Join Us in Shaping the Future of Health Care

Whats 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.

Youll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation humility to collaborate as a team and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier more vibrant communities.

About the Opportunity

This position is responsible for overseeing and providing analytics information and supports for the Provider Network teams to move forward both day-to-day activities as well as departmental or corporate initiatives and compliance activities.

Qualifications youll bring:

• Bachelors Degree or comparable combination of education and related work experience required.

• Three to Five Years work experience in analytical and regulatory environment with problem solving skills.

• Experience or knowledge in Provider Network and regulatory requirements across various lines of business (Commercial Medicare and Medicaid).

• Strong organizational time management oral and written communications skills.

• Ability to read and interpret regulatory documentation and identify steps needed for compliance and/or implementation of State and Federal mandates for Physical and Behavioral Health Provider Networks.

• Ability to multi-task and prioritize work to meet deadlines; internal and regulatory.

• Must have a high degree of personal initiative and able to work independently.

• Knowledge of the components of both Provider Service Agreements (PSAs) and Behavioral Health IPA/PO contracts.

• Working knowledge of relational databases and excel including querying and reporting.

• Ability to organize and present data effectively detail oriented.

• Excellent computer skills including working knowledge of Microsoft Office suite Word Excel Outlook Powerpoint and Access.

• Must have reliable transportation willing to travel occasionally throughout MVPs service areas with overnights as required.

• Preferred Job Skills

  • Experience communicating externally with regulatory entities including but not limited to the New York State Department of Health Department of Financial Services CMS and across state lines.

  • Must be self organized and disciplined a self starter understanding workflow processes and due dates.

Your key responsibilities:

• Network Adequacy tracking and reporting

• Network Expansion projects

• Overall Regulatory Compliance monitoring and implementations with heavy emphasis on Behavioral Health requirements

• Represent the Provider Network team in cross-departmental workgroups internally and externally as needed.

• Collaborate across Network teams to support regulatory contract requests

• Quarterly HPN review and response

• Other duties as assigned by leadership.

Where youll be:

• Hybrid - Schenectady or Rochester NY - three days in office per week.

Pay Transparency

MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors including but not limited to geographic location; relevant experience education and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.

MVPs Inclusion Statement

At MVP Health Care we believe creating healthier communities begins with nurturing a healthy workplace. As an organization we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits employs trains compensates and promotes without discrimination based on race color creed national origin citizenship ethnicity ancestry sex gender identity gender expression religion age marital status personal appearance sexual orientation family responsibilities familial status physical or mental disability handicapping condition medical condition pregnancy status predisposing genetic characteristics or information domestic violence victim status political affiliation military or veteran status Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe drug-free workplace pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability please contact our Talent team at.