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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Virtual ● Req #1944Friday, June 28, 2024Full-Time, Exempt Position is remote/virtual Exciting things are happening at MVP Health Care! 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 500,000 members across New York and Vermont, and are powered by the ideas and energy of more than 1,200 employees. We are continually evolving the way MVP uses technology to grow our business, transforming the organization through Cloud Computing ...Read more about Senior Quality Automation Engineer- Customer 360More
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625 State St, Schenectady, NY 12305, USA ● Req #2105Thursday, June 27, 2024The Director, Strategic Transformation Center Program Management is responsible for the program and project management of MVP’s portfolio of strategic transformation initiatives. This role is responsible for the translation of MVP’s strategic transformation strategy into execution plans and delivery across the organization. Works closely with the STC leadership and Strategic Theme Owners to ensure the work is aligned to and prioritized based upon the strategic vision. Success in this rol ...Read more about Director, Strategic Transformation Center Program ManagementMore
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625 State St, Schenectady, NY 12305, USA ● Req #2104Wednesday, June 26, 2024The VP, Healthcare Delivery (VPHD) is the strategic leader responsible for the organization's health care delivery system strategies and population health initiatives. The VPHD develops external-facing strategies to engage with payers, providers, and community partners. They oversee value-based care programs, lead the development of new payment models and quality improvement efforts, while driving physician and provider engagement. The VPHD leads the rollout of advanced data analytics platforms ...Read more about VP, Healthcare DeliveryMore
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Burlington Office, 62 Merchants Row, Williston, VT, USA ● Fishkill Office, 300 Westage Business Center Drive, Fishkill, NY, USA ● Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Virtual ● Req #2070Wednesday, June 26, 2024Full-Time, Exempt Position is virtual/remote Reporting to the Sr. Leader, Claims Payment Strategies and Configuration, the Leader, Pricing & Claims Configuration manages the design, development and implementation of configuration solutions that enhance business processes. The Leader supervises a staff of Professional Configuration Analysts and manages the work intake, prioritization, assignment and tracking of all pricing/claims configuration projects and requests. In addition, the Leader is ...Read more about Leader, Pricing & Claims ConfigurationMore
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625 State St, Schenectady, NY 12305, USA ● Tarrytown, NY, USA ● Req #2101Tuesday, June 25, 2024The Director, Strategic Transformation Process Improvement and Integration is a critical role responsible for leading and driving process improvement initiatives identified by the Strategic Transformation Center (STC). In collaboration with the STC, Strategic Theme and Initiative Leaders, business areas, and subject matter experts (the key stakeholders), this role will support the identification of areas for improvement, development of innovative solutions, and the design and implementation of ...Read more about Director, Strategic Transformation - Process Improvement & IntegrationMore
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625 State St, Schenectady, NY 12305, USA ● Tarrytown, NY, USA ● Req #2100Tuesday, June 25, 2024The VP of the Strategic Transformation Center (STC) is a key executive responsible for leading and driving the organization's enterprise-wide transformation efforts. As the visionary leader of the STC, this role is critical in shaping the strategic direction, prioritizing initiatives, and coordinating cross-functional collaboration to deliver transformative outcomes. The VP acts as the primary point of contact for the transformation program, interfacing with executive leadership and the Board to ...Read more about VP, Strategic Transformation CenterMore
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Oneida County, NY, USA ● Utica, NY, USA ● Req #2025Monday, June 24, 2024Individual Product Advisor is responsible for membership growth in strategic target areas, identifying eligible members and enrolling them in Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), and HARP as well as enrolling consumers in Off-Exchange and Medicare Advantage (MA) products including D-SNP (Dual Special Needs Plan) as permitted under federal and state guidelines. Provides guidance on plan benefits and care tailoring those to customer needs. Individual Product ...Read more about August Oneida, Individual Product Advisor - OutreachMore
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Status: Full Time, Exempt This role supports a customer’s care journey during their time with MVP through high quality interactions and experiences. The Care Guide works directly with customers and as appropriate, customers’ family and/or advocates to ensure that they have a smooth transition to their plan and fully understand their benefits and resources available to them as they use their plan. The Care Guide collaborates with Plan Guides during the sales processes to provide deep benefit a ...Read more about Professional, Care GuideMore
