Claims SupervisorMetroplus Health Plan IncNew York, NYPosition OverviewThe Claims Supervisor is responsible for the daily oversite of claims processes including but not limited to the inquiry and resolution process, adjudication process, user acceptance testing and quality assurance, training, and reporting. $60,000 - $70,000Director of Account ServicesMetroplus Health Plan IncNew York, NYThe Director of Account Services analyzes trends in data for provider types and patterns of success and remedies any issues that arise (claims processing, system impacting all nursing homes, or change in regs for long term care where across the board education etc $200 - $250
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.
Until now, college has been about learning, absorbing, and experiencing. It’s not until you become eligible for an internship that things start getting real—real-world experiences using real-life scenarios. Applying for internships takes time, and there’s no college course on “how to apply for jobs.” (We’d sign up immediately if there was, though!) But here's a spoiler alert: most internships require a cover letter. And while this may seem like a burden, it’s actually a blessing.
Care Manager RNMetroplus Health PlanNew York, NYBachelor’s Degree requiredMinimum 2 years’ prior experience in a health care setting, Care Management, or Managed Care setting requiredAbility to proficiently read and interpret medical records, claims data, pharmacy, lab reports and prescriptions requiredIf needed, ability to travel within the MetroPlusHealth service area to participate in facility visits, community events, home visits or other community meetings, including conferences.Claims ExaminerMetroPlus Health PlanNew York, NYThis position is responsible for the data entry and system adjudication of provider claims. Starting at $45,277 a year depends on education, experience Full-timeBeta TesterMetroplus Health PlanNew York, NYPosition Overview The Claims Trainer/User Acceptance Tester is responsible for the training of new hires and refresher training for tenured staff, the development and delivery of products, business practices, departmental process flows, claims interpretations and system utilization, by using materials and job aids designed to meet identified instructional/informational needs.Claims Quality ManagerMetroPlus Health PlanClifton, NJMetroPlus Health Plan is seeking a resourceful, creative professional with excellent analytical and problem-solving skills to serve as Claims Quality Manager.
As 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/blogDo Your Candidates Really Need a College Degree?As a hiring manager tasked with making major decisions, it's easy to target a college degree as a way of saying yes, this candidate is qualified. I mean, how many times have we seen candidates without degrees try to squeeze their way into positions that they aren't qualified for. In fact, many hiring managers (maybe like yourself) believe that college degrees make candidates more job-ready. However, the current job market has shifted so much recently that it begs the question
jobsearcher.com/blogHiring Taking Too Long?We all know one of the biggest downfalls of a successful recruiting and hiring process is the amount of time it takes to hire someone. The time it takes to hire is sometimes completely out of line with applicant's expectations, creating a huge gap between candidates and businesses. Meanwhile, most recruiters and hiring managers don't even notice that they're taking too long. They have been fighting the symptoms of a too-long-hiring process without addressing the problem at the root. Here, we will expose some of those symptoms and offer solutions to help shorten your hiring process.
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/blogJob Rejection Email Response with ExamplesGlassdoor estimates that, on average, there are about 250 applicants for every job vacancy out there. If you’ve ever applied for a job, the odds are that you’ve received the dreaded job rejection email.
jobsearcher.com/blogHow Far Back Should a Resume Go, Exactly?If you’re reading this article, then chances are you’re looking for a new job and want to whip your resume into shape. But lots of questions can arise as you begin to do that. After all, most of us aren’t career coaches or resume experts. One common question that job hunters frequently ask is: how far back should a resume go? As in, should you list all of your work history – even if it stretches on for years – or should you be more selective?
jobsearcher.com/blogStructured vs Unstructured InterviewsThe goal of an interview is to evaluate candidates based on their skills, personality, and knowledge. You want to choose the BEST candidate from your candidate pool, so the interview is something you can't mess up. As you begin planning your interview process, one of the major decisions you'll face is whether the interview should be a structured vs unstructured interview. So let's take a dive into the differences and sort out which circumstances warrant which interview process.
jobsearcher.com/blogHow to Describe Your Personality with ExamplesImagine you’re in an elevator with the CEO of your dream company and you get to talking. The conversation is going well and you start to imagine yourself working for their company when the CEO turns around and asks you “tell me a bit about yourself.” Would this catch you off guard or would you be able to give a clear and succinct description of who you are?