39 Results for

MVP Health Care. Jobs in the United States

Jobs

Schenectady, NY8 days ago

$51,395–$68,354.75 Per Year

As an Appeals Specialist at MVP Health Care, you will play a crucial role in the nuanced landscape of healthcare, insurance or other related fields, focusing on reviewing and processing appeals related to service or coverage denials. An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

Schenectady, NY10 days ago

$93,667–$124,576.75 Per Year

An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care.

Rochester, NY10 days ago

$20–$26.60 Per Hour

We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

Schenectady, NY10 days ago

$93,667–$124,576.75 Per Year

Schenectady, NY24 days ago

$20–$26.60 Per Hour

Weve been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

Schenectady, NY24 days ago

$93,667–$124,576.75 Per Year

With the growing need to integrate and share data and information as corporate assets, serving as integral platforms for generating revenue and competitive advantages, this individual must be able to understand both the technical points of data management, as well as the business drivers and needs regarding data and solutions to promotes its effective use. The Professional, Data Engineer role is to use expert data analysis, documentation and process orchestration skills and knowledge to define and deliver data products and to contribute to the development and implementation of the enterprise data strategy ensuring it is in line with and supports the IT and Business strategies.

Rochester, NY15 days ago

Remote

$69,383–$92,279 Per Year

Ideal for experienced RNs looking to expand into utilization management, this position provides exposure to complex clinical decision-making, healthcare policy interpretation, and care coordination strategies. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care.

VT30+ days ago

Remote

$69,383–$92,279 Per Year

In this role you'll use advanced data mining and analytical techniques to identify improper payments, uncover cost savings opportunities, and support accurate, compliant claims payment across our health plan and report on financial trends. Bachelor's degree in healthcare administration, business, data science, or a related field or 5 years of equivalent experience in healthcare billing, claims adjudication, payment integrity operations, or healthcare reimbursement analytics.

Schenectady, NY30+ days ago

$121,767–$161,949.75 Per Year

Minimum Experience: • 6+ years in developing and integrating API/Restful web services using C# • 5+ years of experience with Microsoft Azure or other cloud service platform solutions • Deep understanding of cloud native API services and microservices architecture with experience in design, build, and operations in a production cloud environment • Demonstrated experience leading teams on API architecture initiatives • Demonstrated experience designing API architecture with modern security, testing and documentation principles and best practices • Extensive experience with RESTful services and API development design patterns • Experience with Scrum/Agile development methodologies • Experience with Visual Studio/Visual Code • Knowledge of unit testing, integration testing and code tuning • Experience with API management (APIM) and Gateway tools and best practices • Experience with distributed source code control (Git, GitHub, Bitbucket) • Experience with agile software development suite of tools (Azure DevOps, Jira, etc.) • Proficiency with relational databases including writing stored procedures and queries • Exhibit the desire to lead and mentor other developers on and across teams. What's in it for you: • Growth opportunities to uplevel your career • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team • Competitive compensation and comprehensive benefits focused on well-being • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

Fishkill, NY30+ days ago

$56,534.50–$75,190.23 Per Year

What's in it for you: • Growth opportunities to uplevel your career • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team • Competitive compensation and comprehensive benefits focused on well-being • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. Your key responsibilities: • Spearhead our membership growth initiatives in crucial target areas by identifying eligible individuals and seamlessly enrolling them in a variety of plans including Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP).

NY30+ days ago

Remote

$69,383–$92,279 Per Year

Tarrytown, NY30+ days ago

$28.80–$38.30 Per Hour

Schenectady, NY12 days ago

$93,667–$124,576.75 Per Year

Schenectady, NY12 days ago

$69,383–$92,279 Per Year

Schenectady, NY30+ days ago

$69,383–$92,279 Per Year

An Account Management & Engagement professional on the Growth team serves as the critical link between a company and its clients, ensuring that customer needs are met while driving revenue growth and maintaining profitable relationships. An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

Schenectady, NY17 days ago

$51,395–$68,354.75 Per Year

The Care Guide collaborates with Plan Guides during the sales processes to provide deep benefit and product knowledge that guides a prospective customer to their best plan options and serves as the escalation and transition point for customers with clinical needs to Care Management. Deep knowledge of Medicare, Medicaid, Commercial programs and products and understanding of current health care market and products/resources available in the community, social services, and public resources.

Schenectady, NY17 days ago

$121,767–$161,949.75 Per Year

Ensure the backlog is prioritized based on internal customers' needs; break down initiatives by translating business and technical priorities into features and gather requirements from internal customers and stakeholders to write user stories to be given to the scrum team for execution. An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

NY17 days ago

$20–$26.60 Per Hour

NY17 days ago

$24–$31.92 Per Hour

Your key responsibilities: Execute outbound campaigns with a primary focus on driving member retention, while supporting quality objectives, welcoming new members to plan offerings, and achieving defined campaign-specific goals. Success in this role requires strong communication, problem-solving, and customer service skills, along with the ability to meet performance goals, collaborate across departments, and maintain accuracy and professionalism in all interactions.

