Leader, Pricing & Claims Configuration

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

Position is virtual/remote

Reporting to the Sr. Leader, Claims Payment Strategies and Configuration, the Leader, Pricing & Claims Configuration manages the design, development and implementation of configuration solutions that enhance business processes. The Leader supervises a staff of Professional Configuration Analysts and manages the work intake, prioritization, assignment and tracking of all pricing/claims configuration projects and requests. In addition, the Leader is responsible to:

• 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.

POSITION QUALIFICATIONS

Minimum Education:

• 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.

Minimum Experience:

• 5+ years' related professional experience; analytical, configuration, systems background.

• Experience managing staff required.

• Experience with Facets or other health care processing systems preferred.

Required Skills:

• Excellent organizational skills and ability to work independently

• Strong written and verbal communication skills, including the ability to facilitate

meetings, effectively lead discussions, and prepare presentations to financial

and business leaders, including leadership

• Ability to build and maintain effective working relationships with all levels of leadership

and staff

• Self-starter with a high degree of initiative and follow-through

• Positive attitude and strong team player with eagerness to learn and add value to the

organization

• Advanced analytical and problem-solving skills to prioritize work and resolve issues

using sound judgment to improve processes and drive change

• Capable of transferring knowledge to existing staff

About MVP

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, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.

At MVP, we are 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. Specific employment offers and associated compensation will be made 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.

In addition, we offer a comprehensive benefits package that includes:

• Considerable paid time away from work including PTO (Paid Time Off), sick time, service time off, paid holidays, and floating holidays, allowing you to take time off when it suits you best.

• Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.

• Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.

• Life insurance and disability coverage to ensure financial security for you and your dependents.

• An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.

• Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.

• A best-in-class employee Well-Being program to support all dimensions of your health and wellness.

MVP Health Care analyzes the latest market data to determine employee compensation. Compensation figures listed in a job posting are subject to change as new market data becomes available. The salary range, other compensation, and benefits information is accurate as of the date of this posting. MVP Health Care reserves the right to modify this information at any time, subject to applicable law. More detailed information about totalcompensation and benefits will be provided during the hiring process.

MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com

Please apply and learn more - including how you may become a proud member of our team.

Other details

• Job Family Claims/Operations

• Pay Type Salary

• Min Hiring Rate $75,870.00

• Max Hiring Rate $129,260.00

Apply Now

• 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