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  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA
    Req #719
    Wednesday, February 3, 2021
    The Informatics Analyst will work on standard and adhoc analysis in support of key corporate initiatives for MVP’s Quality Improvement team, with the goal of providing tools for strategic decisions and recommendations for change. Activities will include performing analyses on cost, utilization, quality and population health metrics; consulting with internal stakeholders on business needs; acquiring and assembling new data; developing new metrics and measures, and conducting research on methodolo ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #713
    Friday, January 29, 2021
    Full-Time, Non-Exempt Using a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess Systems. Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. Reviews and ensures the accuracy of all changes to claim line information based on information received from other departments and in accord with available benefit information. Is responsible for the timely and accurate adjudication ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Virtual
    Req #707
    Thursday, January 28, 2021
    Full-Time, Exempt  Be a part of the transformation at MVP Healthcare.  MVP Healthcare is a nationally-recognized, regional not-for-profit health plan.  We care for more than 700,000 members across New York and Vermont and are powered by the ideas and energy of more than 1,600 employees.   We are continually evolving the way MVP uses technology to grow our business, transforming the organization through Cloud Computing, Agile Delivery, and DevOps. MVP Information Services business unit is see ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA
    Req #704
    Wednesday, January 27, 2021
    Status: Full-time, Exempt: Yes     This individual will join a team that develops solutions leveraging Robotic Process Automation (RPA) to enable faster, more accurate execution of repetitive tasks in production environments.  They will work collaboratively with Business Units across the organization in all facets of requirements gathering, process review, prioritization, development, testing and execution of requests. Provide training and guidance to stakeholders in IT and the Business to bet ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #706
    Wednesday, January 27, 2021
    Status: Full-time, Exempt: YesThe Network Project Manager will accomplish Network strategic objectives by leading complex and interdisciplinary projects/initiatives that drive growth, including Medicare expansion efforts in 2021 and beyond. This individual will work in coordination with the Sr. Leader, Network Strategy and other Network leadership and have responsibility for projects including the direction, workstream coordination, implementation, execution, controls and completion of project, ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA
    Req #705
    Tuesday, January 26, 2021
    Serving as a key resource in managing MVP’s private and public exchange business, the selected individual will: Coordinate annual State(s) RFP(s), renewal and implementation processes for new and existing partnerships for both private and public exchange platforms; Work closely with the Exchange Manager pre, during and post-implementation to ensure results meet our operational and service performance expectations; Serve as liaison to Sales/Account Management staff and other operational teams o ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Virtual
    Req #695
    Friday, January 8, 2021
    Status: Full-time, Exempt: Yes At MVP Health Care we are continually evolving the way we work and the way we use technology to grow our business, transforming the organization through Lean thinking and the use of technology such as Robotic Process Automation (RPA), Cloud Computing, Agile Delivery, and DevOps. This role is a critical part of this transformation. MVP is looking for an experienced Lean business analyst to work on our Business Transformation team to analyze, design, and implement ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Virtual
    Req #683
    Wednesday, December 23, 2020
    Job Summary: As part of the Advanced Analytics team within the Data Science Department, the Quantitative Analyst will be responsible for developing and applying advanced statistical methods to collect, organize, interpret, and summarize data, with the goal of providing tools for strategic decisions and recommendations for change. Activities will include performing analyses on cost, utilization, quality and population health metrics; consulting with internal stakeholders on business needs; acqui ... More
  • Virtual
    Req #678
    Wednesday, December 16, 2020
    The digital workplace is the concept that businesses should use digital transformation (DX) to align technology, employees, and business processes to improve operational efficiency and meet organizational goals. Meant to be the virtual compliment to the physical office space, the digital workplace is a broad term that includes any device, software, or platform that staff members use to execute their jobs. At MVP, we are leveraging Microsoft’s digital workplace technology stack, so key to success ... More
  • Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #675
    Thursday, December 10, 2020
    Status: Full-time Exempt: YesThis qualified professional will be responsible for the creation, analysis and accuracy of data extracts and reports including but not limited to ROI, member eligibility, provider data and risk adjustment projects. Actively participate in the development, testing and implementation of file extracts and layouts to meet vendor and regulatory agency requirements. Oversee the extraction, integrity, and submission of Risk Adjustment data. Project Management. Attend depar ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Virtual
    Req #672
    Wednesday, December 9, 2020
     Primary responsibilities include preparation of standard and adhoc analysis in support of key corporate initiatives for MVP’s business departments. Analyses involve independent structuring of a study including initial evaluation of the request, extraction of data from a warehouse using identified standard set of tools to manage large sets of data and production of high quality, professional reports for distribution. Ability to produce and review trend reports, perform budget-to-variance analysi ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #630
    Thursday, November 19, 2020
    Status: Fulltime, Non-ExemptSummary This position will help licensed pharmacists take care of many of the daily operations of the pharmacy department. This is including, but not limited to: calling providers, members, and pharmacies; having knowledge of pharmacy benefits for MVP’s multiple lines of business, formularies, and policies; providing drug-related information to Customer Care Center and other internal departments; managing incoming faxes requesting drug coverage; determining eligibilit ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #637
    Thursday, October 29, 2020
    Full-Time, ExemptCloud Services and Microsoft TechnologiesBe a part of the transformation at MVP Healthcare. MVP Healthcare is a nationally-recognized, regional not-for-profit health plan. We care for more than 700,000 members across New York and Vermont and are powered by the ideas and energy of more than 1,600 employees. We are continually evolving the way MVP uses technology to grow our business, transforming the organization through Cloud Computing, Agile Delivery, and DevOps. MVP Informatio ... More