Metropolitan Jewish Health System·New York
The Managed Care Coordinator ensures high-quality, cost-effective care for Medicare and Medicaid members. They act as a liaison between members, care management teams, and vendors while adhering to CMS and DOH regulatory requirements.
Overview The challenges of affordable healthcare continue to create new opportunities.
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs.
These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.
We foster collaboration, celebrate achievements, and promote fairness for all.
Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.
Benefits include: Tuition Reimbursement for all full and part-time staff Generous paid time off, including your birthday!
Affordable and comprehensive medical, dental and vision coverage for employee and family members Two retirement plans!
403(b) AND Employer Paid Pension Flexible spending And MORE!
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)
The Managed Care Coordinator (MCC) is expected to insure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities. The position supports all aspects of care coordination for our Medicaid, and/or dual product members in compliance with all departmental and CMS/DOH regulatory requirements. The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.
High School Diploma or equivalent; college degree preferred One year prior managed care experience required Prior experience in a health care setting preferred Familiarity with utilization management/case management Min USD $46,640.15/Yr. Max USD $58,300.19/Yr.
A high school diploma is required, though a college degree is preferred. Candidates must have at least one year of managed care experience and familiarity with utilization or case management.
Market context
Managed care coordinator roles in New York are typically driven by ongoing demand in health plans, hospitals, and care management teams that need support with utilization review, case coordination, and member communication. This role can be competitive because employers often look for both managed care experience and familiarity with utilization or case management, while a college degree may strengthen an application. Review the AI-summarized requirements and benefits here to save research time, and tailor your resume to show one year of relevant experience plus any direct coordination work.
