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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 an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical coding, and analytical thinking and this is the opportunity for you. 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 and one of the Best Companies to Work For in New York Qualifications you'll bring: • Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered., • Coding certification, such as AAPC CPC, CIC, COC, CCS is required., • The availability to work full-time, virtual in New York State, • A minimum of three (3) years' experience in a professional coding environment or three (3) years' experience in auditing and/or reviewing, customer care, membership, pharmacy, or relevant healthcare industry experience., • Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies., • Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details., • Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable., • 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 interaction Your key responsibilities: • Manage recurring audit inventories, ensuring timely progression and completion of existing audits., • Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews., • Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types., • Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education., • Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization., • Assist in the reporting of monthly metrics and participate in cross-functional audit operations., • Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts., • Participate in training and development activities within the department and corporation., • Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy., • Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual within New York State #cs 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. MVP's 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 .

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 Risk Adjustment Analyst to join #TeamMVP. This is the opportunity for you if you have a passion for performing analytics, reporting, and healthcare. 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. Qualifications 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 skills, • Ability to manage multiple projects and produce results within deliverable timelines and ability to transform analytical output into simple to understand findings, • Intermediate Word skills, including the ability to create moderately complex documents containing tables and graphs, • Intermediate Microsoft Excel skills, including the ability to create simple formulas, insert rows, link data, enter and sort data and produce graphs and charts, • Data visualization skills (Tableau, Power BI, etc.), • 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 interaction Your key responsibilities: • You will be responsible for performing analytics and reporting on Medicare, Commercial Exchange, and Medicaid/HARP member populations., • Provide analytical support on various prospective and retrospective objectives in population health management including focus on Risk Adjustment efforts., • Design targeting based upon disparate data sources to identify members with likely risk gaps across., • Provide regular reporting of Risk Adjustment programs and identify opportunities and obstacles., • Measure capture rate of Hierarchical Condition Categories (HCC)s and diagnosis codes related to Risk Adjustment programs to improve and optimize program targeting for Medicare and commercial exchange populations., • Use Clinical Risk Group (CRG) software to target interventions for improved coding for Medicaid members. Calculates ROIs for Risk Adjustment programs., • Maintain regulatory agency requirements for CMS and NYS related to supplemental data., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Location: Virtual within New York, hybrid preferred #CS 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. MVP's 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 .

Position: IT Manager Location: Rochester NY, 14623 Employment Type: Full time Compensation: $106,000 – $136,500 Travel: Occasional travel between Rochester and Painted Post facilities is required Manages Others: Yes, two direct reports: Data Analyst, Salesforce System Administrator Education: 4-year degree in IT or related field is preferred; will consider candidates without a 4 year degree with at least 9 years of experience in a similar role. Experience: 5+ years of experience in IT service management or support, with a track record of dependable execution. 3+ years working with IT security tools or responding to security needs. About This Opportunity: Adaptec is looking for an IT Manager who loves rolling up their sleeves, creating structure where it’s needed, and improving processes that make life easier for a 200-person workforce. If you’re the type who gets satisfaction from tightening up systems, and delivering consistent, reliable support, this is absolutely your lane. This role is perfect for someone who thrives in a smaller company, values the ability to make an impact and follow-through, and wants the chance to grow into a future Director-level role. What You’ll Do: IT Operations & Daily Support • Manage incident and service requests with timely, predictable resolution., • Troubleshoot PCs, laptops, mobile devices, and printers with a customer-first mindset., • Support local users at both Rochester and Painted Post locations., • Coordinate onsite vendor support and ensure onsite expectations are consistent week-to-week., • Administer Microsoft 365, Entra ID, Exchange Online, and Teams., • Maintain user accounts, permissions, access controls, and updates., • Monitor and respond to cyber incidents in partnership with our external security team., • Improve cyber hygiene through training, reminders, and consistent follow-through., • Oversee the lifecycle of hardware, software, licensing, and subscriptions., • Maintain accurate, reliable inventory and device tracking, including wipe readiness for lost devices., • Deliver a clean, consistent setup experience for new employees., • Standardized device builds, access templates, and process checklists., • Streamline onboarding/offboarding workflows until they feel crisp, repeatable, and drama-free., • Bring order, clarity, and structure to the IT environment so employees feel supported and equipped., • Improve mobile device tracking, access consistency, and process documentation., • Build predictable onsite support expectations across both locations. What You Bring: Required • 5+ years of experience in IT service management or support, with a track record of dependable execution., • 3+ years working with IT security tools or responding to security needs., • Strong troubleshooting skills and steady, customer-focused communication., • Solid hands-on experience administering Microsoft 365, Entra ID, Exchange Online, and Teams., • Experience managing hardware, software, and subscription budgets., • Experience maintaining asset inventories and device lifecycles., • Ability to create structure, build simple processes, and improve consistency across the IT environment., • Bachelor’s degree in IT, Computer Science, or related field., • CompTIA or Microsoft certifications., • Experience with Intune or MDM tools., • Someone who values reliability, organization, follow-through, and helping people feel supported through stable systems. In compliance with pay transparency requirements, the wage range for this role is $106,000 – $136,500/yr. The rate range provided is a general guideline. When extending an offer, Adaptec Solutions considers factors including, but not limited to experience and geographic location. Adaptec Solutions also offers a variety of benefits including generous paid time off (PTO), 11 paid company holidays including your birthday, generous health plans, dental and vision insurance, HSA/FSA accounts, generous 401(k) match and immediate vesting, short-term/long term disability coverage and basic life/AD&D insurance and education assistance. Adaptec Solutions, LLC is an equal opportunity organization. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, gender, sexual orientation, gender identity, marital status, disability, protected veteran status, or any other basis protected by applicable federal, state or local law.

