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  • 5455, 303 S Broadway # 321, Tarrytown, NY 10591, USA; Headquarters Office, 625 State Street, Schenectady, NY, USA; Rochester Office, 220 Alexander Street, Rochester, NY, USA; Virtual
    Req #586
    Monday, August 10, 2020
    Status: Full-time, Exempt  This position may be a virtual position (worked remotely). The Senior Leader, Accreditation and Quality Regulatory Compliance directs the strategic management and planning of the National Committee for Quality Assurance (NCQA) Health Plan Accreditation process. Strategizes and leads organizational efforts to achieve and maintain accreditations. Develops and prepares accreditation work plans, timelines and documentation. Serves as the subject matter expert and liaiso ... More
  • Virtual
    Req #587
    Friday, August 7, 2020
    Status: Full-time, Exempt Summary:As a member of MVP’s Operations Department, the role is primarily responsible for ensuring that quality products are delivered to the organization. The candidate will work as part of a cross-functional team to understand business processes, develop test plans, write test cases and execute test scenarios to ensure we are accepting high quality software that will meet our business need. The ideal candidate is a highly motivated, self-starter who is passionate abou ... More
  • Virtual
    Req #588
    Friday, August 7, 2020
    Status: Full-time, ExemptSummary: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. Identify areas for improvemen ... More
  • Virtual
    Req #589
    Friday, August 7, 2020
    Full-Time, Exempt The Microsoft Dynamics Business Analyst (BA) will assist in the design, vision, strategy and implementation across multiple business domains in a fast paced and digitally transforming business. The individual may be responsible for one or more aspects of the CRM platform including project management, business analysis, configuration, data, training, documentation, and support. The candidate must be extremely detail-oriented, have the ability tomultitask, and be able to prioriti ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Virtual
    Req #583
    Monday, August 3, 2020
    Status: Full-time, Exempt: YesA Security Analyst works to ensure MVP’s systems and business critical functions are secure. In this position they will design, build, test, and implement security systems within MVP’s business and IT environment. The Security Analyst will work to help identify security risks and areas of weakness and respond effectively to possible security breaches. Individual will work the security architect and security engineers assisting with security support and incidence res ... More
  • 220 Alexander St, Rochester, NY 14607, USA; Headquarters Office, 625 State Street, Schenectady, NY, USA; Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA; Virtual
    Req #581
    Friday, July 31, 2020
    Status: Full-time, Exempt: YesThis position may be a virtual position (worked remotely).This position will be part of the team that oversees and coordinates Quality functions related to end to end operations of Healthcare Effectiveness Data and Information Set (HEDIS), including medical record collection, abstraction, quality control, analysis, and reporting to meet all requirements of National Committee for Quality Assurance (NCQA) and regulatory agencies. Applies both subject matter and techni ... 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 #577
    Friday, July 31, 2020
    Status: Full-time, Exempt: YesThis position may be a virtual position (worked remotely). The Behavioral Health Management Coach will provide telephonic education and support to members with behavioral health conditions. The position will be responsible for improving health outcomes of and promoting appropriate preventive care for MVP’s members with behavioral health conditions. This role will outreach for post discharge cases, triage out of network requests and provide referrals. This role wi ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Virtual
    Req #579
    Wednesday, July 29, 2020
    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 seeking a h ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #580
    Wednesday, July 29, 2020
    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 oversight of the purpose and status of the projects across Operations at MVP and can use this oversight t ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #578
    Tuesday, July 28, 2020
    Professional, Actuarial Analyst Status: Full-time, Exempt: Yes Summary:   This role will provide support to the company in performing necessary day-to-day Actuarial tasks. Assists in premium rate development for MVP’s blocks of business. Develops, refreshes and analyzes financial forecasts and projections. Reviews actuarial models used to project future claim liabilities. Works to analyze MVP’s financial statements. Analyzes and refines current methodologies used for ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Virtual
    Req #575
    Thursday, July 23, 2020
    Status: Full-time, Exempt: YesA Security Engineer works to ensure MVP’s systems and business critical functions are secure and available. In this position the individual will design, build, test, and implement security systems within MVP’s business and IT environment. The Security Engineer must have a good understanding of MVP's IT systems to anticipate possible security risks, identify areas of weakness, and respond effectively to possible security incidents and breaches. Will be responsible fo ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #573
    Tuesday, July 21, 2020
    Provider Services, Associate, Care Center Status: Full-time, Exempt: No     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. Represen ... 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 #571
    Wednesday, July 15, 2020
    The Analyst will assist in the development, implementation and dissemination of new and existing analyses and reporting projects in the context of utilization, cost, quality and satisfaction. Working on the Informatics team, this role will partner with a variety of departments within MVP including Leadership across Finance, Employer Group, Informatics, Networks, etc. Using SQL database management tools and statistical methodologies, the Analyst will provide insights using various methods to help ... 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; Virtual
    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; 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 #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
  • 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 #492
    Friday, March 13, 2020
    JOB TITLE:Marketing & Communications Intern (2 openings)STATUS:Full-timeNUMBER OF HOURS PER WEEK:37.5LOCATION(S):SchenectadyTIMEFRAME JOB AVAILABLE: Summer and Fall OptionsRESPONSIBILITIES:An internship with MVP’s Marketing & Communications department is a great way to gain exposure, experience, and a portfolio of work in a variety of marketing, communications, and advertising areas. During the internship, you will work side-by-side with many members of the Marketing & Communications team, suppo ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #464
    Tuesday, February 18, 2020
    The M&C team has a fast-paced, highly-collaborative, results-oriented environment, while contributing to the corporate growth goals.  This is a new position that affords the candidate an opportunity to contribute to the team in a broader cross-functional capacity.   In this position, you will be engaging with M&C teams that are driving both acquisition and member retention.  You will support the internal client facing teams offering technical and data insights to influence bot ... More
  • Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #462
    Tuesday, February 11, 2020
    Full-time, Non-ExemptThis 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 outside vendors to resolve ... More