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Glens Falls, NY, USA ● North Country, NY, USA ● Req #2028Friday, December 20, 2024Qualifications you’ll bring: A bachelor's degree or equivalent combination of education and related experience [Education and or experience] The availability to work full-time, virtual and travel with own car (mileage reimbursement provided) North Country= Warren, Essex, Franklin, Washington 5 years of professional experience in sales and marketing, community relations or related field Excellent project management and organizational skills with deep experience and success prioritizing com ...Read more about Regional Field Marketing & DevelopmentMore
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Fishkill Office, 300 Westage Business Center Drive, Fishkill, NY, USA ● Rockland County, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Req #2301Friday, December 20, 2024Qualifications you’ll bring: Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company The ability to speak more than one language (for example, English and Spanish) An associate degree or equivalent combination of education and related experience The availability to work full-time, virtual, with some travel including nights and weekend hours required Curiosity to foster inn ...Read more about Healthcare Sales & Outreach ProfessionalMore
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Dutchess County, NY, USA ● Orange County, NY, USA ● Rockland County, NY, USA ● Tarrytown Office, 303 South Broadway, Tarrytown, NY, USA ● Westchester County, NY, USA ● Req #2136Wednesday, December 18, 2024Qualifications you’ll bring: Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company The ability to speak more than one language (for example, English and Creole, Haitian, Spanish) An associate degree or equivalent combination of education and related experience The availability to work full-time, virtual with daily local travel (some evening and weekend hours required) C ...Read more about Healthcare Sales ProfessionalMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● North Country, NY, USA ● Plattsburgh, NY, USA ● Saratoga County, NY, USA ● Req #2305Tuesday, December 17, 2024Qualifications you’ll bring: Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company The ability to speak more than one language (for example, English and Spanish) An associate degree or equivalent combination of education and related experience Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our ...Read more about Healthcare Sales & Business Development ProfessionalMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #2306Monday, December 16, 2024Qualifications you’ll bring: Bachelor’s Degree Health Administration, Business, Economics, Health Informatics, or related field. 1 year experience in a health insurance or business environment involving the analysis of financial or other large data sets. Masters’ Degree in relevant field may be considered in lieu of this experience. Demonstrated problem-solving and analytical abilities along with proven ability to analyze, report and provide insight on large sets of data Intermediate SQL skil ...Read more about Professional, Risk Adjustment AnalystMore
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625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #2302Friday, December 13, 2024Qualifications you’ll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 months after hire. At least 3 years of recent clinical and Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required. Must demonstrate understanding of clinical and psychosocial issues that may alter treatment or plan of care and be able to demonstrate good judgment when dealing with emotion ...Read more about Case Manager, Medicaid Long Term Support ProgramMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2299Thursday, December 12, 2024Qualifications you’ll bring: Participation in Bachelor’s/Master’s program in a health or wellness related field required. The availability to work part-time Excellent organizational and interpersonal skills required as the intern will be a representative of the well-being program. Strong written and verbal (informal and formal) communication skills required. Ability to exercise discretion in handling confidential information. Good judgment skills and initiative. Ability to work independently ...Read more about Talent, InternMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #2226Friday, December 6, 2024What’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 and one of the Best Companies to Work for in New York Qualifications you’ll bring: A Bachelor’s degree or equivalen ...Read more about Sr. API EngineerMore
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625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #2289Wednesday, November 27, 2024Qualifications you’ll bring: Licensed Social Worker in NYS, with demonstrated clinical experience and previous experience working with the Medicaid population. At least two years of case management experience required in long term services support. Must have a NY state ID or driver's license. Utilization review experience and experience completing authorizations in long term support services preferred. Must be able to solve problems while exhibiting clinical judgment and realistic understan ...Read more about Social Worker, Medicaid Long Term Support ProgramMore
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625 State St, Schenectady, NY 12305, USA ● Req #2280Tuesday, November 26, 2024Qualifications you’ll bring: A BA/BS degree or equivalent amount of education and relevant experience. A combination of education and relevant experience may be substituted for a degree. Seven or more years of experience in health care operation, contracting, contract negotiation or Finance with at least 3 years managing a team. Strong vendor contracting experience. Extensive experience with RFP’s and RFI’s. Proven ability to lead teams to achieve aggressive objectives th ...Read more about Director, Procurement and Contract ManagementMore
