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1,170 Jobs
Claims Supervisor
Metroplus Health Plan IncNew York, NY
Position 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 - $70,000
Director of Account Services
Metroplus Health Plan IncNew York, NY
The 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 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.
Provider Education Trainer
Metroplus Health Plan IncNew York, NY
Responsible for providing provider onboarding, training for claims and billing procedures, contract compliance, Product, medical management, and pharmacy issues.
Medicaid Operations Analyst
Metroplus Health Plan IncNew York, NY
Analyze & trend data to provide insights to Director & management on product operations including but not limited to membership, market trends & position, and claims.
$60,000 - $70,000 a year
Vice President of Health Analytics
Metroplus Health PlanNew York, NY
Successful candidates have a background in analytics, statistics, predictive modeling as well as experience using multiple data sources including claims, encounter, administrative, and/or survey data.
Vice President of Claims Operations
Metroplus Health Plan IncNew York, NY
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.
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.

Vice President of Health Analytics
Metroplus Health PlanNew York, NY
Successful candidates have a background in analytics, statistics, predictive modeling as well as experience using multiple data sources including claims, encounter, administrative, andor survey data.
Account Manager, Commercial Products
Metroplus Health PlanNew York, NY
Partner with operational departments including Claims, Customer Service, Finance, Enrollment, Vendor Management, & Medical Management to design processesprocedures ensuring effective & efficient operations.
Provider Maintenance Data Analyst
Metroplus Health PlanNew York, NY
Position Overview The successful candidate will offer support to our Provider Maintenance Unit by creating reports and developing tools to validate and load provider data from multiple sources into the claims adjudication system and other tools as necessary.
Quality Assurance Analyst
MetroPlus Health PlanNew York, NY
Position OverviewThis QA Analyst will be responsible for reviewing the Claims Processing Systems for configured benefits, and reimbursement methodologies.
$75,000 - $83,000 a year Full-time
Internship Cover Letter Tips with Examples

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 RN
Metroplus Health PlanNew York, NY
Bachelor’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 Examiner
MetroPlus Health PlanNew York, NY
This position is responsible for the data entry and system adjudication of provider claims.
Starting at $45,277 a year depends on education, experience Full-time
Beta Tester
Metroplus Health PlanNew York, NY
Position 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 Manager
MetroPlus Health PlanClifton, NJ
MetroPlus Health Plan is seeking a resourceful, creative professional with excellent analytical and problem-solving skills to serve as Claims Quality Manager.
How to Recruit and Retain Gen Z Employees

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.

MetroPlus Health Plan: Manager of Medicare Operations
MetroPlus Health PlanNew York, NY
Partner with operational departments including Claims, Customer Service, Finance, Enrollment, Vendor Management, & Medical Management to design processes/procedures ensuring effective & efficient operations.

claims jobs Company: metroplus health plan in Newark, NJ

Latest Blog Posts: 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 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. 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. 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. 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? 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. 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?