NY22 days ago

Remote

$69,383–$92,279 Per Year

An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. The ideal candidate will bring strong clinical judgment, experience in sub-acute care settings, and a commitment to improving healthcare delivery through effective collaboration and discharge planning.

Schenectady, NY17 days ago

$69,383–$92,279 Per Year

Tarrytown, NY17 days ago

$51,395–$68,354.75 Per Year

Rochester, NY15 days ago

$69,383–$92,279 Per Year

15 days ago

Remote

$69,383–$92,279 Per Year

Tarrytown, NY15 days ago

Remote

$69,383–$92,279 Per Year

Schenectady, NY15 days ago

Remote

$69,383–$92,279 Per Year

Schenectady, NY15 days ago

$69,383–$92,279 Per Year

Tarrytown, NY8 days ago

$51,395–$68,354.75 Per Year

Tarrytown, NY15 days ago

$69,383–$92,279 Per Year

Fishkill, NY30+ days ago

$28.80–$38.30 Per Hour

Schenectady, NY30+ days ago

The individual will be required to provide sales expertise and expert advice regarding MVP small group products, competitive positioning and value proposition that support a broker centric partnership with key distribution channels. • Develops and maintains a working knowledge of MVP operations, contract benefits and enrollment requirement to ensure new sales opportunities and renewal changes are installed with minimal disruption to employer groups and members.

Rochester, NY30+ days ago

$121,767–$161,949.75 Per Year

Schenectady, NY30+ days ago

$18–$25 Per Hour

Support the planning, coordination, and execution of marketing events and activations • Assist in creating and scheduling social media content • Help draft and edit internal communications such as newsletters and announcements • Support community engagement and outreach initiatives • Provide assistance with field marketing efforts and collateral preparation • Help ensure brand consistency across marketing materials. The Marketing & Communications Intern will support the execution of integrated marketing, communications, and engagement initiatives that strengthen brand awareness, enhance internal and external communications, and support community and field marketing efforts.

NY30+ days ago

$28.80–$38.30 Per Hour

Schenectady, NY30+ days ago

$93,667–$124,576.75 Per Year

This is a highly collaborative role that partners closely with Procurement, Legal, Compliance, Health Management, Network, Digital/IT, Finance, Business Owners and key stakeholders, both internally and externally, to ensure medical and network vendors are selected, governed, and overseen in a disciplined, transparent, and value-driven manner. Own end-to-end vendor lifecycle management, including intake, risk assessment, contract development, onboarding/implementation, ongoing governance, performance optimization, renewal, and deimplementation or termination for medical and network vendors.

Rochester, NY8 days ago

$51,395–$68,354.75 Per Year

NY8 days ago

$24–$31.92 Per Hour

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MVP Health Care. Jobs in the United States

Appeals Specialist MVP Health Care

Professional, Strategic Account Mgmt & Engagement MVP Health Care

Provider Services Representative MVP Health Care

Professional, Senior Software Engineer MVP Health Care

Behavioral Health Intake MVP Health Care

Professional, Data Engineer MVP Health Care

Concurrent Review - RN MVP Health Care

Payment Integrity Analyst - Data Mining & Savings Reporting MVP Health Care

Professional, API Architect MVP Health Care

Bilingual Health Insurance Navigator MVP Health Care

Payment Integrity Analyst - Data Mining & Savings Reporting MVP Health Care

Bilingual Health Care Enroller MVP Health Care

MEV Outreach Representative MVP Health Care

Professional, Sr. API Engineer MVP Health Care

Professional, PMO Specialist MVP Health Care

Professional, Account Management & Engagement MVP Health Care

Care Guide MVP Health Care

Leader, Product Owner, Public Site MVP Health Care

Associate, Claims Examiner MVP Health Care

Outbound Call Center MVP Health Care

Sub-Acute RN UM Reviewer - Medicare MVP Health Care

Professional, Software Engineer - AI MVP Health Care

Care Guide MVP Health Care

Clinical Appeals RN MVP Health Care

Concurrent Review - RN MVP Health Care

Concurrent Review - RN MVP Health Care

Concurrent Review - RN MVP Health Care

Clinical Appeals RN MVP Health Care

Appeals Specialist MVP Health Care

Clinical Appeals RN MVP Health Care

MEV Outreach Representative MVP Health Care

Professional, Preferred Client Manager MVP Health Care

Professional, API Architect MVP Health Care

Intern, Marketing & Communications MVP Health Care

MEV Outreach Representative MVP Health Care

Professional, Program Manager Vendor Management MVP Health Care

Appeals Specialist MVP Health Care

Associate, Accumulator Services MVP Health Care

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