Assist Project Manager with the preparation of complex design computations, plans, and related construction documents. Analyzes and interprets various technical instructions in mathematical or diagram form. Prepares engineering and design documents using computer-assisted engineering and design software and equipment. Supports coordination of staff activities to ensure project budget, schedule, and quality goals are achieved. Assists in the revie...
The Claims Compliance Remediation Analyst will support the Director of Claims Support to ensure claims rules, guidelines, documents, policies and procedures, reporting, job aides, training, and other key components are compliant with CMS and NYSDOH regulatory entities and maintained within a central repository. This incumbent will partner with the Office of Corporate Compliance to ensure that the Claims Department fully supports company objective...
The Claims Compliance Remediation Analyst will support the Director of Claims Support to ensure claims rules, guidelines, documents, policies and procedures, reporting, job aides, training, and other key components are compliant with CMS and NYSDOH regulatory entities and maintained within a central repository. This incumbent will partner with the Office of Corporate Compliance to ensure that the Claims Department fully supports company objective...
The Director of Claims Quality has responsibility for the creation, delivery, and ongoing facilitation of a data and metrics-driven Claims Quality Assurance and Performance oversight program, which includes defining frameworks/benchmarks, calibration, and reporting of a program towards set benchmarks while promoting a continuous improvement culture. Furthermore, the Director of Claims Quality is responsible for the management/oversight of claims ...
The Senior Director of Customer Service is responsible for the daily management of their call center operations, managing 1 million incoming calls per year in a unionized environment. As part of MetroPlus. Health. ’s larger goal of servicing all New Yorkers, the Senior Director’s team will be a critical function in how the organization communicates and establishes trust with their members. This includes providing the member with the best possible...
