Job Search

Loading...
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #566
    Friday, July 10, 2020
    Full-time, Non-ExemptUsing a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess Systems. Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. Reviews and ensures the accuracy of all changes to claim line information based on information received from other departments and in accord with available benefit information. Is responsible for the timely and accurate adjudication ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #567
    Friday, July 10, 2020
    Full-Time, Non-ExemptBand: Associate ITA Rep: Jan CozzyBonus eligible: Standard Using a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess Systems. Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. Reviews and ensures the accuracy of all changes to claim line information based on information received from other departments and in accord with available benefit informatio ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #568
    Friday, July 10, 2020
    Full-Time, Non-Exempt Using a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess Systems. Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. Reviews and ensures the accuracy of all changes to claim line information based on information received from other departments and in accord with available benefit information. Is responsible for the timely and accurate adjudication ... 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 #561
    Thursday, July 9, 2020
    Software Engineer Status: Full-time, Exempt: Yes We are looking for a full stack, Software Engineer to has 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 follo ... 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 #560
    Thursday, July 9, 2020
    Status: Part-time, Exempt Provides clinical expertise and timely first and second level clinical determinations based on MVP’s policies/procedures, state and federal guidelines, national accreditation standards, benefits interpretations, and other medical necessity criteria as necessary. Supports MVP’s efforts to enhance business discipline of and collaboration between Utilization Management, Case Management, Appeals and other divisions of the Health Management Department to improve clinical ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #556
    Tuesday, June 30, 2020
    Associate, Chart Procurement SpecialistStatus: Full-time, Exempt: No Summary: This position works with provider offices and facilities to obtain medical records for the purpose of the Risk Adjustment team validating diagnoses that were sent to CMS (Center for Medicare & Medicaid Services). Works to collect medical records under a sometimes very strict deadline. Contacts local provider offices to schedule appointments to obtain medical records using a laptop and mobile scanner within the provider ... More
  • Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #557
    Tuesday, June 30, 2020
    Associate, Chart Procurement SpecialistStatus: Full-time, Exempt: No Summary: This position works with provider offices and facilities to obtain medical records for the purpose of the Risk Adjustment team validating diagnoses that were sent to CMS (Center for Medicare & Medicaid Services). Works to collect medical records under a sometimes very strict deadline. Contacts local provider offices to schedule appointments to obtain medical records using a laptop and mobile scanner within the provider ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #562
    Monday, June 29, 2020
    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
  • Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #554
    Friday, June 26, 2020
    The Desktop Support Intern supports desktop and laptop systems within the company including; unlocking accounts, swapping hardware, imaging, setup/installation and basic Windows and MS Office troubleshooting. Strives to meet or exceed Service Level Agreement with the customer. Maintains and updates Easy Vista helpdesk software of desktop support transactions.Essential Duties:Supports desktop and laptop end-users with IT related problems including responding to phone requests, setting up and admi ... 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 #555
    Friday, June 26, 2020
    Full-Time, ExemptBe 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 seeking a ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #518
    Friday, June 26, 2020
    Full-time, Non-ExemptUsing a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess Systems. Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. Reviews and ensures the accuracy of all changes to claim line information based on information received from other departments and in accord with available benefit information. Is responsible for the timely and accurate adjudication ... 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 #559
    Friday, June 26, 2020
    Status: Full-time, Exempt: YesThis position can be filled virtually as a remote employee. The 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 digital transformation. 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. 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 #558
    Thursday, June 25, 2020
    Full-Time, ExemptThe digital workplace is the concept that businesses should use digital transformation (DX) to align technology, employees, and business processes to improve operational efficiency and meet organizational goals. Meant to be the virtual compliment to the physical office space, the digital workplace is a broad term that includes any device, software, or platform that staff members use to execute their jobs. At MVP, we are leveraging Microsoft’s digital workplace technology stack, ... 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 #544
    Friday, June 12, 2020
