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100 Jobs
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.
Manager of Quality Performance Improvement
MetroPlus Health PlanNew York, NY
Data sources and tools may include but not to be limited to the following:Statistical significant changes in rates/stratifications;Member and provider information form government and vendor s reports and datasets and internal databasesActive participant with other departments to coordinate and meet CMS, DOH, HEDIS, URAC and other agencies accreditation and regulatory standards.
jobsearcher.com/articlesCreative Jobs Brooklyn
Trek grew out of one man’s belief that he could build a different kind of company.
Construct Brooklyn is set apart from the competition through our design-focused way of building.
Director of Benefit Administration
Metroplus Health PlanNew York, NY
The Head of Products/Product Senior Director provides overall management and oversight for the product lines of business; including operational performance improvement, competitive market analysis, marketing opportunities, regulatory and compliance adherence, vendor management, State and Federal advocacy.
MetroPlus Health Plan: Director, Compliance - Medical Management Business Process Monitoring
MetroPlus Health PlanNew York, NY
Provide oversight of vendor Utilization Management letter templates to ensure compliance with regulatory requirements.
Full-time
Vendor Compliance Manager
MetroPlus Health PlanNew York, NY
Reporting to the Director of Corporate Compliance and Privacy, the Sr. Vendor Compliance Analyst is the designated resource for MetroPlus’ Vendor Compliance Program.
Full-time
Metroplus Health Plan: Director of Benefit Administration
Metroplus Health PlanNew York, NY
The Head of Products/Product Senior Director provides overall management and oversight for the product lines of business; including operational performance improvement, competitive market analysis, marketing opportunities, regulatory and compliance adherence, vendor management, State and Federal advocacy.
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.

Senior Director of Claims Managed Care
MetroPlus Health PlanNew Hyde Park, NY
Oversite of claims process of delegated vendors including but not limited to the TPA, dental vendor, vision vendor and other vendors for which claims is outsourced.
Director of Utilization Management
MetroPlus Health PlanNew York, NY
In depth knowledge of all aspects of managed care medical management including UM/CM, Grievance and Appeals, medical policy, clinical claims review (professional and facility), and delegated vendor oversight.
Credentialing Senior Administrative Assistant
MetroPlus Health PlanNew York, NY
Assist Credentialing Director with administrative functions including, but not limited to following up on provider credentialing related issues, such as CACTUS update, provider issues identified by Core System (such as CACTUS versus Powerstepp), provider issues identified by Regulatory Affairs, Provider Maintenance, Network Relations, Customer Service and any other pertinent department, provider, vendor or external customer.
Senior Director of Claims
MetroPlus Health PlanCollege Point, NY
Oversite of claims process of delegated vendors including but not limited to the TPA, dental vendor, vision vendor and other vendors for which claims is outsourced.
jobsearcher.com/blog
How to Stall a Job Offer Politely

You did it! After several weeks of looking for a new job and undergoing grueling interviews, you finally have a job offer. Although this may be very exciting, accepting a job offer means that you’re making a long-term commitment to your future employer. So, even if you’re eager to leave your current job, this isn’t a decision you should take lightly.

Vice President of Product
Metroplus Health PlanNew York, NY
The Vice President of Product provides overall management and oversight for the product lines of business, including operational performance improvement, competitive market analysis, marketing opportunities, regulatory and compliance adherence, vendor management, State and Federal advocacy.
Senior Vendor Compliance Analyst
MetroPlus Health PlanJamaica, NY
Position OverviewReporting to the Director of Corporate Compliance and Privacy, the Sr. Vendor Compliance Analyst is the designated resource for MetroPlus Vendor Compliance Program.
Head of Product
MetroPlus Health PlanNew York, NY
The Head of Products/Product Senior Director provides overall management and oversight for the product lines of business, including operational performance improvement, competitive market analysis, marketing opportunities, regulatory and compliance adherence, vendor management, State and Federal advocacy.
Starting at $250 Full-time
MetroPlus Health Plan: Director, Compliance - Medical Management Business Process Monitoring
MetroPlus Health PlanTownship Of Irvington, NJ
Provide oversight of vendor Utilization Management letter templates to ensure compliance with regulatory requirements.
jobsearcher.com/blog
How to Get a Job in a New City - Best Tips to Follow

When your dream job posts, will you be ready? What if that dream job was in a faraway city or a different continent…would you move for it? Most of us have dreamed about what it would be like to accept a job in a new place at one time or another. But when it comes to actually making a move, it’s usually the logistical details that give us pause. The key to job searching in a different location is to have a plan.

MetroPlus Health Plan: Head of Product
MetroPlus Health PlanNew York, NY
The Head of Products/Product Senior Director provides overallManagement and oversight for the product lines of business, including operational performance improvement, competitive market analysis, marketing opportunities, regulatory and compliance adherence, vendor management, State and Federal advocacy.

vendor regulatory jobs Company: metroplus health plan in Brooklyn, NY

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jobsearcher.com/blogWhat is a Policy of Non-Retaliation & How to Create OneYour company probably has many policies in place – anti-discrimination policies, equal opportunity policies, ethics policies, and so on. However, it is important to re-evaluate whether you have a policy that covers every situation. Say for instance one of your employees submit a complaint in good faith to their supervisor. To their surprise, they are met with retaliation, such as demotion, defamation, or even termination.
jobsearcher.com/blogWhat Questions Can You Not Ask in an Interview?It can be stressful to interview candidates to fill an open role at your company. Maybe your boss is on you to hire someone who’s absolutely perfect as soon as possible. Maybe you don’t have a ton of experience yet in conducting interviews. Whatever the case, there’s a lot to take under consideration when you’re the one in charge of interviewing. For instance, “What questions can you not ask in an interview?” may very well be running through your mind given its legal ramifications. Knowing exactly which interview questions are off-limits (and which are fine to ask) will boost your confidence as you continue to search for the ideal new hire. 
jobsearcher.com/blogHow to Prepare to Be Fired - What You Need to DoIf you’re reading this, let me be the first to tell you how sorry I am. Getting fired feels crappy, disheartening, hurtful, and all the other bad, sad words. But here’s what I want you to do. First, let yourself fumble for a minute. Then, pick your head up — sometimes getting fired is a blessing in disguise. If you think termination is around the corner, we’ll teach you how to prepare to be fired and what to do next so you land somewhere even better. 
jobsearcher.com/blogInternal Recruiting: Benefits and 5 Internal Recruiting Methods to ConsiderInternal and external recruiting are nearly the same thing. The biggest difference is where candidates are sourced. There are instances where external recruiting may be the best option. However, when you are presented with the opportunity to recruit internally, you should take full advantage of the different internal recruiting methods. Initially you will find that the hiring process gets a little bit easier. Then you'll notice all the other benefits that internal recruiting offers.
jobsearcher.com/blogHow to Answer the Interview Question: What is Your Communication Style?As a job searcher, you probably have so many questions about job searching. However, once you've landed an interview, your excitement takes your questions to a whole new level. What will you wear? Will you know how to answer all the questions? Have you practiced giving nice firm handshakes?
jobsearcher.com/blogWhat Makes a Company a Great Place to WorkAfter 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.  
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.