Summer Intern - Provider Network Operations

Job Ref: TE0085
Category: Professional
Department: Provider Network Operations
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Temporary
Employment Type: Full-Time
Work Arrangement: Hybrid
Salary Range: $21.00 - $26.00

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

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, MetroPlusHealth has been committed to building strong relationships with its members and providers.

Position Overview

The Summer Interns are given learning opportunities to experience the Provider Network Operations aspect of the health insurance community. The interns will be assisting Provider Network Operations with provider directory review, provider operation inquires (i.e. updating provider demographic information into data systems). They will be fully engaged with the provider operations process.

Duties & Responsibilities

• Assist Provider Network Operations Department with the provider portal registrations and support and triaging provider service inquiries from Salesforce.
• Research and outreach providers for returned correspondence, demographic verification, and other tasks as needed.
• Assist with Access & Availability demographic update requests and responding to project inquiries from Provider Relations staff and providers.
• Assists with outreach of targeted Providers for education campaigns on various departmental initiatives (i.e. Par lab referrals, Provider Portal navigation assistance, SharePoint site updates).
• Assists with the development and use of electronic on-line tools.
• Provider outreach for follow up on inquires.

Work Shifts

9:00 AM- 5:00 PM

Minimum Qualifications

• Successful completion of 60 or more college credits.

Professional Competencies:

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication