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  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Virtual
    Req #658
    Monday, November 23, 2020
    SUMMARY: Be a part of MVP’s digital transformation! MVP is looking for a highly motivated, multi-skilled Leader to manage our Digital Marketing team. This Leader works with agency partners and internal teams to create and execute digital marketing strategies that align with and support acquisition and retention goals, strategic initiatives, and drive digital adoption and engagement with our customers.  As a successful Leader of this high-performing team, you’ll embrace and thriv ... 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 #656
    Friday, November 20, 2020
    Full-Time, ExemptBand: Professional IRecruiter:  Jan CozzyBonus eligible: Standard Responsible for the creation and accuracy of data extracts and reports, including but not limited to member eligibility, provider, medical & pharmacy encounters, and claim payment. Reconcile data and payment, and ensure complete, accurate and timely revenue within state and federal guidelines. Must constantly monitor the status of new, existing, and previous discrepancies or recovery situations. Actively partici ... 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 #643
    Wednesday, November 18, 2020
    Status: Full-time, Non-Exempt: Summary:  The role is responsible for overseeing, reconciling, auditing and tracking of all  assigned accounts which include Group accounts, Off Exchange Individuals, CHP  (Child Health Plus), EP/QHP On-Exchange Individuals. Responsible for insuring  that all premiums are collected in a timely manner from groups, members and  government entities. Maintaining and ensuring that all appropriate accounts are  being submitted to collections on a ... 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 #654
    Wednesday, November 18, 2020
    Status: Full-time, Exempt: No Receives service requests via phone, fax, email, postal mail or other correspondence from providers, facilities, enrollees or enrollee representatives. Reviews and interprets authorization requirements based on MVP contracts, riders, processes, resources, policies and procedures. Makes outgoing calls to provide members and providers with determinations or request additional information. Addresses the Associate, Intake Assistant duties as needed per resource b ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Virtual
    Req #655
    Saturday, November 14, 2020
     This part time position will report to the Leader, Community Engagement and will oversee MVP’s VTO (Volunteer Time Off). As part of the CE team, the Community Engagement Professional may also assist with other Community Engagement activities. The role includes but is not limited to the following:Process, approve and track all VTO applicationsAccurately track all VTO activity. Audit timekeeping system reports to ensure accuracy of VTO submissions Work with community-based organizations to sour ... 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 #652
    Friday, November 13, 2020
    Status: Full-time, Exempt: Yes The Senior Quality Engineer is a critical part of this transformation.  As a member of a Scrum team, the Senior Quality Engineer is primarily responsible for ensuring that quality products are delivered to the organization. The candidate will work with a cross-functional team to understand business requirements and break them into user stories, develop test plans, test cases and execute test scenarios to ensure we are delivering high quality code.  The ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #653
    Friday, November 13, 2020
    Status: Full-time, ExemptResponsible for supporting regulatory and accreditation compliance for Physical and Behavioral Health departments and related vendor delegated entities through project leadership, technical oversight, risk identification and mitigation. Primary duties may include but are not limited to: Conducts internal and external monitoring for compliance, per the annual workplan assignments; Creates corrective actions plans as applicable and works to mitigate compliance risk through ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #620
    Friday, November 13, 2020
    JOB SUMMARY Responsible for end to end stop loss policy administration for MVP’s ASO and Level Funding business.  This includes but is not limited to specific claimant identification, completion of notification forms, and claims filing to ensure MVP meets its contractual and fiduciary responsibilities. Responsible for timely submission of all required reporting such as group specific claimant, eligibility questionnaires, and monthly aggregate reports. Acting as liaison between MVP, its bro ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #614
    Wednesday, November 11, 2020
    This role will be an integral strategic partner to the Executive Team, playing an active role supporting the organization's cross-cutting priorities. This individual will serve as the trusted aide and will be a key driver of the overall operations and effectiveness of the Office of the CEO and CAO. This role will support the CEO and CAO in working and communicating effectively with internal and external stakeholders, including team members, executives, and customers. Responsibilities Support ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #651
    Tuesday, November 10, 2020
    Account Management, Professional, Client Support This position serves to provide day-to-day support to the commercial large group sales and account management team. Specific responsibilities include: daily sales, renewal, and administrative support for large group new sales and client engagement teams, proposal support, rate quote preparation, assistance with preparing reports and presentation material. Resolution, including monitoring and tracking, of broker and client issues through respo ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #649
    Tuesday, November 10, 2020
    The team member in this role is tasked with managing complex strategic business development efforts that require successful interdisciplinary collaboration and effective project management and communication. Managing, monitoring, tracking and reporting on prioritized activities led by the Strategic Account Management team that is charged with engaging par providers to successfully make the transition from Fee-For-Service to Value-Based Payment (VBP), Alternate Payment Models (APM) and Integrated ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #650
    Monday, November 9, 2020
    The Field Marketing team plays an integral role in MVP Health Care’s product marketing strategies. This position will be responsible for MVP’s sponsorship and community partnership efforts across the footprint. The Leader will manage a team of individuals who work with community partners to support and develop activies, programs and events. The Leader will provide guidance and support to team members for building and leveraging opportunities to promote MVP products, increase lead generation, cre ... More
  • Virtual
    Req #642
    Friday, November 6, 2020
    Status: Full-time, Non-Exempt Summary:Investigate, monitor and review other group health coverage that may be primary over MVP plans through various reports and online methods including inbound/outbound calls. Updating and documenting all COB information into member’s records with information obtained from the investigations and research including other insurance effective/terminated dates, type of coverage, accident dates, diagnosis for related injury and any other information pertinent to the ... 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 #641
    Friday, November 6, 2020
    Status:  Full-time, Exempt  We are looking for a full stack, Senior Software Engineer that has the primary responsibility for planning, design, and developing applications for MVP. The engineer works with business and technology partners to deliver software solutions to support the business. The engineer also serves as a role model and technical lead on the Scrum teams to promote quality, innovative, and scalable solution delivery.   The role includes but is not limited ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #638
    Monday, November 2, 2020
    Member Services, Associate, Care Center   Status: Full-time, Exempt: No   This position is responsible for addressing member/subscriber/provider inquiries, questions and concerns in areas including enrollment, claims, benefit interpretation, and referrals/ authorizations. Most of your day will be spent making contact via telephone with combination of in office and/or virtually and written correspondence/ e-mail with our customers as needed. Representatives may handle a variety ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #639
    Friday, October 30, 2020
    Full-Time, ExemptThis position within the Shared Services Team oversees, participates in and at times leads the coordination, development and delivery of Operations Training material and curricula. This position supports all training activities for the Member Operations, Claims Configuration, Enrollment and Provider Data Management teams. Acts as a liaison with Management and staff to build training partnerships and evaluate future training needs including performing needs analysis, developing l ... 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
  • 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 #636
    Wednesday, October 28, 2020
    Status: Full-time, Exempt: YesResponsible for leading the strategy and development of a portfolio of insurance products, which may include but is not limited to: Commercial fully insured, Commercial self funded, Medicare Advantage (Direct Bill and EGWP), Special Needs Plans, Government Programs, Ancillary products (dental, vision, spending accounts, and COBRA), and other related products. Ideal candidate will have genuine curiosity and entrepreneurial spirit. They will have a passion for continu ... 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 #634
    Wednesday, October 28, 2020
    Responsible for supporting overall MVP growth with a focus on Insurance Products through new business development, planning and product development. Ideal candidate will have genuine curiosity and entrepreneurial spirit. They will have a passion for continuous improvement and great judgement when balancing short term vs long term impact. They have exceptional interpersonal skills which they use to establish stakeholder relationships built on trust. They know how to translate data and complex ana ... 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 #635
    Tuesday, October 27, 2020
    Status: Full-time, Exempt   At MVP Health Care we are continually evolving the way we use technology to grow our business, transforming the organization through 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 business analyst to work on our Business Process Automation (BPA) team to analyze, design, and implement improved business processes across our en ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #628
    Thursday, October 22, 2020
    Provider Services, Associate, Care Center   Status: Full-time or Part-time opportunities, Exempt: No   This position is responsible for addressing member/subscriber/provider inquiries, questions and concerns in areas including enrollment, claims, benefit interpretation, and referrals/ authorizations. Most of your day will be spent making contact via telephone with combination of in office and/or virtually and written correspondence/ e-mail with our customers as needed. Repr ... More
  • Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA
    Req #633
    Thursday, October 22, 2020
    Provides optimum customer service as required to maintain existing members and prevent cancellations. The Care Center Representative must take full responsibility for every call to ensure callers concerns are met. Provides world class customer care to internal and external customers while consistently adhering to all call handling objectives, i.e. hold time, talk time, after call work, schedule adhere and quality assurance.  • Correctly responds to all Department of Health audit calls on a con ... 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 #623
    Wednesday, October 21, 2020
    Professional, Product ManagerFull-time, Exempt: Yes Responsible for managing assigned products, including but not limited to Medicare Advantage (Direct Bill and EGWP), SNP, and other related products.Serves as the subject matter expert on products assigned including thorough analysis of all aspects of product performance, design, competitive position, and regulatory compliance.Continuously works through established channels and processes to report product performance and make product recommen ... 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 #632
    Wednesday, October 21, 2020
    Under the direction of the Leader, Quality Measurement: The Analytics Program Manager will accomplish strategic department objectives by leading one or more programs and initiatives. Responsibilities include the development, implementation, coordination, execution, and measurement of a program, while remaining aligned with strategy, commitments, and goals of MVP.   The Analytics Program Manager supports program-level activities to ensure the program goals are achieved by understandin ... More