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Claims Audit & Compliance Manager
Job in
New York, New York County, New York, 10261, USA
Listed on 2026-07-19
Listing for:
MetroPlus
Full Time
position Listed on 2026-07-19
Job specializations:
-
Management
Risk Manager/Analyst
Job Description & How to Apply Below
Metro Plus Health 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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