Associate, Integrated Care

MVP Health Care • Schenectady, NY • 2h ago

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.

Bilingual Preferred

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 hr@mvphealthcare.com .

Job Details

Job Family Claims/Operations

Pay Type Hourly

Hiring Min Rate 20 USD

Hiring Max Rate 28.8 USD

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