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  • Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA
    Req #793
    Wednesday, April 28, 2021
    Qualified Candidates must be Bilingual - English/SpanishProvides 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 respon ... 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 #786
    Tuesday, April 27, 2021
    Status: Full-time, Exempt   The Leader is responsible for leading the development and quality of clinical programs in association with the Medical Director. The Leader will coordinate clinical initiatives with colleagues in the Dual Special Needs Plan (DSNP). The Leader will be responsible for implementing clinical services, care management, disease management programs, and quality initiatives for all program members including but not limited to those with medical, behavioral, physical, inte ... 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 #794
    Monday, April 26, 2021
    Band: Professional IITA: Rose Troncoso SUMMARY:This position works as part of an integrated team designed to provide communication and marketing support for the Commercial line of business. Overall Commercial Product Marketing & Communications team objectives include but are not limited to: identifying, developing, and utilizing the most appropriate communication vehicle(s) to reach targeted audiences; creating, planning, and providing communications to help retain existing members and acquire n ... 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 #791
    Monday, April 26, 2021
    Full-Time, Exempt 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 of the Dynamics platform. Particip ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #792
    Friday, April 23, 2021
    SUMMARY: MVP Health Care is seeking an experienced marketing and communications professional to join our Product Marketing & Communications, Government Programs team. We are looking for an enthusiastic, creative and driven individual to provide marketing and communication expertise to our Medicare and/or State Programs (Medicaid, Child Health Plus, Essential Plan) lines of business. The ideal candidate will need to have a strong understanding of traditional and digital marketing tactics, with ... More
  • Burlington Office, 62 Merchants Row, Williston, VT, USA
    Req #777
    Friday, April 23, 2021
     SUMMARY:  Conduct all phases of selling including identify, qualify and meet with prospective clients located in the Vermont state 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, commu ... 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 #775
    Thursday, April 22, 2021
    Status: Full-time, Exempt: Yes   The Senior Leader, Platform Manager is a critical part of the digital transformation, managing and driving roadmap development for MVP’s technology platforms. The Agile Platform Manager will collaborate with Agile Product Managers, business partners, MVP stakeholders, and execution teams on roadmap development and solution design for MVP’s technology platforms (core administration, data, CRM, etc). The role will focus on optimizing the adoption and application of ... 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 #778
    Thursday, April 22, 2021
    This role will collaborate with business partners, MVP stakeholders, and execution teams on roadmap development and solution design for all software products and projects related to MVP’s Analytic products. The role will focus on facilitating and aligning product vision and execution with MVP strategies. Roadmaps must be supported by qualitative and quantitative data and link to outcomes and metrics. Responsibilities of this position will include the following: Identify and communicate vision f ... 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 #789
    Wednesday, April 14, 2021
    Status: Full-time, or Part-time Exempt: No  Provider Services, Associate, Care Center  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 va ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #774
    Thursday, March 25, 2021
    MVP Health Care is seeking an experienced marketing and communications professional to join our Product Marketing & Communications, Government Programs team. We are looking for an enthusiastic, creative and driven individual to provide marketing and communication expertise to our Medicare and/or State Programs (Medicaid, Child Health Plus, Essential Plan) lines of business. The ideal candidate will need to have a strong understanding of traditional and digital marketing tactics, with proven pr ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #769
    Monday, March 22, 2021
    Conducts detailed competitive, market, trend, and financial analysis. Builds and populates market share and financial reports. Closely monitors competitor and health insurance industry trends. Regularly updates dedicated SharePoint page and Power BI reports. Participates in brainstorming of new reporting concepts. Implements new reporting concepts designed to gain efficiencies and creates action plans to improve overall business processes. Provides accurate, timely reports with additional insigh ... 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 #768
    Monday, March 22, 2021
    Status: Full-time, Exempt: Yes   We are looking for a Full Stack, Software Engineer, 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 to the following: M ... 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 #773
    Friday, March 19, 2021
