MetroPlusHealth Tech Stack

NYC's largest Medicaid and Medicare health plan serving 712,000+ members

Hospitals and Health Care New York, New York, United States 1,001–5,000 employees Founded 1985 Nonprofit

MetroPlusHealth operates as NYC's primary public health plan, covering Medicaid, Medicare, and Child Health Plus beneficiaries across the five boroughs. The tech stack is heavily Salesforce-centric (Health Cloud, OmniStudio, Vlocity) layered over enterprise Microsoft infrastructure (SQL Server, .NET, BizTalk), a pattern typical of legacy healthcare operations undergoing digital modernization. Hiring velocity is accelerating across healthcare and sales roles, while active projects reveal pressure points: HealthEdge implementation, compliance automation, and claims processing efficiency all compete for resources—signals of a system stretched between regulatory demands and member-service delivery.

Tech Stack 46 technologies

Core StackSalesforce Apex MuleSoft SQL Server Tableau Power BI Visual Studio .NET Visualforce OmniStudio Jakarta EE Gearset Azure Salesforce Health Cloud Vlocity Windows Word Outlook Excel PowerPoint PeopleSoft Microsoft Office SQL Server Integration Services SQL Server Reporting Services BusinessObjects XML BizTalk Server Microsoft Access SQL MuleSoft Anypoint+16 more

What MetroPlusHealth Is Building

◆Challenges

Reducing unnecessary medical expenses
Addressing gaps in care
Increase medical cost savings
Processing system issues
Claims validation accuracy
Improving health outcomes
Improving coding accuracy
Regulatory data analysis
Ensuring compliance with state and federal regulations
Regulatory reporting compliance

▲Active Projects

Annual compliance risk assessment
Value based payment strategy development
New member orientation and pcp term/reassign projects
Compliance work plan
Care management program
Citywide marketing events and outreach campaigns
Out-of-network strategy
Healthedge implementation
Self‑service analytics resource
Deployment pipeline setup

Hiring Activity

Accelerating120 roles · 50 in 30d

Department

Healthcare

Sales

Ops

Engineering

Data

Finance

Support

Legal

Seniority

Mid

Intern

Senior

Junior

Manager

Director

C-Level

Lead

Notable leadership hires: Deputy Chief Financial Officer, Program Director

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About MetroPlusHealth

MetroPlusHealth is a nonprofit health plan and part of NYC Health + Hospitals, the nation's largest public health system. Since 1985, it has served as the primary insurer for over 712,000 New Yorkers, operating Medicaid Managed Care, Medicare Advantage, Child Health Plus, and managed long-term care programs. The organization employs 1,001–5,000 staff across healthcare delivery coordination, claims processing, member services, and regulatory compliance. Its diverse workforce speaks more than 40 languages to serve NYC's immigrant and underserved populations. The company is ranked #1 health plan by New York State.

Company Size1,001–5,000 employees

Founded1985

Hiring MarketsUnited States

Frequently Asked Questions

What tech stack does MetroPlusHealth use?

Salesforce (Health Cloud, OmniStudio, Vlocity, Apex, Visualforce), Microsoft ecosystem (SQL Server, .NET, Visual Studio, BizTalk, SSIS/SSRS), MuleSoft, Tableau, and BusinessObjects for claims, member management, and analytics.

What is MetroPlusHealth working on?

Active projects include HealthEdge system implementation, care management program expansion, value-based payment strategy, compliance risk assessment, member self-service analytics, and claims validation accuracy improvements to reduce medical costs.