Job Details

ID #23765697
State Connecticut
City New haven
Job type Full Time
Salary USD TBD TBD
Source MVP Health Care
Showed 2021-12-02
Date 2021-11-16
Deadline 2022-01-15
Category Et cetera
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Professional, Project Management Analyst

Connecticut, New haven, 06540 New haven USA

Vacancy expired!

Professional, Project Management Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America

  • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America
  • Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America
  • Virtual Req #875 Monday, November 15, 2021

    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

    Summary:

    The goal for the Professional, Project Management Analyst role is to improve provider data accuracy to meet regulatory requirements and improve member experience. This is a great job for someone who loves digging into data and solving problems.

    Primary Duties include:
  • Research- Define and maintain the requirements for provider data regulations. Identify member/provider abrasion issues and trends.
  • Measure- Design and implement metrics to track improvement trends.
  • Strategize- Create plans for each regulatory requirement and abrasion point.
  • Identify inaccuracies in data and Root Cause.
  • Develop and Implement initiatives that improve the member experience and member facing provider search data.
  • Implement monitoring and controls to track the data improvements over time.
  • Implement vendor provider data validation solution(s). Create a quarterly automated process to update addresses, phone numbers, NPI's etc. in multiple databases.
  • Perform outreach to providers and facilities for required data as needed.
  • All team members are expected to continuously evaluate processes, identify potential improvements, and help implement changes.
  • Performs other duties as assigned.

    POSITION QUALIFICATIONS:

    Minimum Education: Bachelor's degree in business, Computer Science, Information Systems or three or more years of related work experience. Minimum Experience: Three plus years of experience in business process, data analysis or project implementation. Adept at building controls, metrics and monitoring process to track data improvement. Proficiency in project management skills and software tools. Health insurance experience preferred. Experience working within Agile Scrum methodology beneficial.

    Required Skills:
  • Ability to thrive in an entrepreneurial environment: a curiosity and eagerness to solve big challenges and ability to manage projects independently.
  • Ability to think through complex data and process issues. Exceptional skills in critical thinking and problem solving.
  • Strong skills in Microsoft Word, Excel, PowerPoint, and the management of data and reports, complex data analysis and presenting findings to various audiences.
  • Highly detail-oriented with strong analytical, technical, and interpersonal skills.
  • Must have excellent communication and presentation skills, clearly articulating initiatives, and analyses to technical and non-technical teams alike. Ability to translate business needs into detailed business and IT requirements. Comfortable working with IT partners to drive projects to production
  • Strong results-oriented team player with a passion for driving cross functional collaboration.
  • Proven leadership skills.
  • Ability to manage multiple assignments with a high level of autonomy and independence.
  • Comfortable with calculated risk-taking to move projects forward.
  • Experience in strategic planning, risk management and/or change management.
  • Excellent organizational and communication skills.
  • Skilled in decision-making and conflict resolution.
  • Ability to work collaboratively and professionally.
  • Able to handle stress and multiple competing priorities simultaneously.
  • Ability to understand how providers fit into a member's care journey.
  • Ability to maintain confidentiality and adhere to regulatory compliance issues as they exist and change from time to time.
  • Microsoft SQL skills a plus.

    This position can be remote/virtual within New York.

    #LI-Jc1

    About MVPMVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 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. 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 EEO is the Law Poster and Supplement 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 Claims/Operations
    • Pay Type Salary
    Apply Now

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  • \nResearch- Define and maintain the requirements\nfor provider data regulations. Identify member/provider abrasion issues and\ntrends. \n\n
  • \nMeasure- Design and implement metrics to track\nimprovement trends. \n\n
  • \nStrategize- Create plans for each regulatory\nrequirement and abrasion point. \n\n
  • \nIdentify inaccuracies in data and Root Cause. \n\n
  • \nDevelop and Implement initiatives that improve\nthe member experience and member facing provider search data. \n\n
  • \nImplement monitoring and controls to track the\ndata improvements over time. \n\n
  • \nImplement vendor provider data validation\nsolution(s). Create a quarterly automated process to update addresses, phone\nnumbers, NPI's etc. in multiple databases.\n\n\n
  • \nPerform outreach to providers and facilities for\nrequired data as needed. \n\n
  • \nAll team members are expected to continuously\nevaluate processes, identify potential improvements, and help implement\nchanges. \n\n
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  • \nAbility to thrive in an entrepreneurial\nenvironment: a curiosity and eagerness to solve big challenges and ability to\nmanage projects independently. \n\n
  • \nAbility to think through complex data and\nprocess issues. Exceptional skills in critical thinking and problem\nsolving. \n\n
  • \nStrong skills in Microsoft Word, Excel,\nPowerPoint, and the management of data and reports, complex data analysis and\npresenting findings to various audiences. \n\n
  • \nHighly detail-oriented with strong analytical,\ntechnical, and interpersonal skills. \n\n
  • \nMust have excellent communication and\npresentation skills, clearly articulating initiatives, and analyses to\ntechnical and non-technical teams alike. Ability to translate business needs into\ndetailed business and IT requirements. Comfortable working with IT partners to\ndrive projects to production\n\n
  • \nStrong results-oriented team player with a\npassion for driving cross functional collaboration.\n\n
  • \nProven leadership skills. \n\n
  • \nAbility to manage multiple assignments with a\nhigh level of autonomy and independence.\n\n\n
  • \nComfortable with calculated risk-taking to move\nprojects forward.\n\n
  • \nExperience in strategic planning, risk management\nand/or change management. \n\n
  • \nExcellent organizational and communication\nskills. \n\n
  • \nSkilled in decision-making and conflict\nresolution. \n\n
  • \nAbility to work collaboratively and\nprofessionally. \n\n
  • \nAble to handle stress and multiple competing\npriorities simultaneously. \n\n
  • \nAbility to understand how providers fit into a\nmember's care journey. \n\n
  • \nAbility to maintain confidentiality and adhere\nto regulatory compliance issues as they exist and change from time to time. \n\n
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    • Headquarters Office, 625 State Street, Schenectady, New York, United States of America
    • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America
    • Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America
    • Virtual

    Vacancy expired!

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