If you have experience with accounting information systems, a problem-solving mindset, and enjoy working with complex data sets and delivering solutions, then we want to talk with you! Hodgson Russ LLP, a regional law firm with two hundred plus attorneys in nine offices, is seeking a Accounting Systems & Applications Analyst to join our busy accounting team. This is a hybrid role with some on-site work required in Buffalo and/or Rochester. In this role, you will be responsible for maintaining and supporting the Accounting Department’s information systems, including upgrade management, data maintenance and user support, implementation of new modules and features, and managing integrations with third party applications. This position is project management-oriented and includes the following key responsibilities: • Ownership of Elite 3E accounting software; expense management, collections management, and other accounting applications; overseeing design, system set ups, user accounts and permissions, customization, architecture, and nomenclature of each application., • Liaison between Accounting and IT., • Provide accounting software support as point-of-contact for problem-solving and/or escalating internally to IT or to vendor support channels as needed., • Contributing to the design of financial reports using PowerBI, SSRS, and AFS (Xcelerate)., • Driving data consistency and integrity through record maintenance across all Accounting applications. To succeed in this role, you will need excellent communication and project management skills, as well as the ability to prioritize and meet deadlines, identify and anticipate needs, and deliver highly accurate and reliable results. Strong computer skills, including proficiency in Microsoft Office and significant practical experience with enterprise accounting applications are required. A Bachelor’s Degree in Information Technology & Management, Finance, or Accounting is preferred, with eight years’ full-time experience in an accounting and/or information technology role preferably working within the business services sector. Hodgson Russ offers competitive compensation and a comprehensive benefit package, including medical, dental, vision, life, long term disability, flexible spending, 401(k), Paid Time Off, pension plan, and more. At this time, the good faith estimate of the annual salary range for this position, if the successful applicant is based in Buffalo or Rochester is $87,043 to $107,130. Where a successful applicant is slotted within this range will vary based on legitimate criteria, such as experience and skill level. Please apply by clicking through application. If your skills and experience match this position, a member of the human resources team will contact you directly. Thank you for your interest in Hodgson Russ. Hodgson Russ LLP is an Equal Opportunity Employer. The Firm is committed to providing equal employment opportunities regardless of race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, national origin, age, disability, veteran status, familial status, or any other legally protected basis. .

