Network Contracting Analytics and Support

This position is responsible for overseeing and providing analytics, information and supports for the Provider Network teams to move forward both day-to-day activities, as well as departmental or corporate initiatives and compliance activities.

What You'll Do

• Network Adequacy tracking and reporting
• Network Expansion projects
• Overall Regulatory Compliance monitoring and implementations, with heavy emphasis on Behavioral Health requirements
• Represent the Provider Network team in cross-departmental workgroups internally, and externally, as needed.
• Collaborate across Network teams to support regulatory contract requests
• Quarterly HPN review and response
• Other duties as assigned by leadership .

• Education, Licensures, & Certifications
• Bachelor's Degree or comparable combination of education and related work experience required.
• Years of Experience (Required & Preferred)
• Three to Five Years' work experience in analytical and regulatory environment with problem solving skills
• Required Job Skills
• Experience or knowledge in Provider Network and regulatory requirements across various lines of business (Commercial, Medicare and Medicaid)
• Strong organizational, time management, oral and written communications skills
• Ability to read and interpret regulatory documentation and identify steps needed for compliance and/or implementation of State and Federal mandates for Physical and Behavioral Health Provider Networks.
• Ability to multi-task and prioritize work to meet deadlines; internal and regulatory
• Must have a high degree of personal initiative and able to work independently
• Knowledge of the components of both Provider Service Agreements (PSAs), and Behavioral Health IPA/PO contracts.
• Working knowledge of relational databases and excel, including querying and reporting.
• Ability to organize and present data effectively, detail oriented
• Excellent computer skills including working knowledge of Microsoft Office suite - Word, Excel, Outlook, Powerpoint, and Access
• Must have reliable transportation, willing to travel occasionally throughout MVP's service areas, with overnights as required.
• Preferred Job Skills
• Experience communicating externally with regulatory entities, including but not limited to the New York State Department of Health, Department of Financial Services, CMS, and across state lines.
• Must be self organized and disciplined, a self starter understanding workflow, processes and due dates.

At MVP Health Care, we'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-every interaction, every day. We'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.

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 .

You'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., Worksite Designation

• Hybrid - Schenectady or Rochester, NY - three days in office per week

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.