Network Contracting Analytics and Support

MVP Health Care • Schenectady, NY

6d • Hybrid

About The Position

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.

Requirements

• Bachelor’s Degree or comparable combination of education and related work experience required.
• Three to Five Years’ work experience in analytical and regulatory environment with problem solving skills Required
• 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.

Nice To Haves

• 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.

Responsibilities

• 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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees