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Metro Plus Health Remote Jobs (NOW HIRING)

Protouch Staffing

PT Case Manager HH

Oak Brook, IL · Remote

$2K/wk

Home Health Physical Therapist (PT) - Remote Field-Based Role ???? Central Metro E - Chicago, IL Coverage Area ???? Hybrid Setup | 2-Day Orientation in Oak Brook, IL Join a leading Home Health team ...

Podean

Executive Assistant (Remote)

New York, NY · Remote

This role is based in the New York metro area. Candidates must be able to commute to our NYC office ... Experience supporting or coordinating with a board of directors is a strong plus. * Global ...

ExtensisHR

Clinician

Bethpage, NY · Remote

$40 - $60/hr

Metro Psychotherapy & Counseling is a group private practice that provides psychotherapy to young ... The position is a remote position. All Candidates must have a private and confidential area for ...

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Metro Plus Health Remote information

What is the difference between Metro Plus Health Remote vs Medical Billing Specialist?

AspectMetro Plus Health RemoteMedical Billing Specialist
CredentialsHigh school diploma or equivalent; certification preferredHigh school diploma; certification optional but beneficial
Work EnvironmentRemote, home-basedOffice or remote
Industry UsageHealthcare insurance providersHealthcare providers, billing companies
Job FocusClaims processing, customer service, policy managementBilling, coding, claims submission

Metro Plus Health Remote roles typically involve remote work within healthcare insurance, focusing on claims and customer support, while Medical Billing Specialists handle billing and coding tasks, often in office or remote settings. Both roles require similar certifications and are integral to healthcare administration, but they differ in daily responsibilities and work environment.

What are the key skills and qualifications needed to thrive as a MetroPlusHealth Remote Customer Service Representative, and why are they important?

To thrive as a MetroPlusHealth Remote Customer Service Representative, you need a solid understanding of healthcare insurance policies, strong problem-solving abilities, and typically a high school diploma or equivalent. Familiarity with CRM systems, call center software, and basic computer proficiency are essential for handling member inquiries efficiently. Excellent verbal communication, patience, and adaptability help you deliver empathetic support in a remote environment. These competencies ensure members receive accurate information and timely assistance, contributing to overall satisfaction and organizational success.

What is a Metro Plus Health remote job?

A Metro Plus Health remote job is a position with MetroPlusHealth, a New York-based health insurance provider, that allows employees to work from home or another location outside of the company's physical offices. These roles can include customer service representatives, case managers, IT professionals, and administrative staff. Remote employees use digital tools to collaborate with colleagues and serve members while maintaining the flexibility to work outside a traditional office environment. This arrangement supports work-life balance and can expand employment opportunities to a wider range of candidates.

What are some common challenges faced by remote employees at MetroPlusHealth, and how are they addressed by the organization?

Remote employees at MetroPlusHealth may encounter challenges such as maintaining clear communication with colleagues, staying engaged with team initiatives, and managing work-life boundaries. To address these issues, the organization provides comprehensive onboarding, regular virtual meetings, and access to collaboration tools like Microsoft Teams. Additionally, MetroPlusHealth offers wellness resources and encourages participation in virtual team-building activities to foster a sense of community and support among remote staff.
Infographic showing various Metro Plus Health Remote job openings in the United States as of May 2026, with employment types broken down into 90% Full Time, 5% Part Time, 2% Temporary, and 3% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.
Senior Payer Strategy Analyst, Payor Strategy & Analytics, Remote, Baptist Metro Square

Senior Payer Strategy Analyst, Payor Strategy & Analytics, Remote, Baptist Metro Square

Baptist Health

Remote

Full-time

Posted 28 days ago

Baptist Health South Florida rating

7.9

Company rating: 7.9 out of 10

Based on 96 frontline employees who took The Breakroom Quiz

1st of 23 rated health and beauty retailers

Job description

About Baptist Health
Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as "most preferred" for more than 30 years. We're Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.
Baptist Health is hiring a Senior Payer Strategy Analyst to join our Payer Strategy and Analytics Department. This is a Full-Time day shift opportunity.
The ideal candidate will be advanced in Excel, SQL, and PowerBI with a strong background in Healthcare; working with managed care contracts and provider reimbursement methodologies. They will quantify payer issues and policies, monitor payer behavior, and provide analytic support during payer negotiations. The Senior Payer Strategy Analyst will conduct ad hoc analysis and modelling, including: proposals and counter-proposals during payor negotiations, modeling new payer rates, validating incoming rate changes from payers. Strong preference for candidates with experience with EPIC.
As a Senior Payer Strategy Analyst you will be responsible for:
  • Modeling reimbursement rates, analyzing payer performance, and delivering financial insights that directly influence contract negotiations and revenue optimization across the health system.
  • This position requires advanced analytical skills, deep knowledge of healthcare reimbursement methodologies, and proficiency in multiple financial and clinical systems.
  • The analyst serves as a key advisor to leadership, providing data-driven recommendations that shape payer strategy and financial planning.
  • Education Note: In lieu of degree requirements, fifteen years of relevant, experience in reimbursement, managed care, contract modeling, policy analysis and data analysis.
  • Certification Note: EPIC Certifications listed are required within 6 months of hire.

This is a remote position, candidate must work in the following remote approved states: AL, FL, GA, ID, IN, KY, LA, MS, NC, OH, OK, OR, SC, SD, TN, TX, VA, WV, WY
Senior Payer Strategy Analyst Experience:
  • 3-5 Years Data Analysis Experience Required
  • 3-5 Years SQL Experience Required
  • 3-5 Years Managed Care Experience Required
  • 3-5 Years Financial Analysis Experience Required

If you are interested in the Full Time Day shift opportunity, please apply now!
Primary Location:
Metro Square - 3563

What Baptist Health South Florida employees say

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Benefits

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About Baptist Health South Florida

Sourced by ZipRecruiter

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US

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