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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1967Friday, March 29, 2024Full-time, Exempt. Hybrid to Schenectady N.Y. The Total Rewards Specialist will support compensation processes within the Total Rewards HR Function and will actively contribute to the execution of key deliverables. The role’s primary accountability will be to support the calculation and administration of all company sales incentives, including but not limited to—Commercial, Government Programs, and Recruitment. This position will partner with both Sales Leadership and Sales Operations to ensur ...Read more about Talent, Professional, Total Rewards Specialist.More
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Dutchess County, NY, USA ● Fishkill Office, 300 Westage Business Center Drive, Fishkill, NY, USA ● Orange County, NY, USA ● Sullivan County, NY, USA ● Ulster County, NY, USA ● Req #1968Thursday, March 28, 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 Produ ...Read more about Individual Product Advisor - FishkillMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1882Wednesday, March 27, 2024This Small Business Sales Professional will maintain and grow small business through MVP’s broker distribution channel and individual market. Must meet or exceed membership and retention goals for the following market segments: Small Group 1-100 eligibles, both on and off exchange to ensure all service protocols, productivity, sales and quality standards are being met. This individual will develop new distribution channels to support commercial growth in target markets and products. They will ...Read more about Small Business SalesMore
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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 #1914Tuesday, March 26, 2024Full-Time, Exempt Responsible for state and federal submissions in an accurate and timely manner. Accountable for regulatory reporting within the organization and government entities. Reconciling encounter data and providing root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information. Continuously monitor the statuses of existing processes and identify discrepancies or process improvements. Actively participate in the d ...Read more about Technical Business Analyst, Encounter Data Integrity & DeliveryMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Virtual ● Req #1926Monday, March 25, 2024Full-Time, Exempt Provide advanced network architectural design and support for MVP’s current and future network infrastructure. Lead in the design and implementation of network strategies, roadmaps and architectures to enable a secure and scalable network infrastructure. Lead or consult on complex technology projects requiring deep subject matter expertise in various fields of specialization, such as security, cloud, and network monitoring. Requirements Proficient in creating networ ...Read more about Senior Network ArchitectMore
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625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Virtual ● Req #1917Monday, March 25, 2024Status: Full Time, Exempt The Quality Program Manager of Regulatory and Compliance facilitates and participates in the implementation of the Quality Improvement Program organization wide. This healthcare professional coordinates the planning, monitoring, and evaluation of the Quality and Regulatory Readiness program. They participate in planned and unplanned regulatory visit activity and promote collaborative practice among departments/services for improved quality outcomes, processes of care ...Read more about Professional, Quality Regulatory Compliance ManagerMore
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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 #1945Thursday, March 21, 2024Full-Time, Exempt Position is virtual/remote position will be responsible for the coordination of all State and Regulatory audits and requests within the Operations Department. The Professional will ensure compliance with the issuance of all post service claims communications for Insured and ASO lines of business to promote the optimal member experience while continuing to adhere to state and federal guidelines. They will be engaged with Corporate Compliance to ensure all regulatory requi ...Read more about State and Federal Regulatory Oversight ProfessionalMore
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220 Alexander St, Rochester, NY 14607, USA ● 303 S Broadway # 230, Tarrytown, NY 10591, USA ● 625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #1964Wednesday, March 20, 2024Status: Full Time, Exempt Under the direction of the Leader of Case Management, the Behavioral Health Case Manager will provide education and support to customers with behavioral health conditions. The Behavioral Health Case Manager will be responsible for improving health outcomes of and promoting appropriate preventive care for MVP’s members with behavioral health conditions. MVP’s Behavioral Health Case Manager will coordinate care during hospitalizations and post discharge, to assist our ...Read more about Case Manager Behavioral HealthMore
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Status: Full Time, Exempt This position will be responsible for supporting the City of Rochester employee wellness strategy both in development and execution of programs. Additionally, this position will support improving the health of the Greater Rochester Community through creative and impactful wellness and well-being programming that aligns to the Mayor of Rochester’s community wide focus areas. ESSENTIAL JOB FUNCTIONS: Develop meaningful and impactful programs and i ...Read more about Health Promotion Program ManagerMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #1963Tuesday, March 19, 2024Full-time, Non-Exempt Position is remote/virtual Addresses phone calls regarding inquiries, questions, and concerns relating to member Flexible Spending Accounts and Health Reimbursement Accounts. Has a good understanding of Flexible Spending Accounts (FSA’s), Health Reimbursement Arrangements (HRA’s) and governing IRS Guidelines. Setup and maintain client and participant account information within the Alegeus claims payment system. Supports processing of claims disbursements, and weekly/mo ...Read more about Associate, Dental & FSA ServicesMore
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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 #1944Tuesday, March 19, 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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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 #1932Thursday, March 14, 2024The Actuary will support the functions/tasks of the Actuarial Department in a more advanced and independent capacity. The functions include any of the following: premium rate development and regulatory filings, financial forecasting, experience studies, monthly reserve setting, provider risk sharing analytics/contracting, model development and other duties as assigned. The Actuary will be proficient in use and knowledge of large databases, Datamarts advanced excel modeling, SQL coding a ...Read more about ActuaryMore
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Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #1957Wednesday, March 13, 2024Full-Time, Non-Exempt Onsite position - Rochester, NY Summary: 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 de ...Read more about Deskside Support EngineerMore
