Leader, Pricing & Claims Configuration

Leader, Pricing & Claims Configuration

Leader, Pricing & Claims Configuration Burlington Office, 62 Merchants Row, Williston, Vermont, United States of America ❗ Fishkill Office, 300 Westage Business Center Drive, Fishkill, New York, United States of America ❗ Headquarters Office, 625 State Street, Schenectady, New York, United States of America ❗ Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America ❗ Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America ❗ Virtual

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds—tech people, numbers people, even people people—working together to make health insurance better.

If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference—it’s time to make a healthy career move to MVP!

Full-Time, Exempt

At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for a Leader, Pricing & Claims Configuration to join #TeamMVP. If you have a passion for delivering a stellar customer experience and are passionate about helping the community, this is the opportunity for you.

• 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

• A 4‑year college degree, preferably in the field of Computer Science, Data Analytics or Information Systems or three or more years of relevant work experience within Healthcare and Systems Configuration.
• The availability to work full‑time virtually, in‑person or hybrid, and the ability for minimal travel
• 5+ years’ related professional experience; analytical, configuration, systems background.
• Experience managing staff required.
• Experience with Facets or other health care processing systems 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

• Manage the workflow and ensure solutions are delivered timely, accurately and meet the expectations
  of internal and external customers’ needs.
• Ensure that all configuration solutions are adequately validated, tested prior to implementation and automated when applicable.
• Monitor progress and provide summary and trend reporting to senior leadership.
• Identify, analyze, solve and/or escalate trends/issues surfacing within the department.
• Oversee the management of the Pricing Configuration team including staffing, performance evaluation, management of work assignments, goal setting, motivation, and other management functions.
• Serve as a department liaison with business users across the organization.
• Promote initiatives for process improvement, re‑engineering and innovative thinking.
• Assist with management of corporate and departmental projects within the department.
• Assist with the development/maintenance of department business process policies and procedures and ensures adherence from staff.
• Perform other duties as assigned by management.

• 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.

Virtual

MVP Health Care is a nationally recognized, not‑for‑profit health insurer caring for members in New York and Vermont. Committed to the complete well‑being of our members and the communities we serve, MVP makes health insurance more convenient,…