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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 #1832
    Friday, April 19, 2024
    Full-Time, Exempt   Position is remote/virtual   Who We Are We are continually evolving the way MVP uses technology to grow our business, transforming the organization through Cloud Computing, Agile Delivery, and DevOps. If you’re an IT Professional looking for exponential career growth and development, you are going to love working here! Our software development teams work to build class-leading digital solutions that meet our customers’ healthcare needs. Whether it’s new functionality or inte ... More
  • 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 #1914
    Friday, April 19, 2024
    Full-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 ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #1988
    Friday, April 19, 2024
    Responsible for performing analytics and reporting on Medicare, Commercial Exchange, and Medicaid/HARP member populations.  Analytical lead on various prospective and retrospective objectives in population health management including operational focus on Risk Adjustment efforts. Lead co-workers on 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. Meas ... More
  • 625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Vermont, USA ● Req #1987
    Thursday, April 18, 2024
    Status: Non-Exempt   This position will help licensed pharmacists take care of many of the daily operations of the pharmacy department.  Individuals in this fast-paced, frequently changing regulatory position will be responsible for: calling providers, members, and pharmacies; having knowledge of pharmacy benefits (medical and retail-based) for MVP’s multiple lines of business (Medicare/Commercial/Medicaid/etc.), multiple formularies and associated policies and staying on top of ongoing regulato ... More
  • 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 #1932
    Thursday, April 18, 2024
    The 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 ... More
  • 625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #1977
    Thursday, April 11, 2024
    Status: Full Time, Exempt   MVP’s Quality department focuses on improving the clinical well-being of MVP members by focusing on improving key metrics of care. The Quality department is seeking a fast paced, organized, and driven candidate for the position of Medicare Stars Quality Program Manager. This position will direct report to the Leader, Medicare Stars Quality Performance & Initiatives and will support program-level activities to ensure the goals are achieved. Achieves Medicare Stars obje ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1979
    Thursday, April 11, 2024
    We are continually evolving the way MVP uses technology to grow our business, digitally transforming the organization using modern technologies and platforms (.NET Core, React, Azure, etc).  The Customer Experience Team is a critical part of the digital transformation, managing and driving roadmap development for MVP digital product(s).  The Product Management Intern will serve an important function within our Customer Experience team at MVP to help drive best in class experiences for our custom ... More
  • Fishkill Retail Outreach, 300 Westage Business Center Drive, Fishkill, NY, USA ● Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1976
    Tuesday, April 9, 2024
    This Large Group Commercial Sales Professional develops, manage, and enhance relationships within MVP's broker distribution channel to support commercial growth within target markets and products.  Attends appropriate business functions to promote MVP and establish contacts in assigned communities.   Responsible for achieving assigned new business sales goals by writing new large group cases through brokers, consultants, and direct sales activity.  Analyzes and assesses existing competitor emplo ... More
  • 220 Alexander St, Rochester, NY 14607, USA ● 303 S Broadway # 230, Tarrytown, NY 10591, USA ● 625 State St, Schenectady, NY 12305, USA ● Vermont, USA ● Req #1962
    Tuesday, April 9, 2024
    Status: Full Time, Exempt   Provides professional oversight, leadership and guidance over the day-to-day operation of the Utilization Management (UM) Prospective and Retrospective leaders and teams. Assures compliance w/ Federal, State, NCQA, other regulatory agencies, & internal standards & requirements.  Keeps current on all state and federal regulations affecting UM activities. Monitors UM literature at the state and national level to ensure that MVP remains at the forefront of effective memb ... More
  • 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 #1861
    Saturday, April 6, 2024
    The 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 ... More
  • Fishkill Office, 300 Westage Business Center Drive, Fishkill, NY, 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 ● Req #1966
    Friday, April 5, 2024
    As a successful Leader of this high-performing team, you’ll be focused on increasing digital adoption through innovation, social media, and content marketing using data to make informed decisions that deliver personalized and high-converting engagements. Areas of digital marketing oversight include digital content strategy, content execution, and branding across multiple domains and audience segments, marketing automation strategy and execution, lead generation tools, digital analytics, paid and ... More
  • 220 Alexander St, Rochester, NY 14607, USA ● 625 State St, Schenectady, NY 12305, USA ● Tarrytown, NY, USA ● Req #1971
    Tuesday, April 2, 2024
    Status: Full Time, Exempt This individual will perform and be cross trained in selected departmental job functions as assigned. These include but are not limited to: Working as part of team to coordinate all aspects of P+T Committee, with appropriate notification to physician, member, and vendor; Responsible for pharmacy clinical and administration functions to support and optimize formulary strategy for the Medicare line of business.  Supporting the QI pharmacy initiatives, as well as disease s ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1967
    Friday, March 29, 2024
    Full-time, Exempt. Hybrid to Schenectady N.Y. The Compensation Analyst 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 ensure pa ... More
  • 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 #1968
    Thursday, March 28, 2024
    Individual 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 ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Virtual ● Req #1926
    Monday, March 25, 2024
    Full-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 ... More
  • Rochester, NY, USA ● Req #1961
    Wednesday, March 20, 2024
    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 ... More
  • 625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Virtual ● Req #1936
    Wednesday, March 13, 2024
    Status: 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 ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1924
    Friday, March 1, 2024
    Professional 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 ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1916
    Thursday, February 29, 2024
    Hybrid 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 ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1911
    Tuesday, February 20, 2024
    Are 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 ... More
  • 220 Alexander St, Rochester, NY 14607, USA ● 303 S Broadway # 230, Tarrytown, NY 10591, USA ● 625 State St, Schenectady, NY 12305, USA ● Req #1915
    Tuesday, February 20, 2024
    Status: 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 ... More
  • 625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #1770
    Tuesday, October 17, 2023
    Status: Full Time, ExemptThe Clinical Coordinator (CC) will work directly with customers, their families and/or advocates to ensure that the member has access to MVP resources offered through the Long-Term Support and Services (LTSS) Program. The CC works collaboratively with the RN case manager to support, promote, and facilitate engagement in the LTSS Case Management Program. The CC will work as a bridge between the customer, the health plan, and the Community based Organizations to create a ... More
  • 625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #1769
    Tuesday, October 17, 2023
    Status: Full Time, ExemptThis position will utilize the essentials of an integrated utilization management and case management model that includes assessment, planning, implementation, care coordination, monitoring, and advocacy to meet the needs of medically complex Medicaid members. Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members, act as a proactive partner, and provide appropriate education, coordination of care and resou ... More