlus Health PlanNew York, NY
Typical sources of such claims are member complaints, anonymous tips, data mining, CVS/Caremark-Enhance Safety & Monitoring Solution (ESMS), employees, and MetroPlus vendors.
Starting at $96,682 a year depends on education, experience (negotiable) Full-time
Claims Operations Data Analyst
MetroPlus Health PlanNew York, NY
Position Overview The Claims Operations Support Analyst is responsible providing data analytical and reporting to support the daily end-to-end claims process.
jobsearcher.com/articlesUsps Health Benefits Plan 2021 Career
Learn more about this agencyResponsibilitiesThe position serves as Lead Human Resources Specialist for a team responsible for federal employee benefits.
When you arehired, you are immediately eligible to enroll in the USPS Health Benefits Plan with a Postal Service premium contribution.
MetroPlus Health Plan: Recipient Restriction Program Care Manager (Registered Nurse)
MetroPlus Health PlanNew York, NY
Typical sources of such claims are member complaints, anonymous tips, data mining, CVS/Caremark-Enhance Safety & Monitoring Solution (ESMS), employees, and MetroPlus vendors.
Revenue Operations Analyst
MetroPlus Health PlanNew York, NY
Identify, prepare and submit reinsurance claims filings to reinsurance carrier
Quality And Risk Care Manager (RN)
Metroplus Health PlanYonkers, NY
Typical sources of such claims are member complaints, anonymous tips, data mining, CVS/Caremark-Enhance Safety & Monitoring Solution (ESMS), employees, and MetroPlus vendors.
RN
MetroPlus Health PlanBrooklyn, NY
Typical sources of such claims are member complaints, anonymous tips, data mining, CVS/Caremark-Enhance Safety & Monitoring Solution (ESMS), employees, and MetroPlus vendors.
jobsearcher.com/blog
How do Good Interviewers Prepare for Interviews?

Just like candidates take the time to research you and your company, you should take the time to prepare for the interview. Preparing for the interview doesn't just reflect well on your employer brand and create a better candidate experience. Preparation also helps prevent bad hiring decisions. Bad hiring decisions are usually a result of poor execution during the hiring process. However, going into an interview fully prepared and ready to evaluate candidates will help avoid bad hires. So, here are 6 interview preparation tips for employers.

Recipient Restriction Program Care Manager RN
MetroPlus Health PlanManhattan, NY
Typical sources of such claims are member complaints, anonymous tips, data mining, CVS/Caremark-Enhance Safety & Monitoring Solution (ESMS), employees, and MetroPlus vendors.
Quality And Risk Care Manager (RN)
MetroPlus Health PlanNew York, NY
Typical sources of such claims are member complaints, anonymous tips, data mining, CVS/Caremark-Enhance Safety & Monitoring Solution (ESMS), employees, and MetroPlus vendors.
Claims Director
MetroPlus Health PlanNew York, NY
Position Overview The VP of Claims Operations has overall responsibility and accountability for effectively and efficiently leveraging staffing and technology in delivering the claims processing and claims service for MetroPlus Health Plan. The position will direct strategic analysis and accuracy of the claims process and ensure compliance with regulations and contract requirements for Medicare, Commercial, Exchange and Medicaid service lines.
Full-time
Customer Services Representative
MetroPlus Health PlanNew York, NY
The primary responsibilities include but are not limited to documenting all customer contacts into the tracking system, process complaints, conduct outreach efforts, assist in PCP selection, conduct new member orientations, claims review inquiries, handle provider and utilization management inquiries, etc.
jobsearcher.com/blog
How to Find a Job That Makes You Happy - 11 Concerning Facts

Do you ever feel like your life is like one of those rom-com movie scene openers? You know, the ones where the main character rolls out of bed, awakened by a casually upbeat theme song, sulks their way to the coffee pot, and then trudges toward their computer to begin yet another boring day at work?

