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Job Description WHO ARE WE? The Wound Pros is a nationwide Wound Care Medical Group with over 3000 five-star Google and Facebook reviews whose mission is to heal wounds, save lives, and reduce costs for our partnering agencies. Our full-service wound care strategy has added enormous value to patients who are homebound or reside in long-term facilities across the country by providing an array of essential tools, including Digital Wound Management, Telemedicine, Advanced EHR systems, Mobile Vascular Assessment, Digital Supply tracking, Advanced Wound Care Dressings as well as a participating Medicare Part B provider. We are a purpose-centered organization focused on providing peace of mind to every patient we come in contact with who has a chronic non-healing wound. We are devoted to preserving our culture by excellently adhering to our core values, “Link.” * We Listen- We are committed to always taking the time to listen to our clients and team members. * We Innovate- Our culture is to be in a continuous state of innovation and implement new ideas as our business grows and our landscape changes. * We Never Give Up- We are dedicated to overcoming any obstacle or moment of adversity that comes our way. * We “Kultivate” and Grow People- We are enthusiastic about supporting the growth of our team members both personally and professionally. We pride ourselves in supporting a culture of autonomy, allowing our team members to implement new ideas without fear of failure. Implementing raffles, games, and other enjoyable group activities with our team is essential to maintaining a positive culture while working tenaciously to accomplish our goals. JOB SUMMARY The AVP/VP of Strategic Alliances will spearhead the development of high-impact alliances with both top-tier academic institutions and leading private-sector innovators in health tech, wound care, and biotech. This individual will be responsible for identifying, securing, and nurturing long-term partnerships that drive co-development, research, commercialization, and thought leadership. The ideal candidate brings strong experience bridging academic innovation and private-sector advancement to accelerate the science of healing. WHAT ARE YOUR ASSIGNMENTS (Roles and Responsibilities) Strategic Relationship Development * Identify and engage top U.S. universities with strong health tech, wound care, and biotech capabilities * Build, negotiate, and execute institutional partnerships including joint research, technology incubation, and workforce development * Identify and evaluate private health tech, wound tech, and biomedical companies developing innovative medical technologies or protocols * Cultivate partnerships with these private-sector organizations to explore co-development opportunities, licensing agreements, clinical integration, and shared innovation labs * Act as executive liaison across universities, startup ecosystems, and corporate partners Innovation Pipeline & Research Development * Facilitate and co-lead research initiatives that align with company strategy and clinical objectives * Source partnership opportunities that support validation, regulatory readiness, or commercialization of emerging technologies * Manage cross-institutional knowledge transfer to accelerate the adoption of new protocols and therapies Brand & Ecosystem Engagement * Represent the company across conferences, innovation challenges, venture showcases, and academia-industry consortia * Launch branded research accelerators or innovation centers with strategic partners * Collaborate on curriculum or fellowship programs that promote translational innovation in wound care Business Alignment & Reporting * Align partnerships with Product, Clinical Affairs, and Commercial teams to ensure measurable ROI * Establish KPIs for partnership value creation, research output, clinical integration, and strategic alignment * Provide regular reports to the executive team on progress, risks, and growth opportunities WHAT YOU HAVE ALREADY ACHIEVED (Qualifications, Hard Skills, Soft Skills) * 10+ years of experience in strategic partnerships, business development, or academic relations in health tech, biotech, or medtech * Demonstrated success forming alliances with both universities and private-sector medical innovators * Understanding of clinical research, FDA pathways, and tech transfer in a medtech or biotech context * Strong executive presence with ability to build trust with academic leaders, founders, and C-suite stakeholders * Bachelor’s degree required; advanced degree (MBA, MPH, MHA, or equivalent) preferred Preferred Traits * Visionary connector with a track record of innovation stewardship * Comfortable navigating diverse stakeholder agendas across clinical, commercial, and academic domains * Passion for scientific discovery and its translation into real-world patient outcomes * Energized by white-space opportunity and collaborative value creation WORK SCHEDULE/LOCATION This is a full-time, remote position based in the United States with flexible working arrangements. Some travel may be required for conferences, partnership meetings, and on-site collaborations. BENEFITS * You will have the full support of the CHRO and HR team members * Vacation, Sick, Paternity & Maternity available * 10 Paid Federal Holidays * Medical, Dental, and Vision insurance * 401K plan available EQUAL OPPORTUNITY EMPLOYER: The Wound Pros is an equal opportunity employer committed to being an employer of choice, not just an excellent place to work but a great and inclusive place to work. We strive to recruit and maintain a diverse workforce. Qualified applicants will receive consideration for employment without regard to race, physical or mental disability, color, religious creed, ancestry, national origin, religion, age, sex, marital status, genetic information or testing, gender identity and expression, sexual orientation or status as a Vietnam-era or special disabled veteran or any characteristic protected by law.