Job DescriptionBoard Certified Behavior Analyst (BCBA) Henrietta, NY | Full-Time | $85,000–$88,000/year About Us: Our growing ABA clinic in Henrietta, NY is dedicated to providing high-quality, individualized therapy services to children and families affected by autism and other developmental disorders. We believe in a collaborative, team-based approach and are passionate about making meaningful, lasting changes in the lives of our clients. Position Summary: We are seeking a passionate and dedicated Board Certified Behavior Analyst (BCBA) to join our team. This is a full-time, in-person position that involves providing services both in-clinic and in-home for clients located in the surrounding area. Responsibilities: • Conduct functional behavior assessments (FBAs) and skill-based assessments., • Develop, implement, and monitor individualized treatment plans., • Provide direct supervision and ongoing training to RBTs and behavior technicians., • Collect and analyze data to inform treatment decisions., • Collaborate with caregivers, school staff, and other providers to support client success across environments., • Maintain accurate and timely documentation in compliance with clinic and funding source requirements., • Participate in team meetings and ongoing professional development. Qualifications: • Master’s degree in Applied Behavior Analysis, Psychology, Special Education, or related field., • Current certification as a BCBA through the Behavior Analyst Certification Board (BACB)., • NYS Licensed Behavior Analyst (LBA) or eligibility to obtain LBA., • Valid driver’s license and reliable transportation for travel to in-home clients., • Strong communication, organizational, and interpersonal skills., • Experience working with children with autism and developmental disabilities (preferred). Compensation & Benefits: • Competitive salary: $85,000–$88,000/year, based on experience, • Paid time off (PTO) and 13 paid holidays, • Flexible Scheduling, • Professional development opportunities, • Supportive and collaborative clinical environment, • Mileage reimbursement for in-home sessions, • Opportunities for growth and leadership within the clinic Schedule: • Full-time, • Must be available for in-person sessions (no remote/hybrid), • Flexible hours based on client needs, including some early evenings if necessary

Job DescriptionDescription: Atomus Partners client is hiring for a dynamic Financial Analyst! About our client: three+one® provides liquidity and treasury solutions to public entities, including municipalities, counties, school districts, authorities, higher education institutions (public and private), and nonprofit organizations. We serve as a liquidity data partner that helps simplify cash, banking, and investment decisions so our clients can confidently maximize the value of their cash. Our technology and partnership empowers entities to make data-driven financial decisions. We uncover new sources of income and savings for entities looking to innovate and identify new resources for our clients by identifying all cash as a revenue-generating asset. On average, our work leads to 30% more earnings and 73% more cash being invested confidently. Our core services include: (1) cashVest®, a platform for liquidity monitoring and forecasting, (2) rfpPrep®, a digital tool to streamline banking and investment procurement, and (3) muniBank, a banking fee benchmarking solution. Additional tools are currently in development. The Role: We’re seeking a driven financial professional to help grow one of the nation’s fastest-growing public sector fintech firms. As a Financial Analyst, you will create unique analyses of client data, supporting the optimization of their cash liquidity strategies and increasing resources to communities across the Country. The successful candidate will possess a strong attention to detail, thoughtful problem-solving skills, and a demonstrated ability to present analysis through clear verbal and written communication. A commitment to working collaboratively within a team environment is essential to succeed in this role. Duties and Responsibilities: • Ingest and analyze client data ensuring the ability to accurately report in a timely manner., • Develop monthly and quarterly cashVest reports, analyzing client cash liquidity and treasury data while ensuring data accuracy., • Identify analysis and reporting improvements that enable a deeper dive into client financial data., • Collaborate across teams to support and develop new initiatives., • Use proprietary software to manage and analyze client data., • Prepare ad hoc analyses that support creative problem-solving for clients, helping them maximize their resources while also supporting client retention., • Partner with Client Service Associates to prepare and ingest data for client reporting., • Uphold strict confidentiality regarding all financial data. Requirements: Qualifications and Experience • Bachelor’s degree in Finance, Economics, Mathematics, Information Technology, Public Administration, or a related field preferred., • Previous experience in financial or economic analysis, or in a public service environment, is strongly preferred., • Proficient in Microsoft Office, particularly Excel; skilled in Google Workspace (Gmail, Drive, Calendar). Familiarity with SQL, R, or other programming languages is a plus., • Excellent written and verbal communication skills, with a strong aptitude for strategic planning and project management., • Proven ability to collaborate effectively in a team environment to meet tight deadlines and deliver high-quality results., • Strong organizational and time-management skills; capable of managing competing priorities in a fast-paced, evolving setting., • Comfortable navigating multiple software platforms and virtual meeting tools simultaneously., • Demonstrates intellectual curiosity and a strong commitment to continuous learning and professional development., • Meticulous attention to detail, with excellent organizational and time management abilities., • Self-motivated and capable of working independently with minimal supervision., • Receptive to feedback and focused on continuous improvement., • Comfortable operating in a fast-paced, dynamic, and evolving environment., • Exercises discretion and sound judgment when handling confidential or sensitive financial information., • Strong analytical and problem-solving skills, with a solutions-oriented mindset. Why work at three+one? Benefits: At three+one, we invest in your growth and well-being. Enjoy: • Flexible PTO, • Remote work flexibility based on performance, • Ten paid holidays, • Cell phone stipend, • Pre-tax health benefits and a 401(k) plan Compensation Philosophy: It is important to three+one that potential candidates for this position understand that compensation depends on numerous factors including the geographic location where the role will be performed, skills required, experience, complexity, travel, and market rate. Three+one aims to reward performance and attract top talent with competitive, fair pay and benefits. Please note that the top of the salary range represents exceptional, and/or senior-level positions, that meet all required qualifications. Actual offers take the candidate’s knowledge, skills, abilities, and experience into account. Three+one is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sexual orientation, gender identity, age, protected veteran status, or status as a qualified individual with a disability.?