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625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #2085Friday, June 21, 2024Status: Full Time, Non-Exempt This role has broad range of on and off call responsibilities. On call responsibilities includes responding to customer inquiries in areas of enrollment, billing, claims, benefit interpretation, and referrals/authorizations for medical care. The majority of contacts are via telephone, with some in-office contact and written correspondence/e-mail and chat. May handle a variety of insurance types encompassing all lines of business. Other on call duties include He ...Read more about Provider Services Associate, Care Center RepresentativeMore
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625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #2075Friday, June 21, 2024Status: Full Time, Non-Exempt The Care Center Representative provides optimum customer service as required to maintain existing members and prevent cancellations. Addresses member, internal and external customer inquiries, questions and concerns in areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care across a variety of insurance types. Meet individual accessibility and quality goals, and team goals for industry standard benchmarks such as A ...Read more about Member Services Associate, Care Center RepresentativeMore
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625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #2097Friday, June 21, 2024Status: Full Time, Non-Exempt This individual will be part of the outreach experience focused on delivering value added services. Success will be determined by establishing a meaningful connection which improves the customer experience, increases member health care literacy, and contributes to customer retention. Majority of contact is via telephone, with some written correspondence/e-mail as needed. Perform outbound campaigns in support of meeting quality objectives, to welcome new members t ...Read more about Member Services Associate, Outbound Call CenterMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Virtual ● Req #1931Thursday, June 20, 2024The Senior User Experience Designer - Digital will collaborate with Agile Product Management, leadership, business partners, MVP stakeholders, and agile technical teams by leading user research, facilitating discovery workshops, customer journey mapping, and creating wireframes and mockups while providing critical guidance to our roadmap and design efforts. The role will focus on facilitating and aligning product vision and design with MVP strategies. Guidance should be supported by qualitative ...Read more about Senior User Experience Designer - DigitalMore
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Fishkill Office, 300 Westage Business Center Drive, Fishkill, NY, USA ● Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2073Wednesday, June 19, 2024Full-Time, Exempt Position is Hybrid in Fishkill, NY or Schenectady, NY Office This position works with Network leadership, team members, key leaders/contributors across the organization, as well as key leaders/contributors from outside MVP to develop, negotiate, implement, oversee, and evaluate hospital contracts for the region. ESSENTIAL JOB FUNCTIONS: Coordinates with Analytics Team to generate performance reporting and associated financial models. Assists Leaders in lever ...Read more about Professional, Facility ContractorMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2067Tuesday, June 18, 2024Accountabilities will include Broker, Government Program, NYSoH and other Sales Administrative duties. Key resource in managing MVP’s private and public exchange business, coordinating annual State(s) RFP(s), renewal and implementation processes for new and existing partnerships for both private and public exchange platforms. Daily duties include Broker Administration, working with MVP’s broker partners, and Tracking all learning data and reporting for MVP’s Retail Outreach Department. Position ...Read more about Commercial and Government Program Sales OperationsMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Req #2057Tuesday, June 18, 2024JOB SUMMARY Strategic Partnership High Value Care Analyst is reporting to the Sr Director of Analytics, will be the lead analytical resource supporting MVP's strategic partnership with UVMHN. Responsibilities will include: 1) the development of comprehensive analytics and data modeling to provide critical insights to help drive improvement in member experience, profitability and product competitiveness, 2) executive level strategic decision support and communications, and 3) collaboration with ...Read more about Strategic Partnership High Value Care AnalystMore
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Clinton County, NY, USA ● Herkimer County, NY, USA ● North Country, NY, USA ● Oneida County, NY, USA ● Plattsburgh, NY, USA ● Req #2027Tuesday, June 18, 2024Role Overview: As a Community Relationship Manager, you will play a pivotal role in fostering strategic partnerships and driving community engagement. Your expertise will be essential in aligning our corporate priorities with community-based organizations (CBOs) and community-based healthcare providers within the assigned region. You will manage a portfolio of community partners that have the most potential to drive MVPs growth, care quality, and philanthropic goals. By coordinating communit ...Read more about Community Relationship ManagerMore
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Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #2062Monday, June 17, 2024Conduct all phases of selling including identify, qualify and meet with prospective clients for purposes of presenting Medicare Advantage (MA) products and services to meet company and individual enrollment goals. Assure understanding level of each enrollee by providing clear, complete and accurate information regarding the MA products, managed care, and MVP policies. Develop and maintain positive relationships with senior organizations, community contacts, etc. within assigned territory. Give ...Read more about Sales Rep - MedicareMore