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description Please take this virtual tour to get a sneak peek of one of our Plasma Donation Centers. You may be eligible to receive a $5,000 signing bonus! Why You'll Love Working With Us • No Overnight Shifts - Enjoy work-life balance, • Benefits on Day 1 - Health, dental, PTO & more, • Debt-Free Education - Earn a degree with zero out-of-pocket cost, • Career Growth - Clear paths to leadership & advancement, • Paid Training - We'll set you up for success from the start, • Meaningful Work - Help create life-saving therapies from plasma donations About BioLife Plasma Services Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations. BioLife Plasma Services is a subsidiary of Takeda Pharmaceutical Company Ltd. Position will be based out of our brand new plasma donation facility in the opening October 2025! About the role: Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with regulations of the plasma collection industry or a manufacturing environment. The Medical Support Specialist follows guidance provided by BioLife Medical Affairs and provides center level support of environmental, health and safety (EHS). How you will contribute You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE). You will evaluate donor reaction(s), which occurs at the facility as outlined in the SOPs. Follow applicable SOPs for medical emergencies including the development of Center Physician's standing orders and donor transport to emergency care facilities. You will refer to the Center Physician or Medical Affairs (as applicable) when in need of providing unacceptable findings to donors, or guidance concerning medical or technical issues, including donor safety and eligibility. You will support the Hepatitis B and Seasonal Flu vaccination programs for employees as applicable. You will manage employee incidents and determine whether further evaluation is required by occupational health/ER. Refer to EHS guidance regarding employee incidents. You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community as indicated by EHS or Medical Affairs. What you bring to Takeda: High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary Resuscitation (CPR) and AED certification Fulfill state requirements (in state of licensure) for basic IV therapy Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist Two years in a clinical or hospital setting What Takeda can offer you: Every day at Takeda, we feel good knowing that what we do helps improve the lives of patients with rare diseases. At BioLife, while you focus on our donors, we will support you. We offer a purpose you can believe in, a team you can count on, opportunities for career growth, and a comprehensive benefits program to include medical/dental, paid time off and retirement benefits, all in a fast-paced, friendly environment. More about us: At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to bring Better Health and a Brighter Future to people around the world. BioLife Compensation and Benefits Summary We understand compensation is an important factor as you consider the next step in your career. W e are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. For Location: USA - NY - Rochester U.S. Hourly Wage Range: $35.28 - $48.51 The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained , certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based e mployees may be eligible for short-term incentives.U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. EEO Statement Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law. Locations USA - NY - Rochester Worker Type Employee Worker Sub-Type Regular Time Type Full time Job Exempt No By applying, you consent to your information being transmitted by Veritone to the Employer, as data controller, through the Employer's data processor SonicJobs. See Biolife Plasma Services Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use 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, Sr. Statutory Accountant to join #TeamMVP. This is the opportunity for you if you have a passion for healthcare finance, analytical thinking, and accuracy. 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 Accounting, Finance, or a related field, • Master's in Business Administration or CPA or equivalent certification required, • Excellent analytical and problem-solving skills, • Strong communication and interpersonal skills, • Excellent current technical skills (MS Office applications), • Proficient in using accounting software and MS Office Suite, particularly Excel, • Attention to detail and ability to work with a high level of accuracy, • Ability to work independently and meet deadlines in a fast-paced environment, • Knowledge of industry-specific statutory accounting requirements is a plus, • Curiosity to foster innovation and pave the way for growth, • Humility to play as a team, • Maintain and reconcile statutory accounting records in accordance with applicable regulations and standards., • Prepare accurate and timely financial statements for statutory reporting purposes., • Collaborate with cross-functional teams to gather necessary financial data and ensure its accuracy., • Assist in the preparation of audit schedules and support external auditors during the audit process., • Identify and implement process improvements to enhance efficiency and effectiveness of statutory accounting procedures., • Stay up-to-date with changes in statutory accounting regulations and ensure compliance., • Provide support and guidance to junior team members, fostering a collaborative and growth-oriented work environment., • Participate in special projects and ad-hoc analysis as required., • Perform in depth analytics on statutory reporting with management discussion & analysis., • Prepare summary reports & agenda of findings based on analytics performed for statutory reports., • Prepare State Premium Stop-Loss recovery billing and reconciling. Location: Hybrid, Schenectady NY; Rochester NY 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 Clinical Investigator to join #TeamMVP. This is the opportunity for you if you have a passion for problem solving and investigations, commitment to compliance and ethical standards and dedication to continuous learning and improvement. 