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 Professional, Quality Analyst to join #TeamMVP. This is the opportunity for you if you have a passion for healthcare, innovation, and collaboration. 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. Qualifications you'll bring: • Bachelor's Degree in Business, Math, Computer Science, Information Systems, related field or five or more years of related work experience. Master's degree preferred., • Minimum 3 years of analytics experience with large data sets required, • 1 year of analytics experience with healthcare quality data highly preferred, • Subject matter expertise in healthcare data- claims, coding, HIE's etc. Experience with quality metrics, (NCQA HEDIS and NYS QARR) standards strongly preferred, • Strong analytical skills, with the ability to turn data into actionable insights, • Proficiency in SQL, data visualization tools (e.g. Tableau, PowerBI), • Data Manipulation tools (e.g. Alteryx, R, Python) beneficial, • Excellent verbal and written communication skills, with the ability to effectively communicate technical information to both technical and non-technical stakeholders, • Intermediate Excel skills include entering and editing complex formulas, filtering lists, sorting ranges, and using data analysis tools (pivot tables, scenarios, etc.), • Curiosity to foster innovation and pave the way for growth, • Humility to play as a team, • Lead and oversee the successful execution of quality data deliverables., • C onduct analysis of large data sets to support quality improvement initiatives, including gap analysis, process optimization, and patient engagement., • Collaborate with cross-functional teams to design, implement, and maintain data solutions that meet the needs of stakeholders and business partners., • Ensure the accuracy and integrity of data through the development and implementation of data quality control processes and procedures., • Must also provide adequate documentation of how analysis was performed and be responsible for applying necessary checks and balances to ensure quality and accuracy o f report s ., • Participate in the development of data governance policies, standards, and procedures, and ensure compliance with regulatory requirements and industry best practices ., • Present data insights and recommendations to leadership, effectively communicating complex technical information to non-technical stakeholders using visual aids (charts, graphs) or summaries., • Continuously monitor and evaluate the effectiveness of operational workflows, making recommendations for improvements and leading implementation efforts as necessary., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual in NYS 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. MVP's 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 .

