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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 #1431Wednesday, May 24, 2023Fulll-Time, Exempt Position is virtual/remote within New York State only New York State Based Role. This role will be the liaison with external agencies to ensure coordination with the services they are providing to MVP Medicaid members. Specifically, as liaison to OCFS, county LDSS, and the 29-I Facility Foster Care Coordinators or Voluntary Foster Care Agencies (VFCA), this role will act as primary contact person to assist with enrollment, disenrollment, and access to care for the foste ...Read more about Professional, Foster Care Liaison Medicaid SBUMore
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Massena, NY 13662, USA ● Plattsburgh, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #1329Wednesday, May 24, 2023Individual Product Advisor helps facilitate enrollment in Qualified Health Plans (QHPs), Essential Plan, Medicaid, Child Health Plus, and HARP as well as enrolls consumers in Off-Exchange and Medicare Advantage (MA) products including D-SNP (Dual Special Needs Plan) as permitted under federal and state guidelines. Individual Product Advisor conducts individual and group Field Outreach activities throughout the assigned regions and conducts public presentations on MVP products. Individual Product ...Read more about Individual Product Advisor in North Country and RochesterMore
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Germantown, NY 12526, USA ● Headquarters Office, 625 State Street, Schenectady, NY, USA ● Hillsdale, NY 12529, USA ● Hudson, NY 12534, USA ● Kinderhook, NY 12106, USA ● Req #1397Wednesday, May 24, 2023Individual Product Advisor helps facilitate enrollment in Qualified Health Plans (QHPs), Essential Plan, Medicaid, Child Health Plus, and HARP as well as enrolls consumers in Off-Exchangeand Medicare Advantage (MA) products including D-SNP (Dual Special Needs Plan)as permitted under federal and state guidelines. Individual Product Advisor conducts individual and group Field Outreach activities throughout the assigned regions and conducts public presentations on MVP products. Individual Product ...Read more about Individual Product Advisor - Outreach in Columbia Greene CountyMore
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Fishkill, NY 12524, USA ● Tarrytown, NY, USA ● Westchester County, NY, USA ● Req #1444Monday, May 22, 2023Individual 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 Product ...Read more about Retail Outreach Operations, Individual Product Advisor - OutreachMore
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Burlington Office, 62 Merchants Row, Williston, VT, USA ● 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 ● Virtual ● Req #1449Friday, May 19, 2023Full-Time, ExemptPosition is virtual/remoteWho 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 Mobile application development teams work to build class leading cross-platform mobile app solutions to deliver our customers exciting and key functionality to ...Read more about Senior Mobile Software EngineerMore
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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 #1445Friday, May 19, 2023Status: Full-time, Non-Exempt Position may be virtual within New York State only The role is responsible for providing day to day support for the Operations Ancillary Services team and the sales team for fully insured and self-funded ancillary products. Ancillary Specialists handle Cobra, HRA, FSA & HSA programs & processes. Specific responsibilities include install new & renewal HRA, FSA & Cobra groups. Create & distribute HRA/FSA new member welcome letters. This position will also calculate ...Read more about HRA-Flexible Spending, Associate, AncillaryMore
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Status: Full-time, Non-Exempt Under the direction of the Appeals Manager: Thoroughly investigates and resolves member appeals and CTM’s in a professional and timely manner following departmental and company processes and within time limits set forth by CMS guidelines. Monitors appeals for trends and potential service improvement opportunities. Duties include: Investigates each appeal by gathering pertinent information from members, providers, facilities and internal resources in order to resp ...Read more about Medicare Appeal CoordinatorMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1440Wednesday, May 17, 2023Provides leadership and operational oversight of the administrative processes for commercial products, alternative funding products and stop loss solutions. This includes new sales and existing business implementation process administration for MVP’s commercial and self-funded business. Acting as subject matter expert for internal staff to ensure companywide processes accommodate commercial and alternative funding business needs. Acting as liaison between MVP and its stop loss partners, is subj ...Read more about Director of Sales Administration ASO and Alternate Product ManagementMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1443Wednesday, May 17, 2023Position has overall responsibility for the activities of the Large Group Account Management team and Large Group New Business Sales team for Hudson Valley, Capital Region, and Vermont. Director will be responsible for assuring smooth, timely and professional performance of the department with the primary responsibility of writing new large cases and expanding membership of existing cases through brokers, consultants and direct sales activity that meets or exceeds projections each year. Conduct ...Read more about Sr. Director of New Commercial Sales & Account Management, East RegionMore
