Jobs at Metroplus Health Plan | Ladders
Metroplus Health Plan, Inc

Snapshot

Founded: 1994
26 jobs at Metroplus Health Plan, Inc
Sr. Data Scientist

Analyze healthcare data and using quantitative methods to create actionable and timely information a...

Posted 9 days ago

  •   8 - 10 years exp.  •  Healthcare

Assessment Nurse

Meet with member, family and caregiver to conduct the UAS tool for MLTC & FIDA program enrollees...

Posted 9 days ago

  •   Less than 5 years exp.  •  Healthcare

Care Manager - Registered Nurse ( RN ) Utilization Management

Identifies utilization trends and potential member needs by means of generating reports of encounter...

Posted 9 days ago

  •   Less than 5 years exp.  •  Healthcare

Clinical Program Manager

$100K - $105K

Develop and initiate standards of performance, including communication with members, adherence to pr...

Posted 9 days ago

  •   5 - 7 years exp.  •  Healthcare

Director of Process Improvement and Project Management

$125K - $140K

Responsible for managing mission critical, complex projects to deliver results within the authorized...

Posted 9 days ago

  •   Less than 5 years exp.  •  Healthcare

Special Assistant

Collaborate with the President's Senior Executive Secretary to verify employee travel documentation...

Posted 29 days ago

  •   Less than 5 years exp.  •  Healthcare

Service Now Developer

Document, maintain and update policies, procedures and controls for the operation of the Service Now...

Posted 29 days ago

  •   Less than 5 years exp.  •  Healthcare

Manager of Children's Special Services

$ 110K - $ 120K

Comply with orientation requirements, annual and other mandatory trainings, organizational and depar...

Posted 29 days ago

  •   5 - 7 years exp.  •  Healthcare

Head of Health Analytics

The Director of Analytics will thrive in a fast-paced environment and serve as the expert on health...

Posted 29 days ago

  •   Healthcare

Deputy Director of Claims System Operations

Participate on various forums, company initiatives, and other internal/external workgroups to provid...

Posted 29 days ago

  •   Less than 5 years exp.  •  Healthcare

Care Manager - Registered Nurse (RN) Case Management

Confident, autonomous, solution driven, detail oriented, high standards of excellence, nonjudgmental...

Posted 29 days ago

  •   Healthcare

Health Outcomes Survey Lead

Lead the development of root cause analysis, interventions and action plans, project planning, track...

Posted 50 days ago

  •   5 - 7 years exp.  •  Healthcare

Director of Utilization Management

$135K - $150K

Coordinate with other operational departments to identify and achieve workflow improvements to gain...

Posted 50 days ago

  •   8 - 10 years exp.  •  Healthcare

Director of Risk Management

Identifies opportunities to reduce organizational risk, detects and remediates vulnerabilities and e...

Posted 50 days ago

  •   5 - 7 years exp.  •  Healthcare

Director of Information Security Operations

Analyzes, recommends and implements monitoring and compliance procedures based on external and inter...

Posted 50 days ago

  •   5 - 7 years exp.  •  Healthcare

Health Outcomes Survey Lead

Monitor for adverse trends, recommend modifications and corrective actions; develops interim data co...

Posted 50 days ago

  •   5 - 7 years exp.  •  Healthcare

Lead Utilization Analyst

$105K - $115K

Create dashboards, report cards, and other meaningful data visualization offerings and presentations...

Posted 50 days ago

  •   5 - 7 years exp.  •  Healthcare

Manager of Children's Special Services

$110K - $120K

Supervise the entire case management workflow including case selection, interventions and goal setti...

Posted 50 days ago

  •   5 - 7 years exp.  •  Healthcare

PeopleSoft Business Analyst

Develops, writes, and communicates business requirements for the implementation of business solution...

Posted 50 days ago

  •   Less than 5 years exp.  •  Healthcare

PCS Care Manager - Registered Nurse (RN)

Provides telephone triage and crisis intervention to callers and, when necessary, assists with ensur...

Posted 50 days ago

  •   Healthcare

Medical Management Quality Examiner

Participates in on-site and desk-top audits and/or schedules ad hoc on-site meetings and reviews, as...

Posted 50 days ago

  •   Less than 5 years exp.  •  Healthcare

UM Team Leader

$100K - $110K

Participate in the development, implementation, and evaluation of quality improvement and performanc...

Posted 50 days ago

  •   Less than 5 years exp.  •  Healthcare

Benefits Configuration Coder

$86K - $90K

Develop workflows and business processes to ensure timely and accurate clinical claims payment syste...

Posted 50 days ago

  •   Less than 5 years exp.  •  Healthcare

Clinical Quality Auditor

$90K - $100K

Follows up and tracks all open audit findings and corrective action plans with case management proce...

Posted 50 days ago

  •   Healthcare

Clinical Quality Auditor

$90K - $100K

Follows up and tracks all open audit findings and corrective action plans with case management proce...

Posted 50 days ago

  •   Healthcare