Qureos Mentor

MVP Health Care

<div><h1 class="jobSectionHeader">Join Us in Shaping the Future of Health Care
</h1>At MVP Health Care, we&rsquo;re on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference&mdash;every interaction, every day. We&rsquo;ve been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
<h1 class="jobSectionHeader">What&rsquo;s in it for you:
</h1><ul><li>Growth opportunities to uplevel your career
</li><li>A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
</li><li>Competitive compensation and comprehensive benefits focused on well-being
</li><li>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 .
</li></ul>You&rsquo;ll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
To provide MVP members enrolled in the Medicaid Long Term Support Program with the psychosocial support needed to cope with chronic, acute, or disabling conditions. The Social Worker will telephonically assess, identify needs, coordinate, educate, case manage and/or coach members. Services include providing member education and counseling, making necessary referrals to social service programs, and coordinating necessary services for MVP members in the Medicaid LTSS program. Establishes and maintains relationships with community agencies to provide contracted and alternative services when appropriate. Refers members and/or families to community resources to assist in recovery from physical or long-term illness and to provide access to services such as financial assistance, legal aid, housing, or education. Participate in discharge planning and care coordination meetings with multiple providers. Collaborates with other professionals to evaluate patients&rsquo; medical or physical condition and to assess member needs. Monitor, evaluate, and record client progress according to measurable goals described in treatment and care plan. Follows case management cases to successful completion using appropriate documentation. Performs other duties as assigned by management. 
POSITION QUALIFICATIONS 
Minimum Education:
Licensed Social Worker is required (LMSW OR LCSW) 
Minimum Experience:
Demonstrated clinical experience and previous experience working with the Medicaid population. Previous case management experience required. 
Required Skills:
<ul><li>Excellent oral and written communication skills, including ability to compose correspondence
</li><li>Excellent computer skills including strong working knowledge of Word, Windows based applications and the internet
</li><li>Detail oriented with strong organizational skills.
</li><li>A &ldquo;team&rdquo; player able to work well in an energetic, dynamic, and deadline-oriented environment.
</li><li>Previous experience required in situations demanding strict adherence to confidentiality.
</li><li>Must be able to solve problems while exhibiting clinical judgment and realistic understanding of the current environment.
</li><li>Must be able to make independent decisions about appropriateness, resource utilization, and quality of care and an ability to follow regulatory requirements
</li><li>Must demonstrate understanding of clinical and psychosocial issues that may alter treatment or care plan and be able to demonstrate good judgment when dealing with emotionally charged situations
</li><li>Knowledge of member centric, motivational interviewing strategies, and strength-based models a plus
</li></ul>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.
$69,383.00-$92,279.00
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 .</div>

