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  • Headquarters Office; Rochester Office; Tarrytown Office
    Req #193
    Thursday, July 18, 2019
    Supports the learning, performance and culture work, within the Talent Development & Engagement team. Serves as a partner to the business, by utilizing data to help drive successful business outcomes. Supports employee engagement initiatives and programs. This includes, but is not limited to: Administering our Annual Surveys & Feedback Mechanisms, with related communication and action plan deliverables, promoting and supporting our Employee Resource Groups, participating in and/or facilitating F ... More
  • Headquarters Office; Rochester Office; Tarrytown Office
    Req #194
    Thursday, July 18, 2019
    This position provides guidance and direction to the Talent Development & Engagement Team and serves as a key resource to the People/Talent function and broader organization. This position will oversee all learning, development and performance related work. This includes, but is not limited to leading: our Onboarding, LeadMVP and Lead+ programs. It will also involve overseeing our Tuition Reimbursement and Award & Leadership processes. Will be responsible for maintaining and measuring the effect ... More
  • Headquarters Office; Rochester Office; Tarrytown Office
    Req #195
    Thursday, July 18, 2019
    This position provides guidance and direction to the Talent Development & Engagement Team and serves as a key resource to the People/Talent function and broader organization. This position will oversee all Inclusion & Engagement initiatives, processes and associated work. This includes leading our Diversity & Inclusion strategies and creating metrics, overseeing our employee engagement surveys and feedback mechanisms and leading our Inclusion & Engagement Committees. It will also include the sup ... More
  • Tarrytown Office
    Req #196
    Thursday, July 18, 2019
    Associate, Care Center Representative Medicaid      Summary: Provides optimum customer service as required to maintain existing members and prevent cancellations. This role 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 assuran ... More
  • Headquarters Office
    Req #188
    Wednesday, July 17, 2019
    Sr Leader, Actuarial, Medicare Status: Full-time, Exempt: Yes The Actuary will lead a team of analysts in managing all responsibilities related to setting and filing CMS Bids for Medicare Direct Bill as well as setting premium rates / factors and experience rating methodologies for the Medicare Employer Group Market. The Actuary must work collaboratively with Network, Informatics, Product and Finance and manage work flow and dependencies with external Actuarial consultants as needed. The Actua ... More
  • Headquarters Office
    Req #169
    Tuesday, July 16, 2019
    Associate, Claims Support Services      Summary: This role will be responsible for ensuring great member and provider experience by accurately and efficiently processing claims adjustments, while concentrating on putting our customers at the center of how Operations operates. Ensures accurate and timely processing of claim adjustments/service forms and ad-hoc projects/retro database items in accordance with medical and ancillary guidelines and benefits. Acts as a liaison ... More
  • Newburgh Office
    Req #167
    Tuesday, July 16, 2019
    Associate, Outreach Representative    Summary: The Outreach Representative conducts individual and group Field Outreach activities throughout their regions; promotes MVP throughout their regions, and conducts public presentations on MVP products. The Outreach Representative must provide fair and impartial information to individual Marketplace customers regarding coverage options available through the NY State of Health Marketplace. They help facilitate enrollment in Qua ... More
  • Newburgh Office
    Req #166
    Tuesday, July 16, 2019
    Associate, Retail Outreach Receptionist         Summary: Responsible for day-to-day operation of the reception area ensuring the representation of MVP Health Care in a professional manner through telephone and direct contacts with all customers and employees. Greet and announce visitors. Provide support as needed. Performs other duties as assigned. POSITION QUALIFICATIONS Minimum Education: High school diploma or equivalent with a minimum of 6-month ... More
  • Schenectady, NY, US
    Req #81
    Monday, July 15, 2019
    Summary:This position is responsible for the design, installation, configuration, and documentation of the physical environment. They will be responsible for the build activities, maintenance and administration of the enterprise servers (physical and virtual) and storage architectures. This includes the placement of all the physical equipment such as servers, storage devices and required cabling. They will need to set up accounts on servers, configure the necessary backups and security software. ... More
  • Tarrytown Office
    Req #153
    Monday, July 15, 2019
    Associate, Senior Claims Examiner   Full-time, Non-Exempt Summary:   Provides feedback to the unit leader concerning the daily activities of each unit,ensuring that each unit is running effectively, and handling of priority issuesand claim projects in a timely manner. Acts as point person for each unit, andis responsible for receiving and responding to E-mail, internal and corporateservice forms, and phone inquiries from Member Services, Provider Relations,and all applicable regional offices ... More
  • Headquarters Office
    Req #179
    Friday, July 12, 2019
    Associate, Provider Services, Care Center RepresentativeStatus: Full-time, Exempt: No       Summary: Responsible to address member/subscriber/provider inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Majority of contact is via telephone, with some in-office contact and written correspondence/e-mail as needed. Position handles a variety of insurance types including HMO, POS, PPO, ASO, Inde ... More
  • Tarrytown Office
    Req #178
    Wednesday, July 10, 2019
    MVP seeks a Business Intelligence Engineer for our Tarrytown, New York location.  Responsibilities include: use SQL Server to design and build database for big ETL projects.  Development of new ETL processes as required by organizational needs, report design, creation, implementation and execution of final solution.  Responsible for maintaining, troubleshooting, and modifying existing ETL projects and reports ensuring aclean turnover of a developer’s product from development to test, from test t ... More
  • Headquarters Office; Rochester Office
    Req #174
    Wednesday, July 10, 2019
