Professional, CASE Analyst

MVP Health Care • Schenectady, NY

22h • Hybrid

About The Position

Join Us in Shaping the Future of Health Care 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.

Requirements

• A Bachelor’s degree or equivalent combination of education and related experience
• The availability to work full-time, hybrid in Schenectady, NY or Rochester, NY
• 2+ years claim processing/system configuration experience required
• FACETS experience required.
• Customer focus and demonstrated experience working with business users to solve issues and develop requirements to support process improvements.
• Microsoft Office Suite: Excel, Outlook Word
• 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

Nice To Haves

• Data Analysis experience preferred

Responsibilities

• Develop solutions leveraging claims automation and system enhancements to enable faster, more accurate execution of repetitive tasks in production environments.
• Work collaboratively with the RPA team and other business units across the organization developing requirements, analyzing data, performing process review, creating workflows. and developing recommendations for improvement.
• Maintain detailed documentation as it relates to projects and departmental initiatives following program standards.
• Analyze data to perform root cause analysis focusing on increasing accuracy and/or delivering ROI.
• Work in an Agile environment to elicit, record and develop Business Requirements; work with the RPA team to convert Business Requirements to System Requirements.
• Present and provide status on program initiatives.
• Execute tasks timely and escalates roadblocks to success to OPS Leadership for resolution.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level