Government Programs Analyst

3 days ago

Schenectady, New York, United States MVP Health Care Full time
About the Role

MVP Health Care is seeking a Government Programs Analyst to join our team. As a key member of our organization, you will play a critical role in analyzing and interpreting regulatory policy and documentation, providing research and analysis to support business decisions, and communicating complex information to internal and external stakeholders.

Key Responsibilities
  • Monitor and analyze policy, regulatory, contractual, and programmatic changes for MVP's Medicaid, Essential Plan, and Child Health Plus lines of business.
  • Provide analysis, advice, and support for timely business awareness, education, execution, and compliance deliverables.
  • Manage multiple initiatives related to regulatory requirements, filings, program/government audits, information requests, and other special projects as directed.
  • Collaborate with MVP's Legal, Government Affairs, and Compliance Departments, as well as various internal business functions.
  • Work closely with the Leader, Government Program Relations, to proactively maintain and manage key relationships with the Centers for Medicaid & Medicare Services (CMS), New York State Departments of Health (DOH), Office of Mental Health (OMH), and Office of Addiction Supports and Services (OASAS).
Requirements
  • Bachelor's degree or equivalent education and work experience in a managed care, public health, or healthcare environment.
  • Minimum 5 years healthcare/health insurance experience.
  • Minimum 2 years prior experience interpreting and evaluating regulatory policy and documentation.
  • Demonstrated ability to identify, interpret, and explain regulatory, policy, and other external developments and requirements via clear and concise internal communications.
  • Provide research, analysis, and communications concerning internal and external customers' business questions, requests, and/or needs-tailoring messaging to specific audiences.
  • Thorough knowledge of government healthcare program requirements preferred and required over time.
  • Knowledge in the managed care field, and specifically case management concepts and/or processes, operations, and quality processes and/or reporting strongly 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.
What We Offer
  • 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 healthcare by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York.
Where You'll Be

Hybrid to Schenectady, NY (in office two days a week).

Affirmative Action

MVP is an Affirmative Action/Equal Employment Opportunity (EEO) employer. 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.

Pay Transparency

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.

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