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Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #1442Wednesday, May 17, 2023Position has overall responsibility for the activities of the Large Group Account Management team and Large Group New Business Sales team for Rochester, Syracuse, and Utica market. Director will be responsible for assuring smooth, timely and professional performance of the department with the primary responsibility of writing new large cases and expanding membership of existing cases through brokers, consultants and direct sales activity that meets or exceeds projections each year. Conducts reg ...Read more about Sr. Director of Commercial Sales & Account Management, West RegionMore
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Fishkill, NY 12524, 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 #1439Wednesday, May 17, 2023Are you an assertive leader who learns quickly, embraces change, and can see around corners? Is the customer at the heart of all you do? Do you have a coaching mentality, hold others accountable and know how to read a room? If you are a persuasive problem-solver with a strong sense of urgency and a desire to get things done, then this position may be perfect for you! The VP of Marketing will lead MVP's corporate marketing, customer segmentation, product marketing, digital marketing, and overal ...Read more about VP of Marketing and CommunicationsMore
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Burlington Office, 62 Merchants Row, Williston, VT, USA ● Fishkill Retail Outreach, 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 ● Virtual ● Req #1380Tuesday, May 16, 2023Full-Time, Exempt Position can be virtual/remote. Job Overview:FP&A Business Partners at MVP have an active role to play in supporting their functional leadership teams in making informed decisions. In addition to budgeting, forecasting, and analysis, the FP&A partner must have a strategic mindset and desire to be actively engaged with their assigned functional areas. There are four key desired traits: Ability to build strategic engagement.Ability to develop strategic insight. Ability to commu ...Read more about Financial Planning & Analysis Business PartnerMore
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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 #1437Monday, May 15, 2023Status: Full-time, Non-Exempt This individual will be part of the outreach experience focused on delivering value added services. Success will be determined by establishing a meaningful connection which improves the customer experience, increases member health care literacy, and contributes to customer retention. Majority of contact is via telephone, with some written correspondence/e-mail as needed. Perform outbound campaigns in support of meeting quality objectives, to welcome new members to p ...Read more about Associate, Outbound Call CenterMore
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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 #1435Monday, May 15, 2023Status: Full-time, ExemptSummary:Under the direction of the Leader of Case Management, the Behavioral Health Case Manager will provide education and support to customers with behavioral health conditions. The Behavioral Health Case Manager will be responsible for improving health outcomes of and promoting appropriate preventive care for MVP’s members with behavioral health conditions. MVP’s Behavioral Health Case Manager will coordinate care during hospitalizations and post discharge, to assist ...Read more about Professional, Behavioral HealthMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #1365Friday, May 12, 2023Full-Time, Non-Exempt This position will be Hybrid. This position serves under Member Operations, directly supporting the Customer Billing & Enrollment team. This role will be responsible for completing the team’s daily workload including enrollment, billing and payment related transaction processing, reconciliation, and research, for all assigned accounts. This individual will work closely with multiple internal departments to provide excellence in servicing all MVP customers, including member ...Read more about Associate, Member Ops Billing & EnrollmentMore
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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 #1433Friday, May 12, 2023Full-Time, Non-ExemptProvides 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 responds to all Department of Health audi ...Read more about Provider Services Associate, Care Center RepresentativeMore
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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 ● Vermont, USA ● Req #1430Tuesday, May 9, 2023In this position, the individual will manage all regulatory and functional processes, act as the administrator of the Sales Team SharePoint site establish strategies to ultimately drive overall sales growth. You will be responsible for providing support to the sales organization through analytics (this is the competitive analysis we talked about – what our competitors are doing, what MVP does that is similar and what differentiates MVP from competitors), process management (validating and writ ...Read more about Growth Planning & Analytics, Sales Enablement AnalystMore
