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 network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
The Medicaid Regulatory Compliance Specialist reports to the Manager of Medicaid Regulatory Compliance. The position will support the oversight and management of Medicaid, HIV SNP, HARP, EP, and CHP product compliance activities, including ensuring the implementation of regulatory requirements and the correction of issues of noncompliance. The position will also provide support for the development and implementation of the annual risk assessment and work plan and the department’s management of external regulatory audits.