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 Professional, Behavioral Health to join #TeamMVP. If you have a passion for healthcare, improving access to care, enhancing quality and compliance this is the opportunity for you. 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. The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and substance use treatment decisions. This individual will make triage and referral decisions requiring clinical judgement, with an emphasis placed on Autism Spectrum Disorders (ASD) and Applied Behavior Analysis (ABA). This role will also provide care coordination to support members in meeting their behavioral health needs. Qualifications you'll bring: • Master's prepared and licensed mental health clinician (LMSW, LCSW, LMHC, etc.) or Licensed Registered Nurse (RN) required, • New York State license required, • Licensed Behavior Analyst (LBA) or Board-Certified Behavior Analyst (BCBA) preferred. If possessing an LBA, another clinical license is not required., • Willingness and ability to obtain equivalent license in Vermont, • Minimum of 3 years of direct clinical practice (mental health and/or substance use) with children and/or adolescents, with at least 2 years being ASD related, • Utilization or Case Management experience in a managed care organization is preferred, • Knowledgeable with diagnosis and procedural coding preferred, • Detail oriented with strong organizational skills including the ability to manage time wisely to meet established deadlines., • Ability to make independent decisions regarding resource utilization, and quality of care., • Must demonstrate understanding of clinical and psychosocial issues that may alter treatment or care plan and be able to demonstrate good judgment when dealing with emotionally charged situations., • 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 interaction Your key responsibilities: • Review all requests for behavioral health services utilizing the appropriate behavioral health and MVP standards and criteria tools, including MVP Health Care Medical Policy, Change Health Care's InterQual® Criteria, the New York State Office of Addictions Services and Supports Level of Care (OASAS) for Alcohol and Drug Treatment Referral (LOCADTR) tool, and other guidelines provided by the states of New York and Vermont., • Conduct prospective, concurrent, and retrospective reviews in adherence with MVP, state, federal, and accreditation guidelines and rules., • Provide care management and coordination for MVP customers to assess, plan, implement, coordinate, monitor, and evaluate options and services required to meet an individual's behavioral health needs., • Collaborate with internal and external stakeholders to support coordination of services across behavioral health, medical, and social domains., • Consult with Leadership, Behavioral Health Medical Directors, and an integrated team of physicians and clinicians, on challenging and high-risk cases., • Maintain accurate and timely documentation in compliance with regulatory standards., • Participate in quality improvement initiatives and team meetings., • Responsible for making triage and referral decisions requiring clinical judgement, with an emphasis placed on Autism Spectrum Disorders (ASD) and Applied Behavior Analysis (ABA)., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual in NYS 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. MVP's 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 .

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 Professional, Credentialing QC Analyst to join #TeamMVP. If you have a passion for healthcare, quality assurance & compliance, and process improvement this is the opportunity for you. 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. Qualifications you'll bring: • Associate's or Bachelor's degree in a related field (e.g., healthcare administration, business, or HR) preferred., • 2+ years of experience in credentialing, compliance, or quality assurance., • Experience in healthcare or insurance credentialing preferred., • Strong attention to detail and analytical skills., • Familiarity with credentialing software and databases., • Knowledge of regulatory standards (e.g., NCQA, URAC, Joint Commission) is a plus., • Excellent communication and organizational skills., • Ability to work independently and collaboratively in a fast-paced environment., • Proficiency in Microsoft Office Suite (Word, Excel, Outlook)., • Understanding of data privacy and confidentiality standards., • 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 interaction Your key responsibilities: • Conduct thorough quality control reviews of credentialing/recredentialing files and documentation., • Verify credentials, licenses, certifications, and other required documentation for accuracy and compliance., • Collaborate with credentialing specialists to resolve discrepancies and ensure timely updates., • Maintain detailed records of QC findings and corrective actions., • Assist in developing and refining QC procedures and checklists., • Monitor compliance with internal policies, accreditation standards, and regulatory requirements., • Provide feedback and training to credentialing staff on quality standards and best practices., • Support audits and reporting requirements related to credentialing activities., • Stay current with industry standards, regulations, and credentialing best practices., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Hybrid 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. MVP's 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 .

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 Health Care Economics Analyst to join #TeamMVP. This is the opportunity for you if you have a passion for analytical thinking, health care, and collaboration. 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. Qualifications you'll bring: • Bachelor's degree of applicable study with minimum of 3 years of experience in Health Care Analytics role or Advanced degree in math or statistics, and at least 1 year of experience working with Health Care data, • Working knowledge of Provider Billing/Reimbursement methodologies, • Foundational knowledge of MVP's markets and products and awareness of competitive landscape, • Working knowledge of MVP Data assets including claim, pharmacy, member and provider data, • Proficiency in SQL and Microsoft suite of products including Power Platform, • 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 interaction Your key responsibilities: • Collaboration with team leader, peers and key stakeholders across the organization, • Research and query multiple data sources, manipulate large sets of data using appropriate tool, • Identify and implement the most efficient solution for the business problem with forward thinking mindset to leverage automation and efficiency, • Leverage AI, Machine Learning or Statistical software where appropriate to advance analytics, • Validation of data, data models and reporting for accuracy and soundness, • Actively seek to draw inferences from the data to drive actionable insights/strategic discussions, • Actively seek to understand the why and how to add value to business request vs. just doing the request, • Actively challenge the status quo and find a better way, • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Location: remote within New York State 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. MVP's 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 .