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625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Virtual ● Req #1936Wednesday, March 13, 2024Status: Full Time, Non-Exempt The bilingual representative provides optimum customer service as required to maintain existing members and prevent cancellations. Address 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 Average ...Read more about Bilingual Member Services Associate, Care Center RepresentativeMore
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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 #1933Wednesday, March 13, 2024Full-Time, Exempt Position will be virtual/remote SUMMARY: Responsible for managing and coordinating project tasks for Internal Product Setup and Product Filing processes across the enterprise. Serves as the subject matter expert on building products for new plans/groups or existing products including knowledge of operational needs, membership of plans and regulatory compliance requirements. Continuously works through established channels and processes to collaborate on tasks identified to i ...Read more about Professional, Product 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 ● Virtual ● Req #1905Saturday, March 9, 2024This role is for a Finance Systems Administrator, with a primary focus on Workday Financials and Adaptive Planning. In this position, you will play a crucial role in helping us leverage our new ERP system by designing and configuring business processes and reporting that enable further automation. You will proactively engage in understanding organizational needs and requirements and leverage your subject matter expertise to develop technical solutions and implement best practices in data mod ...Read more about Finance System AdministratorMore
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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 #1929Friday, March 8, 2024Full-Time, Exempt The Professional, Data Platform Architect’s role is to use expert skills and knowledge to define and deliver data solutions and to contribute to the development and implementation of the enterprise data strategy ensuring it is in line with and supports the IT and Business strategies. With the growing push of data and information being used as corporate assets, serving as integral platforms for generating revenue and competitive advantages, this individual must be able to u ...Read more about Data Platform ArchitectMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1924Friday, March 1, 2024Professional SME responsible for supporting the comprehensive data reporting and analytical needs for Run the Business support across the various Departments in the organization. Professional will partner with Digital SMEs to build new foundational data models bringing together disparate data sources to solve the business reporting need in a more efficient, powerful and flexible business intelligence way. Professional will also support Digital and other Teams as needed as business analyst SMEs ...Read more about Business Intelligence AnalystMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1916Thursday, February 29, 2024Hybrid to Schenectady, New York. Senior Director of Vendor Management is a key leader in the vendor ecosystem. The leader will work with business owners across the organization to ensure alignment to our values, and excellent member experience, and value to our customers and MVP. This position provides oversight for strategic vendor agreements beginning with a deep understanding and focus on execution of the strategies and goals for each vendor engagement. Working closely with business ow ...Read more about Senior Director, Vendor ManagementMore
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Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Westchester County, NY, USA ● Req #1894Tuesday, February 27, 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 Leader, Outreach StaffMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1911Tuesday, February 20, 2024Are you willing to be in the community, developing relationships to foster MVP growth? Do you understand customer unmet needs and how to differentiate product offerings? Are you an impact-oriented, collaborative leader who learns quickly, embraces change, and can see around corners? Do you have a knack for asking the right questions and holding others accountable? If you are a persuasive problem-solver with a strong sense of urgency and a desire to make an impact, then this position may be p ...Read more about Vice President Government ProgramsMore
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220 Alexander St, Rochester, NY 14607, USA ● 303 S Broadway # 230, Tarrytown, NY 10591, USA ● 625 State St, Schenectady, NY 12305, USA ● Req #1915Tuesday, February 20, 2024Status: Full Time, Exempt To provide MVP members enrolled in the Medicaid Long Term Support Program with the psychosocial support needed to cope with chronic, acute, or disabling conditions. The Social Worker will telephonically assess, identify needs, coordinate, educate, case manage and/or coach members. Services include providing member education and counseling, making necessary referrals to social service programs, and coordinating necessary services for MVP members in the Medicaid LTSS pr ...Read more about Social Worker, Medicaid Long Term Support ProgramMore
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Dutchess County, NY, USA ● Fishkill Office, 300 Westage Business Center Drive, Fishkill, NY, USA ● Orange County, NY, USA ● Putnam County, NY, USA ● Rockland County, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Westchester County, NY, USA ● Req #1861Monday, January 22, 2024The Professional, Field Marketing & Community Partnerships plays a critical role in strengthening MVP Health Care’s brand value and creating opportunities to connect with our members and potential members through community organizations and events. Responsibilities include oversight and relationship management of vendor/partner relationships, sponsorships and initiatives that support growth – both new sales and retention. In this role, the individual will work on strategic initiatives and maint ...Read more about Field Marketing & Community PartnershipsMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #1856Friday, January 12, 2024Full-Time, Exempt This position is a critical part of this transformation. As a member of a Scrum team, this role is primarily responsible for that ensuring 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 ideal candidate is a highly motivated, self-starter wh ...Read more about Quality EngineerMore
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220 Alexander St, Rochester, NY 14607, USA ● 303 S Broadway # 230, Tarrytown, NY 10591, USA ● 625 State St, Schenectady, NY 12305, USA ● Req #1819Tuesday, December 12, 2023Status: Full Time, Exempt The Quality Liaison for Provider Engagement and Outreach is a Quality Subject Matter Expert (SME) responsible to support MVP’s Quality Provider strategies, including planning, implementation, execution, and performance monitoring of contracted, in-network Providers. The Quality Liaison provides day to day support to the MVP Provider teams (Provider Engagement, Relations, Network and Contracting), works directly with Providers, Network and Community Based Organization ...Read more about Quality Liaison, Provider Engagement & OutreachMore