    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 be ... 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 #541
    Wednesday, June 10, 2020
    Status: Full-time, ExemptMVP is seeking a person to be part of a community of people who care deeply about changing healthcare through innovation. The function will serve in the roles of teacher, facilitator, researcher, analyst, implementer, and manager of innovation projects. The position must be committed to being innovative, disruptive, and focused on delivering for customers. The person must fundamentally embrace our core values Doing the Right Thing, Being Humble, and Being Curious in the ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #552
    Tuesday, June 9, 2020
    Associate, Sales Enablement, Group ComplianceSummary:The Group Compliance Specialist performs quality review and validation functions within the Sales Department to ensure that all groups meet regulatory and MVPs filed Underwriting Guidelines. Cross-functional coordination on a daily basis working with multiple teams within Sales and other MVP departments to achieve responsibilities within the role and for assigned projects. Provide reports to internal users to communicate status of items and to ... 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 #551
    Wednesday, June 3, 2020
    Location Note: At this time the Human Resources team is primarily working from home. In the future this role may include in-office work. At that time, regular access to our Schenectady, Rochester or Tarrytown, NY office locations will be required. This role will support key processes within the Total Rewards HR Function and will actively contribute to the planning, coordination, and execution of specific strategic and operational initiatives. Provides HR Business Partner support for areas of ... More
  • Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #535
    Thursday, May 21, 2020
    Status: Full-time, Exempt: No  Summary: Identifies, collects, assesses, monitors and documents claim and encounter coding information as it pertains to CMS Hierarchical Condition Categories (HCC). Actively participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding compliance and consistency. Works with the Coding Leader of Medicare Risk Adjustment to ensure coding compliance and appropriate reimbursement from CMS. Performs other duties as as ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #538
    Friday, May 1, 2020
    Sr Leader, Actuarial, Medicare Status: Full-time, Exempt: Yes Primarily Remote position not required to re-locate, however, on occasion, must be available to commute to Schenectady and/or Rochester for team meetings or as required.   Summary: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. ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #437
    Monday, April 27, 2020
      This position will report to the Senior Leader, Enterprise Risk Management (ERM) and oversee MVP’s business continuity management activities necessary to keep the business running effectively and efficiently during and after a disruptive event. As part of the ERM team, the incumbent may also assist with other risk management activities.   The role includes but is not limited to the following:   Scale and maintain a BCM program that aligns to industry ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #526
    Friday, April 17, 2020
    Status: Flexible, Exempt: No Timeframe Job Available: Summer (May – August) 2020 The Enterprise Information Security Intern is responsible for assisting the CISO with many components of the institution's information security program. Must be available 15+ hours each week.  Duties and responsibilities can include: Review and update documentation for policies, procedures, standards and guidelines. Research and evaluate applications and services for use by t ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #475
    Thursday, April 2, 2020
      Status: Full-time, Exempt: Yes   MVP Information Services business unit is seeking a highly motivated – detail-oriented candidate for the position of Physical Security Manager. This position is responsible for all aspects of MVP’s physical security infrastructure and services. The successful candidate should be an independent thinker with excellent organizational skills and an ability to prioritize multiple demands in an aggressive paced environment.     The role includ ... More
  • Fishkill Retail Outreach, 300 Westage Business Center Drive, Fishkill, NY, USA; Headquarters Office, 625 State Street, Schenectady, NY, USA; Rochester Office, 220 Alexander Street, Rochester, NY, USA; Syracuse Office, 333 West Washington St, Syracuse, NY, USA; Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA; Virtual
    Req #428
    Thursday, April 2, 2020
    Status: Full-time, Exempt: Yes The Behavioral Health (UM for Autism Spectrum Services) makes triage and referral decisions requiring clinical judgement, with an emphasis placed on Autism Spectrum Disorders (ASD). The individual will follow members for mental health, substance use and co-morbid medical disorders according to the benefit guidelines and policies across the continuum of care.  The individual will review all requests for inpatient services in view of the Appropriate BH an ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #489
    Tuesday, March 24, 2020
    Status: Full-time, Exempt: YesThe 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 a highly ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #497
    Tuesday, March 17, 2020
    Full-time, Non-ExemptUsing a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess Systems. Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. Reviews and ensures the accuracy of all changes to claim line information based on information received from other departments and in accord with available benefit information. Is responsible for the timely and accurate adjudication ... More