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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 #1423Tuesday, May 9, 2023Full-Time, ExemptPosition can be Remote/VirtualMVP enrolls and renews over half a million customers annually. We are committed to continually analyzing and improving all the data related to our customers. This individual will be the champion for customer data – understanding its importance and how it is used throughout the enterprise. This individual will be an accountable owner and ensure all customer data is acquired, stored, consumed to ensure the highest accuracy and efficiency - therefore d ...Read more about Professional, Member Ops Data QualityMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #1432Tuesday, May 9, 2023Are you an assertive leader who has healthcare experience in government programs? Do you put the customer first? Do you have a coaching mentality and hold others accountable? If you are a persuasive problem-solver with a strong sense of urgency and a desire to get things done, then this position may be perfect for you! The Senior Director of Medicare Product Marketing will lead MVP's Medicare marketing team and collaborate with our partners on effective marketing, utilizing a variety of traditio ...Read more about Medicare Marketing, Sr. Director, Field & Government Product Marketing & CommunicationsMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #1375Tuesday, May 9, 2023Hospital Based Case Manager Department: Health Management Case Manager Summary: This position will utilize the essentials of an integrated case management model that includes assessment, planning, implementation, care coordination, monitoring, and care planning to meet the comprehensive health needs of members admitted to selected hospital facilities. In collaboration with hospital discharge staff, the Case Manager will identify the medical and psycho-social needs of members, ...Read more about Hospital Based Case ManagerMore
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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 ● Req #1429Friday, May 5, 2023Full-Time, ExemptPosition is Hybrid Do you have a passion for operations, technology, data, transformation and innovation? If so, then we have the job for you. The Sr. Director, Business Transformation is a new position reporting into the Vice President, Business Transformation. You will be entirely focused on transforming the way we conduct and operate traditional business functions, challenging the status quo each and ever day. The scope for this position is broad and includes working with col ...Read more about Director, Business TransformationMore
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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 ● Req #1428Thursday, May 4, 2023Responsible for research, data, and analytics for the Product Strategy and Design team. Conducts primary and secondary research on competitive and market trends. Develops and implements new reporting concepts designed to gain efficiencies and creates action plans to improve overall business processes. Provides accurate, timely reports with additional insight to allow business partners to improve performance. Partners with business stakeholders across the organization for ad hoc research and anal ...Read more about Product AnalystMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #1394Thursday, May 4, 2023SUMMARY MVP Is looking for an independent, assertive, and enthusiastic candidate to grow membership while engaging the community. This position will be the face of MVP in the community for many, with the opportunity to shape how the organization is perceived. This important role of Medicare Sales Representative will conduct all phases of selling including identifying, qualifying and meeting with prospective clients located in the Schenectady, NY area for purposes of presenting Medicare Advant ...Read more about Medicare Sales RepMore
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Burlington Office, 62 Merchants Row, Williston, VT, USA ● Vermont, USA ● Req #1399Thursday, May 4, 2023SUMMARY MVP Is looking for an independent, assertive, and enthusiastic candidate to grow membership while engaging the community. This position will be the face of MVP in the community for many, with the opportunity to shape how the organization is perceived. This important role of Medicare Sales Representative will conduct all phases of selling including identifying, qualifying and meeting with prospective clients located in the Burlington VT area for purposes of presenting Medicare Advantag ...Read more about Medicare Sales VermontMore
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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 ● Req #1424Tuesday, May 2, 2023Job Title: Quality Operations Program Manager Job Summary: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 Quality Program Manager. This position will direct report to the Director, Quality Operations and will support the development, implementation of quality initiatives and programs in alignment with departmental a ...Read more about Quality Operations Program ManagerMore