Professional, Account Management & Engagement MVP Health CareProfessional, Account Management & EngagementSchenectady, NY$69,383–$92,279 / yearAn 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.
Professional, Data Engineer MVP Health CareProfessional, Data EngineerSchenectady, NY$93,667–$124,576.75 / yearWith 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.
Behavioral Health Intake MVP Health CareBehavioral Health IntakeSchenectady, NY$20–$26.60 / hourWeve 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.
Concurrent Review - RN MVP Health CareConcurrent Review - RNRemote$69,383–$92,279 / yearIdeal 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.
Concurrent Review - RN MVP Health CareConcurrent Review - RNSchenectady, NYRemote$69,383–$92,279 / yearIdeal 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.
Clinical Appeals RN MVP Health CareClinical Appeals RNRochester, NY$69,383–$92,279 / yearAn 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.
Concurrent Review - RN MVP Health CareConcurrent Review - RNTarrytown, NYRemote$69,383–$92,279 / yearIdeal 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.
Clinical Appeals RN MVP Health CareClinical Appeals RNSchenectady, NY$69,383–$92,279 / yearAn 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.
Care Guide MVP Health CareCare GuideSchenectady, NY$51,395–$68,354.75 / yearThe 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.
Leader, Product Owner, Public Site MVP Health CareLeader, Product Owner, Public SiteSchenectady, NY$121,767–$161,949.75 / yearEnsure 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.
Outbound Call Center MVP Health CareOutbound Call CenterNY$24–$31.92 / hourYour 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.
Professional, PMO Specialist MVP Health CareProfessional, PMO SpecialistSchenectady, NY$69,383–$92,279 / yearAn 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.
Sub-Acute RN UM Reviewer - Medicare MVP Health CareSub-Acute RN UM Reviewer - MedicareNYRemote$69,383–$92,279 / yearAn 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.
MEV Outreach Representative MVP Health CareMEV Outreach RepresentativeFishkill, NY$28.80–$38.30 / hourAn 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.
Professional, Preferred Client Manager MVP Health CareProfessional, Preferred Client ManagerSchenectady, NYThe 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.
Professional, API Architect MVP Health CareProfessional, API ArchitectRochester, NY$121,767–$161,949.75 / yearMinimum 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.
Intern, Marketing & Communications MVP Health CareIntern, Marketing & CommunicationsSchenectady, NY$18–$25 / hourSupport 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.
Professional, API Architect MVP Health CareProfessional, API ArchitectSchenectady, NY$121,767–$161,949.75 / yearMinimum 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.
Bilingual Health Care Enroller MVP Health CareBilingual Health Care EnrollerTarrytown, NYWhat'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).
MEV Outreach Representative MVP Health CareMEV Outreach RepresentativeTarrytown, NY$28.80–$38.30 / hourAn 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.
Payment Integrity Analyst - Data Mining & Savings Reporting MVP Health CarePayment Integrity Analyst - Data Mining & Savings ReportingNYRemote$69,383–$92,279 / yearIn 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.
Bilingual Health Insurance Navigator MVP Health CareBilingual Health Insurance NavigatorFishkill, NY$56,534.50–$75,190.23 / yearWhat'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).
Professional, Strategic Account Mgmt & Engagement MVP Health CareProfessional, Strategic Account Mgmt & EngagementSchenectady, NY$93,667–$124,576.75 / yearAn 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.
Appeals Specialist MVP Health CareAppeals SpecialistSchenectady, NY$51,395–$68,354.75 / yearAs 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.
Appeals Specialist MVP Health CareAppeals SpecialistTarrytown, NY$51,395–$68,354.75 / yearAs 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.
Clinical Appeals RN MVP Health CareClinical Appeals RNTarrytown, NY$69,383–$92,279 / yearAn 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.
Professional, Software Engineer - AI MVP Health CareProfessional, Software Engineer - AISchenectady, NY$69,383–$92,279 / yearWe'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.
Associate, Claims Examiner MVP Health CareAssociate, Claims ExaminerNY$20–$26.60 / hourAn 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.
Care Guide MVP Health CareCare GuideTarrytown, NY$51,395–$68,354.75 / yearThe 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.
Concurrent Review - RN MVP Health CareConcurrent Review - RNRochester, NYRemote$69,383–$92,279 / yearIdeal 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.
Professional, Program Manager Vendor Management MVP Health CareProfessional, Program Manager Vendor ManagementSchenectady, NY$93,667–$124,576.75 / yearThis 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.
MEV Outreach Representative MVP Health CareMEV Outreach RepresentativeNY$28.80–$38.30 / hourAn 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.
Professional, Senior Software Engineer MVP Health CareProfessional, Senior Software EngineerSchenectady, NY$93,667–$124,576.75 / yearAn 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.
Professional, Sr. API Engineer MVP Health CareProfessional, Sr. API EngineerSchenectady, NY$93,667–$124,576.75 / yearAn 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.
Provider Services Representative MVP Health CareProvider Services RepresentativeRochester, NY$20–$26.60 / hourWe'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.
Payment Integrity Analyst - Data Mining & Savings Reporting MVP Health CarePayment Integrity Analyst - Data Mining & Savings ReportingVTRemote$69,383–$92,279 / yearIn 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.
Associate, Accumulator Services MVP Health CareAssociate, Accumulator ServicesNY$24–$31.92 / hourWe'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.
Appeals Specialist MVP Health CareAppeals SpecialistRochester, NY$51,395–$68,354.75 / yearAs 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.