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  • Rochester, NY, US; Schenectady, NY, US
    Req #70
    Wednesday, June 12, 2019
    Professional, Claims Operations Team Lead  Summary: This role will be responsible for ensuring great member and provider experience by leading multiple projects and initiatives, concentrating on putting our customers at the center of how Operations operates. Responsibility for oversight on all projects including direction, coordination, implementation, execution, controls, and completion, while remaining aligned with the strategy and values of the organization and ensuring all proj ... More
  • Newburgh Office
    Req #95
    Wednesday, June 12, 2019
    Associate, Outreach Representative      Status: Full-time, Exempt: No Referral Bonus: Standard Talent Acquisition Representative: Rosemary Troncoso, rtroncoso@mvphealthcare.com Location: Newburgh, NY   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 Outre ... More
  • Schenectady, NY, US
    Req #91
    Wednesday, June 12, 2019
    Professional, Client Support      Status: Full-time, Exempt: Yes Referral Bonus: Standard Talent Acquisition Representative: Rosemary Troncoso, rtroncoso@mvphealthcare.com Location: Schenectady, NY   Summary: 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 g ... More
  • Binghamton Office; Rochester Office; Schenectady, NY, US; Syracuse Office; Utica Office
    Req #90
    Wednesday, June 12, 2019
    Professional, Contracts Manager    Status: Full-time, Exempt: Yes       Summary: Manages hospital and facility contracts including negotiations of rates, reimbursement methodologies and contract language. Responsible for maintaining a positive professional working relationship between MVP and the Facilities. Uses data on cost, utilization and other data trends as part of the negotiation process. Uses Medicare, Medicaid and MVP proprietary rei ... More
  • Headquarters Office
    Req #73
    Wednesday, June 12, 2019
    Professional, CRM Administrator  Summary: 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 of the Dynamics platform. Participate in planning, organizing and management of all CRM applications projects to ensure effective operations. Monitor CRM processes, resolving issues that arise in the execution of campaigns & workflows. Id ... More
  • Headquarters Office
    Req #77
    Wednesday, June 12, 2019
    Professional, Operations Program Manager    Status: Full-time, Exempt       Summary: The Operations Program Manager will accomplish strategic objectives by leading multiple projects and initiatives. Responsibility for projects includes the direction, coordination, implementation, execution, controls and completion of project, while remaining aligned with strategy, commitments and goals of the organization. The Operations Program Manager has o ... More
  • Newburgh Office
    Req #85
    Wednesday, June 12, 2019
    Associate, Outreach Representative     Status: Full-time, Exempt: No Referral Bonus: Standard Talent Acquisition Representative: Rosemary Troncoso, rtroncoso@mvphealthcare.com   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 fai ... More
  • Schenectady, NY, US
    Req #82
    Wednesday, June 12, 2019
        Status: Full-time, Exempt: Yes Referral Bonus: Standard Talent Acquisition Representative: Rosemary Troncoso, rtroncoso@mvphealthcare.com   Summary: MVP Health Care is seeking an experienced social media professional to join the Marketing & Communications team. We are looking for someone with the passion, creativity, and drive to elevate our online community. The ideal candidate will be a digital and social trendsetter at ... More
  • Tarrytown, NY, US
    Req #76
    Wednesday, June 12, 2019
    Leader, Care Center Staff and Operations Medicaid      Status: Full-time, Exempt: Yes Referral Bonus: Standard Talent Acquisition Representative: Rosemary Troncoso, rtroncoso@mvphealthcare.com   Summary: Assists the senior leadership in the development and implementation of department policies and procedures. Assists senior leadership in establishing tangible departmental objectives and motivate team to achieve or exceed them. Coach and de ... More
  • Headquarters Office; Rochester Office; Tarrytown Office
    Req #75
    Wednesday, June 12, 2019
           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 with other department and outsid ... More
  • Schenectady, NY, US
    Req #72
    Wednesday, June 12, 2019
    Professional, Medicaid Operations - Implementation      Status: Full-time, Exempt: Yes Referral Bonus: Standard Talent Acquisition Representative: Rosemary Troncoso, rtroncoso@mvphealthcare.com   Summary: The role will accomplish strategic objectives by leading multiple projects and initiatives for MVP’s government programs. Responsibility for projects includes the direction, coordination, implementation, execution, controls an ... More
  • Schenectady, NY, US
    Req #71
    Wednesday, June 12, 2019
      Status: Full-time, Exempt     Summary: Under the direction of the Leader of Pricing and Claims Configuration: The Professional, Configuration Analyst develops and implements configuration into the Managed Care systems utilized by MVP to accommodate systematic provider reimbursement, adjudication rules and configuration solutions that enhance business processes/efficiencies. Responsible for interpreting and validating the accuracy of requests and development ... More