Pricing and Claims Configuration Leader

4 weeks ago


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

We are seeking a highly skilled and experienced Leader, Pricing & Claims Configuration to join our team at MVP Health Care. As a key member of our organization, you will be responsible for managing the workflow and ensuring that solutions are delivered timely, accurately, and meet the expectations of internal and external customers.

Key Responsibilities
  • Manage the Pricing Configuration team, including staffing, performance evaluation, and management of work assignments.
  • Ensure that all configuration solutions are adequately validated, tested, 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.
  • 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.
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 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.
Requirements
  • 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.
Where You'll Be

Virtual within Eastern Time Zone.

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.

Affirmative Action

MVP 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.

Other Details
  • Job Family: Claims/Operations.
  • Pay Type: Salary.
  • Min Hiring Rate: $75,870.00.
  • Max Hiring Rate: $138,000.00.


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