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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 #2292Wednesday, November 20, 2024Qualifications you’ll bring: High school diploma Two years’ experience in health insurance, medical, or healthcare field One year customer service experience The availability to work full-time, 3 days during the week and weekends required, virtually within NYS. Knowledge of Microsoft Outlook and Word Intermediate computer/keyboarding skills Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every int ...Read more about Associate, Intake OperationsMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2153Wednesday, November 20, 2024Qualifications you’ll bring: Bachelor's degree or equivalent education and work experience in a managed care, public health, or health care environment. MPH, MBA or other advanced degree preferred Minimum 5 years Health care / health insurance experience Minimum 2 years prior experience interpreting and evaluating regulatory policy and documentation Demonstrated ability to identify, interpret, and explain regulatory, policy, and other external developments and requirements via clear and con ...Read more about Government Programs AnalystMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2282Friday, November 15, 2024Qualifications you’ll bring: Bachelor’s degree in Data Science, Statistics, Healthcare Management, Business Administration, or a related field. Advanced degree preferred. 7+ years of experience in data analytics, quality management, or a related field within the healthcare industry. Proven experience in developing dashboards, projections, and reporting on quality measures. Proficient in data visualization tools and software (e.g., Tableau, Power BI) and analytics platforms (e.g., SQL ...Read more about Population Health Analytics, Director, Quality and Strategic AnalyticsMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2283Friday, November 15, 2024Qualifications you’ll bring: Bachelor's degree in a related field (e.g. Mathematics, Statistics, Computer Science, or Healthcare) required; Master's degree preferred 5+ years of experience in healthcare data analysis, with a strong focus on quality analytics and operations Strong analytical skills, with the ability to turn data into actionable insights Experience leading teams and executing on operational workflows Proficiency in SQL, data visualization tools (e.g. Tableau, PowerBI), ...Read more about Population Health Analytics, Sr. Quality Data AnalystMore
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220 Alexander St, Rochester, NY 14607, USA ● 303 S Broadway # 230, Tarrytown, NY 10591, USA ● 625 State St, Schenectady, NY 12305, USA ● Virtual ● Req #2285Thursday, November 14, 2024Qualifications you’ll bring: Bachelor’s degree in business administration, Analytics or Health Sciences/Services related degree strongly preferred with 3 – 5 years’ experience in Medicare Stars in a managed care environment or healthcare industry. Demonstrated experience managing multiple projects at once while achieving desired results required. Experience in Quality Improvement and/or with HEDIS strongly preferred. Possess strong planning skills with the ability to effectively prioritize ...Read more about Professional, Medicare Stars Quality Program ManagerMore
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625 State St, Schenectady, NY 12305, USA ● Req #2261Tuesday, November 12, 2024Qualifications you’ll bring: Current New York State Licensure as a Registered Nurse required with at least 4 years of recent clinical and Case Management experience. Certification in Case Management required within 24 months after hire. Ability to work cross functionally and influence clinical stakeholders to best support the patient’s needs. Demonstrated clinical knowledge including an understanding of population health management and the case management process. Experience with situations re ...Read more about Professional, Hospital Case ManagerMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2272Thursday, November 7, 2024Qualifications you’ll bring: Active Registered Nurse (RN) license. Bachelor’s degree in Nursing, Health Administration, or a related field preferred Minimum of 4 – 6+ years of professional relevant work experience, requires a minimum of two (2) years of clinical experience Knowledge of ICD 10 coding and medical terminology Strong understanding of medical conditions, treatments, and their long-term impact on health and insurability. Requires understanding of disease life cycle, disease ...Read more about Medical Underwriting NurseMore
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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 #2157Wednesday, October 30, 2024Full-Time, Exempt At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for a Leader, Pricing & Claims Configuration to join #TeamMVP. If you have a passion for delivering a stellar customer experience and are passionate about helping the community, this is the opportunity for you. What’s in it for you: Growth opportunities to uplevel your career A people-centric c ...Read more about Leader, Pricing & Claims ConfigurationMore
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Dutchess County, NY, USA ● Fishkill Office, 300 Westage Business Center Drive, Fishkill, NY, USA ● Orange County, NY, USA ● Putnam County, NY, USA ● Req #2250Tuesday, October 22, 2024Qualifications you’ll bring: Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company The ability to speak more than one language (for example, English and Spanish) An associate degree or equivalent combination of education and related experience The availability to work full-time, virtual, with some travel including nights and weekend hours required Curiosity to foster inn ...Read more about Individual Product Advisor - OutreachMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2182Thursday, October 3, 2024Qualifications you’ll bring: Bachelor’s degree in business administration, MBA preferred Certification or Experience in Supply Chain or Vendor Management Minimum of 5 years’ experience including leadership experience in Vendor Management, Supply Chain Management or related field Delegated vendor experience in health care, preferred Experience in organizing, building and directing a team managing vendors including oversight of issue and dispute resolution Experience in driving change and ...Read more about Senior Director, Vendor ManagementMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2121Wednesday, August 7, 2024Full-Time, Exempt SUMMARY: This position will utilize the essentials of an integrated Case Management model that includes assessment, planning, implementation, care coordination, monitoring and advocacy to meet the member’s comprehensive health needs. Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members, act as a proactive partner to provide appropriate education, resources, and healthcare coaching. The principal role of the posi ...Read more about Professional, Case ManagerMore