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Monitor Health Plan Compliance: Review and audit of self-funded health plan financial processes to ensure compliance with contractual obligations, regulatory requirements, and internal policies related to the payment of daily healthcare claims and monthly administrative fees. Audit Planning and Exec

Coordinate MetroPlusHealth's network development and contracting strategy as MetroPlusHealth expands into new lines of business. Manage an Out-of-Network strategy that addressed high cost out-of-network cases for all lines of business, but primarily for the Commercial and Exchange products. The Vice

Coordinate with the external auditor and health plan administrators to develop and execute audit of City self-funded health plan. The Office of Labor Relations (OLR) represents the Mayor in the conduct of all labor relations between the City of New York and labor unions representing employees of the