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: • A clinical investigator must have in addition to the above requirements: A duly licensed or authorized medical professional, including but not limited to MD or RN., • New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred., • Obtain CPC and/or COC credential., • Maintain nursing license and coding credentials through continuing education process as required., • Superior judgment skills, verbal and written communication, and presentation skills., • Extremely detail-oriented with excellent organizational and analytical skills., • Ability to utilize various data management tools to help identify potentially fraudulent activity., • Possess knowledge of CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data., • Working knowledge of MS Office (Word, Excel and Outlook), • Curiosity to foster innovation and pave the way for growth, • Humility to play as a team, • Working knowledge of Macess, Facets, CareRadius, Cognos, CMS web sites, and Encoder-Pro. Your key responsibilities: • Conduct clinical reviews of various forms of medical documentation and records obtained from providers and facilities including but not limited to medical charts, patient account records, and member interviews., • Organize and conduct highly complex investigations. Document findings and recommendations throughout the investigative process in a timely and efficient manner according to corporate and departmental SIU policies and procedures., • Act as an SIU liaison and interact with and analyze data in cooperation with Pharmacy, Medical Affairs, Operations, Provider Relations, Credentialing, Customer Care Center, Legal and other corporate personnel., • Assist in investigations conducted by government agencies, law enforcement, and other insurance company SIU staff., • Make recommendations for and conduct clinical re-audits of providers and facilities previously audited by SIU., • Testify in criminal and civil legal case proceedings as necessary and assist outside legal counsel especially concerning issues needing clinical decision making., • Participate in annual Corporate FWA training and training of new SIU personnel., • Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid, and any corporate compliance initiatives or policies., • Minimal travel may be required pertaining to investigations and audits., • 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; Must reside within Eastern or Central Time Zone #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 an Associate, Deskside Support Engineer to join #TeamMVP. If you have a passion for working with the latest technology and interacting with customers, this is the opportunity for you. ONSITE- ROCHESTER, NY 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: • An AA/AS or BA/BS in a technical discipline, Computer Science preferred., • IT certification, such as A+, MCDS, or equivalence experience as a deskside support technician or similar role, • The availability to work on-site, full-time., • 3+ years Computer Hardware experience require, • 3 years customer service experience, • Proven experience in providing technical support and problem solving/troubleshooting skills in an office environment., • Microsoft 365 Cloud Platform (Intune/Entra/Azure), • Experience with Windows 10/11, • Proven experience in providing technical support and problem solving/troubleshooting skills in an office environment., • Strong knowledge of computer hardware, software, and operating systems., • 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: • Provide deskside support to office staff, resolving technical issues and troubleshooting problems in a timely manner., • Install, configure, and maintain hardware and software, including computers, printers, and other office equipment., • Collaborate with the Digital team to implement and maintain security measures, ensuring the protection of sensitive data and information., • Assist in the setup and configuration of new workstations, ensuring they are properly connected to the network and have the necessary software installed., • Conduct regular maintenance and updates on office technology, ensuring optimal performance and minimizing downtime., • Train office staff on the proper use of technology and software applications, promoting efficiency and productivity., • Document and track technical issues and resolutions, maintaining accurate records for future reference., • Stay up-to-date with the latest technology trends and advancements, continuously improving your technical skills and knowledge., • Other duties as assigned by leadership Onsite- Rochester, NY Office #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 Technical Business Analyst Encounter Data Integrity & Delivery to join #TeamMVP. If you have a passion for Data reconciliation and remediation, Data Analysis, and Automation, 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: • An Associate Degree in Health Administration, business, economics, computer science. Three years of experience in a business environment involving the analysis of healthcare or health insurance data sets, • The availability to work full-time, virtual within New York State, • SQL (Intermediate). Able to write and debug queries, • Python. Able to write and debug python scripts, • Proven ability to pull, analyze, report, and provide insight on large complex sets of data, • Ability to identify areas of process improvement and implement automation efficiencies, • 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: • Res ponsible for state and federal submissions in an accurate and timely manner, • Accountable for regulatory reporting within the organization and government entities, • Continuously monitor the statuses of existing processes and identify discrepancies or process improvements, • Actively participate in the development, testing, and implementation of file extracts and layouts to meet vendor and regulatory agency requirements, • Must possess excellent analytical skills with a focus on meeting the expectations and requirements of both internal and external customers, • Must be a self-motivated individual and has ability to perform under pressure, • Demonstrate excellent comprehension, written, and verbal communication skills, • 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 only 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, Sr. Risk Adjustment Analyst to join #TeamMVP. This is the opportunity for you if you have a passion for healthcare analytics, innovation, and healthcare equity. 