    Status: Full-time, ExemptThis position will be responsible for performing analytics and reporting on Medicare, Commercial Exchange, and Medicaid/HARP member populations to support various prospective and retrospective Risk Adjustment efforts. Duties can include but are not limited to: Design targeting based upon disparate data sources to identify members with likely risk gaps across. Provide regular reporting of Risk Adjustment programs and identify opportunities and obstacles. Measure capture r ... 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 #771
    Friday, March 19, 2021
    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 of solutions in support of accurate and tim ... 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 #766
    Thursday, March 18, 2021
    Status: Full-time, Exempt: Yes The Quality Engineer is a critical part of this transformation.  As a member of a Scrum team, the Quality Engineer 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 ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #770
    Thursday, March 18, 2021
    Full-Time, Exempt This 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. Embraces the use of new methods to facilitate the delivery of information including recorded sessions and the development of materials to be posted in the Ope ... 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 #759
    Wednesday, March 17, 2021
    Status: Full-time, Exempt: Yes The SCRUM Master is accountable for leading and coordinating successful implementations of large-scale, enterprise-wide corporate and IT initiatives, driving rapid realization of the company’s corporate strategic goals through initiative delivery and execution to meet needs and expectations of MVP customers and business partners. The individual will coordinate planning, collaboration, reporting and execution activities across multiple cross discipline teams. The Sc ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #724
    Friday, March 12, 2021
    Status: Full-time, Exempt: YesThe individual will work with MVP contracted pharmacy benefits manager and internal departments to ensure a positive member experience. Responsible in conjunction with other pharmacy team members for developing, evaluating and implementing new pharmacy benefits offered by MVP. Responsible for coordinating, monitoring and testing pharmacy product implementations in concert with other pharmacy team members, MVP coworkers, and vendors. Gatekeeper for interactions and l ... 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 #704
    Friday, March 12, 2021
    Status: Full-time, Exempt: Yes     This individual will join a team that develops solutions leveraging Robotic Process Automation (RPA) to enable faster, more accurate execution of repetitive tasks in production environments.  They will work collaboratively with Business Units across the organization in all facets of requirements gathering, process review, prioritization, development, testing and execution of requests. Provide training and guidance to stakeholders in IT and the Business to bet ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #741
    Tuesday, February 23, 2021
    Summary This role is responsible for monthly investment processing, general ledger recording and reconciliation of assigned   companies. Prepare  investment schedules for NAIC quarterly and annual filings of assigned companies. Assist in preparation of monthly investment reports for the Finance Committee.  Process  electronic funds transfers and prepare daily cash  position reports, including cash  forecasts as needed. Prepare  monthly reconciliations ... 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 #737
    Friday, February 19, 2021
    This role 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. Responsible for the gathering and articulation of business requirements. Evaluates all business processes and assists in developing and implementing process improvements to increase efficiency. Ma ... 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 #730
    Thursday, February 11, 2021
    Status: Full-time, ExemptSummary:This role is responsible for developing reports and analysis for consumption by internal and external department customers using a variety of company data sources in support of the information requirements for the Operations Department including Claims, Member services, and Managed Care Systems areas. Presents and explains results of analyses internally and externally. Architect, design, implement, and support a platform providing secured access to large datasets ... 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 #719
    Wednesday, February 3, 2021
    The Informatics Analyst will work on standard and adhoc analysis in support of key corporate initiatives for MVP’s Quality Improvement team, with the goal of providing tools for strategic decisions and recommendations for change. Activities will include performing analyses on cost, utilization, quality and population health metrics; consulting with internal stakeholders on business needs; acquiring and assembling new data; developing new metrics and measures, and conducting research on methodolo ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Virtual
    Req #707
    Thursday, January 28, 2021
    Full-Time, Exempt  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 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 Information Services business unit is see ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #706
    Wednesday, January 27, 2021
    Status: Full-time, Exempt: YesThe Network Project Manager will accomplish Network strategic objectives by leading complex and interdisciplinary projects/initiatives that drive growth, including Medicare expansion efforts in 2021 and beyond. This individual will work in coordination with the Sr. Leader, Network Strategy and other Network leadership and have responsibility for projects including the direction, workstream coordination, implementation, execution, controls and completion of project, ... More