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  • 220 Alexander St, Rochester, NY 14607, USA; 5455, 303 S Broadway # 321, Tarrytown, NY 10591, USA; 625 State St, Schenectady, NY 12305, USA
    Req #216
    Tuesday, July 30, 2019
    Summary:Primary responsibilities include preparation of standard and adhoc analysis in support of key corporate initiatives for MVP’s business departments. Analyses involve independent structuring of a study including initial evaluation of the request, extraction of data from a warehouse using identified standard set of tools to manage large sets of data and production of high quality, professional reports for distribution. Ability to produce and review trend reports, perform budget-to-variance ... More
  • 625 State St, Schenectady, NY 12305, USA
    Req #211
    Friday, July 26, 2019
     Summary:Be a part of the transformation at MVP Health Care.   This position is a critical part of this transformation.  As a member of a Scrum team, this role 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 candid ... More
  • Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA
    Req #210
    Friday, July 26, 2019
    Associate, Integrated Care Medicaid       Summary: Responsible for interacting with health care professionals and members to supply computer generated authorizations for designated medically necessary services. This position provides telephonic outreach to members and health care providers to ensure coordinated health care services are in place and the patient’s established health care needs are being met. This position also strongly supports the Long Term Services and Supports prog ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA; Rochester Office, 220 Alexander Street, Rochester, NY, USA
    Req #183
    Monday, July 22, 2019
    This role will be responsible for the mapping the “as is state”, the “desired end state” and the steps necessary to evolve. Will focus on process measurement, change management and optimization of MVP’s processes across the enterprise. Focus on research and development – enabling new technologies to enhance current business processes. Assures new processes and sub-processes integrate appropriately with other business processes. Responsible for continued maintenance to and formal amendment of all ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #188
    Wednesday, July 17, 2019
    Sr Leader, Actuarial, Medicare Status: Full-time, Exempt: Yes 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. The Actuary must work collaboratively with Network, Informatics, Product and Finance and manage work flow and dependencies with external Actuarial consultants as needed. The Actua ... More
  • 220 Alexander St, Rochester, NY 14607, USA; 5455, 303 S Broadway # 321, Tarrytown, NY 10591, USA; 625 State St, Schenectady, NY 12305, USA
    Req #141
    Monday, July 1, 2019
    SummaryThe Business Intelligence (BI) Engineer works with analysts and business stakeholders to understand a business problem, need or opportunity in order to gather requirements, and then to design and build high performance solutions/reports focusing on maintainability, automation and the end-user.Creates scalable, maintainable, and reliable business intelligence infrastructure. Partners and collaborates with other technology teams to extract, transform, and load data for wide variety of poten ... More
  • 220 Alexander St, Rochester, NY 14607, USA; 625 State St, Schenectady, NY 12305, USA
    Req #124
    Monday, June 17, 2019
      Summary: Be a part of the transformation at MVP Health Care. Information Technology & Transformation Services (IT & TS), as a service-optimized IT organization, is focused on delivering business value to our customers and are continually evolving the way MVP uses technology to grow our business. The role has an essential role in our transformation to a service-optimized IT organization.    This position will support Department goals of implementing modern platforms for the enterprise while ... More
  • 625 State St, Schenectady, NY 12305, USA
    Req #114
    Monday, June 17, 2019
    Status: Full-time, Exempt           Summary: The role will be responsible for driving the successful activation and adoption of Dynamics365 CRM throughout the enterprise – this will be achieved by acting as the hero/ambassador/champion/coach for MVP departments and stakeholders; executing on-point and pertinent training, coaching and advocacy by ultimately immersing yourself into the end-user’s world.  With a direct focus on usage, adoption and evolvi ... More
  • Headquarters Office, 625 State Street, Schenectady, NY, USA
    Req #102
    Thursday, June 13, 2019
    Summary: Conducts verification of and processes credentialing and recredentialing applications of providers and organizational facilities in accordance with MVP Policies, NCQA standards, CMS, NYS Department of Health and other regulatory agencies. Processes Credentialing and Recredentialing Applications for practitioners and organizational providers including preparing files for the MVP Credentials Committee. Conducts primary source verifications from various sources (hospitals ... More
  • Rochester Office, 220 Alexander Street, Rochester, NY, USA; Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA
    Req #98
    Wednesday, June 12, 2019
    Professional, Transition Case Manager - BH     Status: Full-time, Exempt: Yes         Summary: This role will provide support to MVP members who are at risk for behavioral health or substance use readmission. MVP’s Transition Care team will outreach members during hospitalizations/rehabilitation and post discharge, to assist them in overcoming major “barriers to care”. This coaching is done through a variety of methods such as home visits and tel ... More