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 Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered, • 3 - 5 years' experience in healthcare or managed care industry required, • Demonstrated experience managing multiple projects at once while achieving desired results required, • Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial programs required, • Experience in risk adjustment payment models strongly, • Intermediate Microsoft Excel skills, including the ability to create simple formulas, insert rows, link data, enter and sort data and produce graphs and charts, • Proven ability to analyze, report and provide insight on large sets of data, • Data visualization skills (Tableau, Power BI, etc.), • Ability to transform analytical output into simple to understand findings, • Intermediate SQL skills, • Possess strong analytical skills with detailed knowledge of healthcare operations and datasets., • Curiosity to foster innovation and pave the way for growth, • Humility to play as a team, • Work with the Risk Adjustment Team on both retrospective and prospective interventions., • Supply Risk Adjustment Team with retrospective chart chase lists., • Send charts externally to vendors when necessary, • Work through supplemental diagnosis submission process., • Send monthly files to external vendors for their consumption., • Work with vendors in targeting chart review and maximizing revenue., • Provide targeting and refinement for prospective risk adjustment efforts., • Supporting development and execution of a multi-year improvement strategy and annual plan of action to maximize reimbursement., • Driving the development of targeted performance data and distribution efforts, both internally and externally to provider partners. Where you'll be: Location: Remote 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 Social Worker, Medicaid Long Term Support Program to join #TeamMVP. If you have a passion for advocacy, community engagement and empowering individuals and families 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: • 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 understanding of the current environment., • Previous experience required in situations demanding strict adherence to confidentiality., • Must be able to make independent decisions about appropriateness, resource utilization, and quality of care and an ability to follow regulatory requirements, • 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, • Knowledge of member centric, motivational interviewing strategies, and strength-based models a plus, • 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: • Provide MVP members enrolled in the Medicaid Long Term Support Program with the psychosocial support needed to cope with chronic, acute, or disabling conditions., • Telephonically assess, identify needs, coordinate, educate, case manage and/or coach members., • Services include providing member education and counseling, making necessary referrals to social service programs, and coordinating necessary services for MVP members in the Medicaid LTSS program., • Establish and maintain relationships with community agencies to provide contracted and alternative services when appropriate., • Refer members and/or families to community resources to assist in recovery from physical or long-term illness and to provide access to services such as financial assistance, legal aid, housing, or education., • Participate in discharge planning and care coordination meetings with multiple providers., • Collaborate with other professionals to evaluate patients' medical or physical condition and to assess member needs., • Monitor, evaluate, and record client progress according to measurable goals described in treatment and care plan., • Follow case management cases to successful completion using appropriate documentation., • 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 Leader, Claims Operations, to join #TeamMVP. If you have a passion for leadership, team development and operational excellence 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: • The availability to work full-time, hybrid., • Minimum 3 years in health insurance or production-related environment. 2 years claims processing experience preferred., • Strong knowledge of Medicaid, Medicare, and Commercial claims processing., • Familiarity with ICD-10, CPT, HCPCS, and Revenue codes., • 2 years' supervisory experience is preferred. 1-year direct vendor oversight experience is preferred. 2 years project oversight experience preferred, • 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: • Responsible for overseeing the end-to-end adjudication and processing of claims across Medicaid, Medicare, Commercial, Cigna, and Data Entry operations., • Provides strategic leadership, vendor oversight, and operational management to ensure timely, accurate, and compliant claims processing., • Drive process improvements, support cross-functional initiatives, and mentor a high-performing team to meet organizational goals., • Lead and manage claims teams across Medicaid, Medicare, Commercial, and Data Entry functions., • Ensure productivity and quality standards are consistently met., • Provide oversight of vendor relationships including Cigna and Data Entry partners., • Supervise and mentor claim examiners and seniors to build a highly skilled team., • Conduct goal setting, performance evaluations, and disciplinary actions as needed., • Ensure compliance with regulations and company policies, • Address internal and external customer inquiries and complaints., • 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: Schenectady, NY or Rochester, NY- 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 Credentialing Specialist to join #TeamMVP. If you have a passion for accuracy, integrity, and the broader impact of healthcare 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: • The availability to work full-time, virtual processing, health care or health insurance required. • Ability to work independently, ability to handle multiple tasks at one time, ability to meet deadlines., • Strict attention to detail., • 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: • Conducts RPA verifications and manual verifications of and processes credentialing, recredentialing, registration applications of providers and organizational facilities in accordance with MVP Policies, NCQA standards, CMS, NYS Department of Health and other regulatory agencies., • Processes Credentialing and Recredentialing Applications for practitioners and organizational providers including preparing files for the MVP Credentials Committee., • Conducts primary source verifications from various sources (hospitals, residency programs, internet sources, physicians, practitioners, and insurance companies)., • Reviews files to ensure all necessary documentation and information has been received and conducts follow up, as necessary., • Processes provider specialty/category change requests, ongoing monitoring files, early files, and staff review files., • Data enters Credentialing information into sProvider (formerly Cactus) Credentialing software and performs cleanup projects, as directed., • Enters Billing information into Facets. Monitor and maintain outstanding record reports and noncompliance reports to ensure regulatory compliance., • Liaison between IPAs, Professional Relations, Provider Data Management, Network Development and Credentialing department., • Ability to maintain confidentiality and adhere to regulatory compliance issues as they exist and change from time to time., • Must be able to work additional hours as needed., • 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 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, 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, • 3 years 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: Location: Remote 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 an Associate, Integrated Care to join #TeamMVP. If you have a passion for collaboration, patient-centered care, and system 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: • High School Diploma required., • Two years of administrative office experience required., • Strong interpersonal skills to communicate with members, providers, and cross-departmental teams., • Demonstrated proficiency in Microsoft Suite (Outlook, Word, Excel, SharePoint, Teams)., • Excellent verbal and written communication skills., • Detail-oriented with strong organizational and time management skills., • Ability to work independently and prioritize multiple assignments., • 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: • Receive and review medical documentation for completeness; conduct outreach to medical offices and send fax communications as needed., • Coordinate the completion of authorizations for UAS Assessments with vendors, ensuring all regulatory requirements are met., • Participate in planning activities with the Case Management Team to ensure services are in place; communicate with vendors to resolve service barriers., • Organize administrative processes to expedite approvals for membership in caseload., • Provide follow-up for submission of documentation required to authorize services; liaise with vendors, members, and case managers as needed., • Maintain strong working knowledge of regulatory standards and compliance requirements related to LTSS., • Manage the LTSS phone queue while handling multiple assignments simultaneously., • Confirm member eligibility; coordinate with the Enrollment Eligibility Team and submit service forms to reinstate or terminate member coverage; document all actions in the Health Management Platform., • Work effectively on weekly and monthly reports and provide necessary follow-up., • Support LTSS programs by performing and documenting case management enrollment administrative functions, including case tracking, record keeping, coordination of member mailings, and clear documentation in the Health Management Platform., • Other duties as assigned by leadership., • 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 Data Entry Specialist to join #TeamMVP. If you have a passion for data entry and a high level of accuracy 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: • High School Diploma or GED required; Associate's degree in Business or related field preferred., • The availability to work full-time, virtual, in Schenectady or Rochester, NY, • 1-2 years of data entry or claims experience preferred. High accuracy and attention to detail., • Strong data entry skills (5,000-7,000 keystrokes per hour preferred)., • Proficiency in Microsoft Word and Excel., • Familiarity with medical terminology and claims processing., • 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: • Perform continuous data entry of claim forms into internal systems from electronic images and paper documents., • Manage and update non-par provider demographic information, including provider-initiated changes., • Load new providers and maintain existing provider records in systems such as Facets and Macess., • Ensure compliance with regulatory claim payment timeframes., • Collaborate with internal departments to resolve data discrepancies and support provider data integrity., • Maintain confidentiality and adhere to HIPAA and other regulatory standards., • Meet or exceed departmental standards for productivity and quality., • Adapt to changing business needs, including occasional overtime., • 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 Schenectady, NY or Rochester, NY 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 Pharmacy Specialist to join #TeamMVP. This is the opportunity for you if you have a passion for accuracy, collaboration, 