The Sr. Specialist, Communications and Marketing professional works as part of an integrated team designed to provide cross-functional communication and marketing expertise to the business. Overall team objectives include but are not limited to:...

Monitors and records the quality of work performed by units within the Operations Department for pre-payment of claims and claims audits, for all regions in all lines of business. Identify trends in specific errors and error rates. Determines and...

Primary responsibility is to work on a consultative basis with employer group accounts in strategizing population health management (PHM) initiatives. The Worksite Consultant uses a number of different resources, primarily employer group specific...

Thoroughly investigates and resolves appeals and complaints in professional and timely manner following departmental and company processes and within time limits set forth by member or provider contracts. Monitors appeals and complaints for trends...

This qualified professional will be responsible for group reconciliations as well as performing collection efforts for all group accounts. This person will have primary contact with the Benefit Administrators of Employer Groups regarding billing...

The QA Lead will report to the Director of Business Intelligence Solutions and work with the QA Analyst provide software and data quality oversight and satisfy the testing needs of the Informatics team. The Lead will work as a part of one or more...

The Treasury Accountant is responsible for monthly investment processing, general ledger recording and reconciliation of assigned companies. Prepare investment schedules for NAIC quarterly and annual filings of assigned companies. Assist in...

The Senior Leader, Engineering is a critical part of this transformation. MVP is looking for an experienced engineering and technology professional to lead, manage, and mentor the IT Business Services engineering team. We are looking for a creative,...

Summary: This individual coordinates and supervises departmental moves, which include interacting with supervisory personnel and staff, providing moving materials, and arranging for moving services. Dispatches and monitors...

Summary: The Staff Auditor would be responsible for performing financial, operational, and regulatory audits included on the audit plan for all of MVP's operational locations to ensure compliance with company and regulatory policies...

Status: Full-time, Exempt: Yes Summary: Manages hospital/health system relationships including negotiations of rates, reimbursement methodologies, issue resolution, and contract language. Responsible for maintaining a positive...

Under the direction of the Leader, Cost Containment and Recovery; Investigate, monitor and review other group health coverage that may be primary over MVP plans through various reports and online methods including inbound/outbound calls. Updating...

The Events Specialist plays a critical role in maximizing sponsorship deliverables, enhancing brand equity in the marketspace, and increasing awareness of MVP’s presence in the community. Responsibilities include, executing deliverables tied to MVP...

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...

This qualified professional will be responsible for group reconciliations as well as performing collection efforts for all group accounts. This person will have primary contact with the Benefit Administrators of Employer Groups regarding billing...

Primary responsibility is to work on a consultative basis with employer group accounts in strategizing population health management (PHM) initiatives. The Worksite Consultant uses a number of different resources, primarily employer group specific...

MVP Health Care is seeking an outstanding analytical and technically skilled Reporting Engineer to join our team. This position will be responsible for developing reports and analysis for consumption by internal and external department customers...

This individual coordinates and supervises departmental moves, which include interacting with supervisory personnel and staff, providing moving materials, and arranging for moving services. Dispatches and monitors facilities service requests and...

This position will be responsible for the administration and support of assigned vendor and custom applications in all the environments where those applications are installed. Installs and performs daily administration of multiple applications....

Oversees the day-to-day operations of the Acute Inpatient Concurrent Review Nurses. Coordinates the care provided to MVP members as they move from home to hospital, extended care facility or community resource. Supervises the review and reporting of...

MVP Health Care is seeking a Digital Marketing & Social Media Specialist/Professional to assist with defining, developing, and implementing a social media marketing strategy. This professional will exhibit passion and knowledge of using social...

Be a part of the transformation at MVP Healthcare. We are continually evolving the way MVP uses technology to grow our business, transforming the organization through Cloud Computing, Agile Delivery, and DevOps. The Software Engineer is a critical...

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...