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Burlington Office, 62 Merchants Row, Williston, VT, USA ● Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Virtual ● Req #2065Wednesday, June 12, 2024Full-Time, ExemptPosition will be virtual/remote Job Description: This role is for someone who has a complete and extensive understanding of the Dynamics 365 platform. The role will leverage this knowledge when solving business process issues and implementing new business areas to the platform. This role will work closely with all departments implementing and ensuring the CRM tool-set works effectively across teams while maximizing efficiency and capitalizing on the full features and benefits ...Read more about Professional, Dynamics Functional SpecialistMore
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Albany County, NY, USA ● Clinton County, NY, USA ● Headquarters Office, 625 State Street, Schenectady, NY, USA ● North Country, NY, USA ● Plattsburgh, NY, USA ● Saratoga County, NY, USA ● Req #2016Tuesday, June 11, 2024Individual Product Advisor is responsible for membership growth in strategic target areas, identifying eligible members and enrolling them in Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), and HARP as well as enrolling consumers in Off-Exchange and Medicare Advantage (MA) products including D-SNP (Dual Special Needs Plan) as permitted under federal and state guidelines. Provides guidance on plan benefits and care tailoring those to customer needs. Individual Product ...Read more about Individual Product AdvisorMore
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Catskill, NY 12414, USA ● Dutchess County, NY, USA ● Fishkill Office, 300 Westage Business Center Drive, Fishkill, NY, USA ● Orange County, NY, USA ● Rockland County, NY, USA ● Sullivan County, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Ulster County, NY, USA ● Westchester County, NY, USA ● Woodstock, NY, USA ● Req #2013Monday, June 10, 2024Individual Product Advisor is responsible for membership growth in strategic target areas, identifying eligible members and enrolling them in Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), and HARP as well as enrolling consumers in Off-Exchange and Medicare Advantage (MA) products including D-SNP (Dual Special Needs Plan) as permitted under federal and state guidelines. Provides guidance on plan benefits and care tailoring those to customer needs. Individual Product ...Read more about Individual Product AdvisorMore
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Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #2026Monday, June 10, 2024Responsible for outreach and promotion of MVP lines of business to individuals and community groups from target market. Supervise diverse team of Outreach Representatives and Individual Product Advisors. Responsible for overseeing Outreach and promotion of the Plan’s Medicaid, Child Health Plus (CHP), Essential Plan (EP), HARP, On-Exchange Qualified Health Plans (QHP), Off-Exchange Plans, and Medicare Advantage plans to individuals at Federally Qualified Health Centers (FQHCs), medical provider ...Read more about Sales Leader, Outreach StaffMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2061Thursday, June 6, 2024Full-Time, Non-Exempt Installs desktop hardware and software and performs routine equipment maintenance. Works closely with end users as well as senior and executive-level leadership to provide support and resolve software/hardware problems. Logs all incidents and troubleshooting details in the incident tracking software. Maintains desktop asset records and assists with the equipment procurement process. Participates in planning and implementation of desktop PC upgrades and related corporate p ...Read more about Associate, Deskside Support EngineerMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2059Thursday, June 6, 2024The Growth Enablement Analyst plays a crucial role in driving growth by providing insights and analysis to the sales and marketing teams. By analyzing data and reporting on key metrics, the Growth Enablement Analyst helps to identify opportunities for growth and to develop strategies to capitalize on them. The role involves close collaboration with the sales and marketing teams to ensure that their efforts are data-driven and informed by the latest insights. The Growth Enablement Analyst will be ...Read more about Growth Enablement AnalystMore
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625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Req #2056Tuesday, June 4, 2024Status: Full-time, Non-Exempt Under the direction of the Appeals Manager: Thoroughly investigates and resolves member appeals and CTM’s in a professional and timely manner following departmental and company processes and within time limits set forth by CMS guidelines. Monitors appeals for trends and potential service improvement opportunities. Duties include: Investigates each appeal by gathering pertinent information from members, providers, facilities and internal resources in order to respo ...Read more about Member Appeals Associate, Medicare Appeal CoordinatorMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Req #2046Monday, June 3, 2024Set sales appointments, recruit attendance at group sales meetings, respond to benefit inquiries and complete on-line enrollment applications for MVP Medicare prospects. Address prospect questions, including eligibility, benefit interpretation and cost sharing via inbound and outbound calls, walk-in contact and written correspondence/email. Assure understanding level of each prospect/enrollee by providing clear, complete and accurate information regarding assigned product benefits, policies and ...Read more about Medicare Inside SalesMore