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: • AAS degree preferred, or equivalent combination of education and experience required., • Weekend work on a regular or rotating basis as assigned, • Holiday work on a rotating basis as assigned, • Daily hours range from 8:30 - 5:00 pm or 9:30 - 6:00 pm as assigned., • Strong written and verbal communication skills using different tools (email, fax, phone, etc.), • Strong data entry skills with superior attention to detail, • Moderate to strong computer literacy with proficiency in MS Word, Excel, and Outlook, • Ability to work independently in a team environment with desire to help others, • Strong desire to learn, improve and adhere to complex processes as defined, • Excellent customer service skills and ability to deal with stressful calls in a professional manner, • 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: • This position will help licensed pharmacists take care of many of the daily operations of the pharmacy department, • Having knowledge of pharmacy benefits for MVP's multiple lines of business, formularies, and policies, • Managing incoming faxes requesting drug coverage, • Determining eligibility and evaluating pre-authorization requirements using multiple systems, • Obtaining additional information and initiating cases for review when appropriate for multiple lines of business, • Preparing cases for review by Pharmacists, • Requesting additional clinical information for case completion from provider via verbal and fax requests, • Completing case files by creating member/provider written notifications and making outgoing calls to provide members/providers with determinations, • Ensures that regulatory timeframes are met using learned knowledge and daily tracking, • Loading different types of authorizations and testing for accuracy, • 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 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 .

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 aMember Operations Billing & Enrollment Associate to join #TeamMVP. This is the opportunity for you if you have a passion for commitment to serving the customer effectively, strong analytical and problem solving skills and the ability to prioritize multiple assignments with attention to detail. 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. 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: • Associates degree preferred. Equivalent amount of education and related experience may be considered., • Two years accounts receivable experience (or related field) in a service capacity dealing directly with internal and/or external customers, including two years data entry experience., • Strong analytical and problem-solving skills., • Ability to prioritize multiple assignments and perform a variety of tasks with close attention to detail., • Excellent customer service/telephone skills and ability to deal with stressful phone calls in a calm and diplomatic manner., • Familiarity with healthcare benefits and/or medical terminology., • Excellent computer experience including MS Excel, MS Word., • 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: • 1-2 years relevant insurance, medical or healthcare experience, • Experience with Facets Your key responsibilities: • This position serves under Member Operations, directly supporting the Customer Billing & Enrollment team. The role will be responsible for completing the team's daily workload, including enrollment, billing, and payment-related transaction processing, reconciliation, and research for all assigned accounts., • The individual will work closely with multiple internal departments to provide excellence in servicing all MVP customers, including member direct bill and employer group accounts. They will interact directly with MVP customers to ensure correct enrollment, billing, payment allocation, and collection activity., • Duties include accurately processing reconciliations and/or enrollment transactions daily, maintaining weekly and monthly Excel spreadsheets, processing terminations, multi-tasking projects, and completing contact service forms within the department. The individual must be able to collaborate as a team player or work independently., • Emphasis on discrepancy root cause determination and remediation. The role requires meeting departmental quality control standards and turnaround times., • This role also directly supports the cash team by processing check deposits on a regular basis in the Schenectady office., • 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; based out of Schenectady, NY or Rochester, NY 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 Network Management & Contracting, Temporary to join #TeamMVP. This is the opportunity for you if you have a passion for innovation, continous improvement, and operational excellence. 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: • High School Diploma or GED equivalent required, • Excellent organizational, communication, and time management skills, • Ability to quickly learn new software/applications, • Strong proficiency in problem solving and analysis, • Adaptability and flexibility in a changing environment required, • Ability to follow-up on tasks, • Excellent verbal and written communication skills, • Curiosity to foster innovation and pave the way for growth, • Humility to play as a team, • Gather all contracts from various locations (shared drives, email attachments, physical files) into one central location., • Migrate older paper contracts to digital, searchable versions., • Implement a consistent approach to file naming to ensure easy retrieval and organization., • Categorize contracts based on type, provider/health system name, effective dates, renewal terms, contract manager, and key clauses using metadata tagging. 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 .

You will provide support and issue resolution by ensuring excellent service is provided across all types of communications to our existing clients.You will answer all technical support questions, handle requests, and maintain a good company image.You can begin working remotely from your home city or