Recipient Restriction Program Care Manager RN
MetroPlus Health PlanYonkers, NY
Typical sources of such claims are member complaints, anonymous tips, data mining, CVS/Caremark-Enhance Safety & Monitoring Solution (ESMS), employees, and MetroPlus vendors.
Call Center Representative I
MetroPlus Health PlanNew York, NY
The primary responsibilities include but are not limited to documenting all customer contacts into the tracking system, process complaints, conduct outreach efforts, assist in PCP selection, conduct new member orientations, claims review inquiries, handle provider and utilization management inquiries, etcJob DescriptionRecord and respond to all Customer contacts and update in tracking system.
Starting at $45,277 a year depends on experience Full-time
Customer Services Representative Lv II
MetroPlus Health PlanNew York, NY
The primary responsibilities include but are not limited to documenting all customer contacts into the tracking system, process complaints, conduct outreach efforts, assist in PCP selection, conduct new member orientations, claims review inquiries, handle provider and utilization management inquiries, etc.
Recipient Restriction Program Care Manager (Registered Nurse)
MetroPlus Health PlanNew York, NY
Typical sources of such claims are member complaints, anonymous tips, data mining, CVS/Caremark-Enhance Safety & Monitoring Solution (ESMS), employees, and MetroPlus vendors.
jobsearcher.com/blog
What Makes a Company a Great Place to Work

After one too many after-hours emails, you’re on the hunt for a new gig. But what makes a company a great place to work? And how will you know when you find one? Finding a motivating, safe, and productive work environment is important for our mental and physical health. If you’re financially frustrated, creatively stuck, or just plain over it, it’s time to find a healthier workplace where you can flourish.  

Customer Services Representative Hiring Event
MetroPlus Health PlanBrooklyn, NY
The primary responsibilities include but are not limited to documenting all customer contacts into the tracking system, process complaints, conduct outreach efforts, assist in PCP selection, conduct new member orientations, claims review inquiries, handle provider and utilization management inquiries, etc.

claims complaints jobs Company: metroplus health plan in Newark, NJ

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jobsearcher.com/blogWhat Makes a Good Boss? The Top 12 Qualities & AttributesThink back to the best boss you’ve ever had—does someone come to mind? We hope so! Okay, now think back to the worst boss you’ve ever had. I’m sure you can conjure up a few faces. 
jobsearcher.com/blogHow to Recruit and Retain Gen Z EmployeesAs Boomers and the oldest Gen X are exiting the workforce, younger Millennials and Gen Z are flowing in. While the younger generations seem to be completely different than the older generations, many care about some of the same things- financial security, working conditions, etc. However, due to social and cultural differences in the era that Gen Z has grown up in, they have concerns that were never even workplace topics of discussion 20 years ago.
jobsearcher.com/blogHow Does Temp to Hire Work? Benefits, Concerns, & MoreWhether you’re just starting out your career or are looking for the next opportunity, the job market has never been more burgeoning with opportunities. From flexible work options and freelancing gigs to seasonal and temp-to-hire work, people today are spoiled for choice when it comes to finding engaging and fulfilling work. 
jobsearcher.com/blogExplore Your Skill and Find the Best Way to Make Money From HomeWhen you just can’t stomach another drive-thru coffee on your morning commute, close your navigation app on your phone and search for easy ways to make money from home instead. With a computer and some niche skills, there are countless opportunities for you to earn a living from your couch. (Okay, fine, your home office.) Below, we’ll explore 30 different ways to make money from home, as well as a few “too-good-too-be-true" warning signs to know to keep you from booking the wrong remote gig. 
jobsearcher.com/blog5 Common Interview MistakesEveryone's interview process is unique in some form or fashion. Like most, your interview process is crafted so you can get the most information out of your candidates to increase hiring confidence and make the right hiring decisions. However, there are often small problems in interview processes that could ultimately affect the success of hiring decisions.
jobsearcher.com/blogWhat is Employment Participation RateAccording to economists, there are four factors of production that go into creating higher quality goods at lower prices. These are
jobsearcher.com/blogHow to Ask Someone to be a Reference + Email TemplatesOne part of the job-hunting process that frequently gets overlooked is putting together a list of good references. Most of the time we focus on creating the perfect resume, writing an awesome cover letter, and getting our hands on letters of recommendation. We think about what outfit we’ll wear to the job interview, how we’ll answer those tricky questions, and what our career plan looks like. But, in fact, having multiple references lined up who will speak favorably about you to a potential employer is critical to landing a job. This aspect of job searching really can’t be ignored.