MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
Reporting to the Vice President of Provider Network Operations, the Director of Provider Data Integrity and Program Management is responsible for ensuring the highest standards are met for accuracy, accessibility, and availability of the network, including oversite of various vendors. This position will collaborate with other functions on the development of Provider Key Performance Indicators (KPIs) to inform on performance and operational excellence of the network for both internal and external stakeholders. This position is also responsible for various
Network operational reporting and applications to support the daily workflow of Credentialing, Provider Relations and Provider Engagement activities.