Professional, Social Worker- Medicaid Long Term Support Program

<div><h1 class="jobSectionHeader">Join Us in Shaping the Future of Health Care
</h1>At MVP Health Care, we&rsquo;re on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference&mdash;every interaction, every day. We&rsquo;ve been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
<h1 class="jobSectionHeader">What&rsquo;s in it for you:
</h1><ul><li>Growth opportunities to uplevel your career
</li><li>A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
</li><li>Competitive compensation and comprehensive benefits focused on well-being
</li><li>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 .
</li></ul>You&rsquo;ll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
About the Opportunity
In this role, you will join our Customer Insights team with additional responsibilities to the Underwriting team. Your primary activities will include analyzing claims data to identify trends, patterns, and insights that inform business strategy, as well as assisting with rate development and other operational duties. This is an excellent opportunity for a data-driven professional who enjoys a varied workload.
What You&rsquo;ll Do
<ul><li>Analyze claims data from various sources to identify trends and patterns
</li><li>Develop and implement data analysis techniques to gain insights into the health and behaviors of client populations
</li><li>Create reports and presentations to communicate findings to stakeholders
</li><li>Collaborate with cross-functional teams to recognize data-driven solutions to Quality and Health Management initiatives
</li><li>Conduct ad hoc analysis as needed to support client needs
</li><li>Configure and maintain automated file feeds to outside entities
</li><li>Determine rates for new and existing accounts based upon census, claims and other group information available
</li><li>Work cooperatively with sales and account management staff to understand account parameters, product strategy and competitive landscape
</li><li>Follow process outlined by team to ensure product and rating process and guidelines are followed
</li><li>Identify systems issues and works with system staff and management through to resolution
</li><li>Perform testing for annual formula updates and/or as needed for system upgrades and changes
</li><li>Respond to questions from sales and account management staff for brokers and RFPs in a complete and informative manner
</li><li>Perform other duties as assigned by management
</li></ul>Skills and Experience
<ul><li>Education, Licensures, &amp; Certifications
<ul><li>Bachelor's or Master's degree in Business, Health Care, Information Systems, Statistics, Mathematics, or a related field
</li></ul></li><li>Required Job Skills
<ul><li>Strong analytical skills (SQL a plus) and business-minded
</li><li>Experience with data visualization tools (e.g., Tableau, PowerBI, Excel)
</li><li>Strong communication skills, both written and verbal
</li><li>Ability to work independently and collaboratively in a team environment
</li><li>Strong attention to detail and ability to manage multiple projects simultaneously
</li><li>Strong time management skills, attention to deadlines
</li><li>Ability to apply data governance to report requests based on business rules for specific clients
</li><li>Familiarity with health care industry a plus
</li></ul></li></ul>Worksite Designation
<ul><li>Hybrid - three days a week in office
</li></ul>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.
$69,383.00-$92,279.00
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 .</div>

Customer Insights Analyst

<div><h1 class="jobSectionHeader">Join Us in Shaping the Future of Health Care
</h1>At MVP Health Care, we&rsquo;re on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference&mdash;every interaction, every day. We&rsquo;ve been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
<h1 class="jobSectionHeader">What&rsquo;s in it for you:
</h1><ul><li>Growth opportunities to uplevel your career
</li><li>A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
</li><li>Competitive compensation and comprehensive benefits focused on well-being
</li><li>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 .
</li></ul>You&rsquo;ll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
Qualifications you&rsquo;ll bring:
<ul><li>High School diploma or equivalent when possesses customer service employment
 
experience. A minimum 1 &ndash; 3 years customer service experience and/or relevant office experience required.
</li></ul><ul><li>Experience in positions where adherence to strict confidentiality is required.
</li></ul><ul><li>Strong problem-solving skills with effective oral and written communication skills.
</li><li>Have strong interpersonal skills and exhibit good judgment.
</li><li>Collaborative skills: ability to work in team environment.
</li><li>Demonstrated excellent customer service skills including superior accountability and follow through.
</li></ul><ul><li>Curiosity to foster innovation and pave the way for growth
</li></ul><ul><li>Humility to play as a team
</li><li>Commitment to being the difference for our customers in every interaction
</li></ul>Your key responsibilities:
<ul><li>This individual will be part of the outreach experience focused on delivering value added services.
</li><li>Establish a meaningful connection which improves the customer experience, increases member health care literacy, and contributes to customer retention. Majority of contact is via telephone, with some written correspondence/e-mail as needed.
</li><li>Perform outbound campaigns in support of meeting quality objectives, to welcome new members to plans, and to meet defined objectives as outlined for each campaign.
</li><li>Ability to work in a fast-paced environment and deal with the challenges inherent in a call-center atmosphere.
</li><li>Deliver excellent customer service on each call.
</li><li>Meet individual accessibility and outreach goals, and team goals for industry standard benchmarks.
</li><li>Work closely with all other MVP departments, especially Quality, Operations, Utilization Management, Sales and Professional Relations.
</li><li>Off call work may include service issue research and resolution, reporting, special projects, etc. Performs other duties as assigned.
</li></ul><ul><li>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.
</li></ul>Where you&rsquo;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.
$24.00-$31.92
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 .</div>

Associate, Outbound Call Center

Join MVP Health Care and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

MVP Health Care

About Company

Professional, Social Worker- Medicaid Long Term Support Program

Customer Insights Analyst

Associate, Outbound Call Center