Professional, Facility Contractor

1 month ago

Fishkill, United States MVP Health Care Full time
Professional, Facility Contractor

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 Req #2073

Wednesday, June 19, 2024

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 Hybrid in Fishkill, NY or Schenectady, NY Office

This position works with Network leadership, team members, key leaders/contributors across the organization, as well as key leaders/contributors from outside MVP to develop, negotiate, implement, oversee, and evaluate hospital contracts for the region.

ESSENTIAL JOB FUNCTIONS:

Coordinates with Analytics Team to generate performance reporting and associated financial models.

Assists Leaders in leveraging of competitive transparency data during contract negotiation and annual performance reviews.

Analyze financial models during contract negotiation and ensure financial models align with contractual language/terms.

Assists with developing contract documents for renewals and/or amendments in compliance with company templates, reimbursement structure standards and other key process controls.

Supports the business relationships with Hospital, Physician and Ancillary Facilities.

Ensures the smooth operation and administration of provider agreements.

Maintains an inventory of contracts, due dates, term clauses/end dates, spend and services by LOB. Requests necessary data analytics from Informatics to support key business objectives and product objectives where contracting is involved. Keeps and maintains necessary database trackers and a tracking system for department and MVP report outs. Processes forms, tracks and scans signed/executed agreements and amendments.

Coordinates and leads regularly scheduled meetings with key hospital systems.

Serves as the primary point of contact for day to day issues such as payment issues, authorization issues and contractual language interpretation disputes.

OTHER DUTIES & RESPONSIBILITIES:

Participates in meetings and supports successful implementation for assigned projects using good judgement and decision making.

Ability to maintain confidentiality and adhere to regulatory compliance issues as they exist and change from time to time.

Proactive in identifying areas for efficiency improvement across all of Network Management; consistently challenges the status quo in favor of incremental improvement opportunities that could be achieved through new methods.

Analyze financial data and act as a team player to provide an additional layer of checks and balances to ensure data integrity.

Performs other related duties as assigned.

JOB QUALIFICATIONS:

Education/Degree:

Bachelor's Degree preferred, equivalent experience may be substituted if the candidate can demonstrate significant relevant work experience.

Experience:

Minimum of 5 years in health insurance or equivalent experience in Finance or Project Management. Ability to analyze financial data. Proficient in Excel and Power BI. Ability to utilize formulas, functions, and tables.

Skills:
  • Knowledge of ICD-10, CPT-4, HCPCS coding preferred
  • Strong proficiency in problem solving and analysis
  • Demonstrated ability to interact with all levels of management
  • Adaptability and flexibility in a changing environment required
  • Strong analytical skills.
  • Excellent presentation skills
  • Excellent follow up skills
  • Excellent verbal and written communication skills

Physical demands/Working conditions:

  • Some in office presence required
  • Travel required as needed

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), s ick t ime, service t ime o ff, p aid h olidays, and f loating h olidays , 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 total compensation 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 Network Management & Development
  • Pay Type Salary
  • Min Hiring Rate $75,870.00
  • Max Hiring Rate $129,260.00

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