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MetroPlus

Claims Audit & Compliance Manager

new york, NY

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About this opportunity

MetroPlus lists this Claims Audit & Compliance Manager opportunity in new york, New York. Review the employer’s description below for duties, qualifications and application requirements.

Job description

MetroPlusHealth is seeking a Claims Manager, Audit & Complaints to oversee regulatory audits and complaint handling within claims operations. The role collaborates across departments to ensure timely research, resolution, and ongoing compliance with governing agencies.

Responsibilities include coordinating with DOH, CMS, and internal teams, drafting executive summaries, and leading corrective action implementation to drive continuous improvement in claims quality.

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Worksite address

new york, NY, 10261, US

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