    Professional, Marketing & Communications   SUMMARY:    MVP Health Care is seeking an experienced Marketing &Communications professional to join our team. We are looking for anenthusiastic, creative and driven individual to provide marketing andcommunication expertise to the business. The ideal candidate will need to havea strong understanding of traditional and digital marketing tactics with provenproject management skills. You will: Partner in the planning, development and implementa ... More
  • Headquarters Office
    Req #168
    Wednesday, July 10, 2019
    Associate, Accounts Payable, APStatus: Full-time, Non-ExemptSummary: Responsible for weekly processing of administrative trade accounts payable check runs for all corporate entities of MVP Health Care. Gathers completed check requests and verifies for coding propriety. Responsible for printing checks weekly and preparing checks for mailing or internal distribution. Answers employee and outside vendor inquiries for vendor payment history or payment status of invoices. Enters check requests in bat ... More
  • Rochester Office
    Req #172
    Wednesday, July 10, 2019
    Associate, Provider Services, Care Center Representative Status: Full-time, Exempt: No         Summary: Responsible to address member/subscriber/provider inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Majority of contact is via telephone, with some in-office contact and written correspondence/e-mail as needed. Position handles a variety of insurance types includin ... More
  • Headquarters Office
    Req #171
    Wednesday, July 10, 2019
    Associate, Commercial Services, Care Center Representative  Status: Full-time, Exempt: No     Summary: Responsible to address member/subscriber/provider inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Majority of contact is via telephone, with some in-office contact and written correspondence/e-mail as needed. Position handles a variety of insurance types including HMO, ... More
  • Rochester Office
    Req #165
    Wednesday, July 10, 2019
    Status: Full-time, Exempt: No         Summary: Responsible to address member/subscriber/provider inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Majority of contact is via telephone, with some in-office contact and written correspondence/e-mail as needed. Position handles a variety of insurance types including HMO, POS, PPO, ASO, Indemnity, NY and VT Exchange plan ... More
  • Binghamton Office; Headquarters Office; Utica Office
    Req #164
    Tuesday, July 9, 2019
    Status: Full-time, Exempt: Yes This position supports the team that negotiates and manages contractual arrangements with the health plan’s participating behavioral health and substance abuse facilities and regional hospitals, hospital systems, and certain medical groups. Responsibilities include managing logistics of the provider contract process and preparation of standard and ad-hoc analyses / reports in support of contract and pricing initiatives. Provider contracting responsibilities inclu ... More
  • Headquarters Office
    Req #163
    Tuesday, July 9, 2019
    Status: Full-time, Exempt: Yes     Summary:This role will provide support to the company in performing necessary day-to-day Actuarial tasks. Assistsin premium rate development for MVP’s blocks of business. Develops, refreshes and analyzes financialforecasts and projections. Reviews actuarial models used to project future claim liabilities. Works toanalyze MVP’s financial statements. Analyzes and refines current methodologies used for premium ratedevelopment and reserving. Performs other ... More
  • Headquarters Office; Rochester Office; Tarrytown Office
    Req #159
    Tuesday, July 9, 2019
       Full-time, Exempt: Yes   Summary: The Behavioral Health Leader provides professional oversight, leadership and guidance over the day-to-day operation of the Behavioral Health Care Management Team. Ensures the development, implementation, coordination, and evaluation of the Team’s job responsibilities. Develops and monitors productivity metrics. Performs quality checks, audits, coordinates interrater reliability activities, and supports the team in meeting their prod ... More
  • Headquarters Office
    Req #173
    Tuesday, July 9, 2019
    Status: Full-time, Exempt           Summary: This role will be responsible for the mapping the “as is state”, the “desired end state” and the steps necessary to evolve.  Will focus on process measurement, change management and optimization of MVP’s CRM processes across the enterprise.  Focus on research and development – enabling new technologies to enhance current business processes.  Assures new processes and sub-processes integrate appropriately w ... More
  • Tarrytown Office
    Req #145
    Monday, July 8, 2019
    Associate, Outreach Representative    The Outreach Representative conducts individual and group Field Outreach activities throughout their regions; promotes MVP throughout their regions, and conducts public presentations on MVP products. The Outreach Representative must provide fair and impartial information to individual Marketplace customers regarding coverage options available through the NY State of Health Marketplace. They help facilitate enrollment in Qualified Health Plans (QHPs), insuran ... More
  • Newburgh Office
    Req #143
    Monday, July 8, 2019
    Leader, Community Based Outreach Staff RESPONSIBILITIES:Responsible for Leading field staff that report out of the local retail offices, this includes,main offices, satellite offices, community based locations, community outreachvehicle locations, and other areas where we meet with potential clients. Responsiblefor overseeing Outreach and promotion of the Plan’s Medicaid, Child Health Plus(CHP), Essential Plan and “on-exchange” Qualified Health Plans (QHP) toindividuals and community groups in t ... More
  • Tarrytown Office
    Req #152
    Monday, July 8, 2019
    The Professional, Special Services Liaison will be the liaison with external agencies to ensure coordination with the services they are providing to MVP Medicaid members. As liaison to county Foster Care Coordinators or Voluntary Foster Care Agencies, this role will act as primarycontact person to assist with enrollment, disenrollment, and access to care for the foster care children.This professional will work with MVP Care Managers, Foster Care Coordinator, hospitals, and/or Health Home Care Ma ... More
  • Rochester, NY, US; Schenectady, NY, US
    Req #149
    Monday, July 8, 2019
    This position will primarily support IT Audit, Compliance and Risk Management activities required to enable our organization to reach itsgoals. As part of the IT Governance team, the incumbent may also assist with governance initiatives in other areas. The role includes but is not limited to the following: Business Resilience– Working with business leaders and technology leaders, to prepare for disruptive events and keep the business operating as usual during a disaster. Specifically, develop ... More