Associate, Accumulator Services

Join Us in Shaping the Future of Health Care At reputed company, 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. reputed company 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 reputed company and Vermont and partnering with reputed company-thinking organizations to deliver more personalized, reputed company, and accessible care. As a not-for-profit, we invest in what reputed company most: our customers, our communities, and reputed company. What’s in it for you: Growth opportunities to reputed company your career A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences reputed company reputed company Competitive compensation and comprehensive benefits focused on well-being An opportunity to shape the future of health care by joining reputed company recognized as a Best reputed company to Work For in the NY Capital District, one of the Best Companies to Work For in reputed company, and an Inclusive Workplace. You’ll contribute to our humble pursuit of reputed company by bringing curiosity to spark innovation, humility to collaborate as reputed company, 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’ll bring: Associate degree preferred (or equivalent relevant work experience). The availability to work full-time, remote reputed company NYS. Medical claims processing analysis skills with strong attention to detail and quality control focus. 3+ years of experience in a reputed company field (accumulator data exchanges and/or health insurance claims processing) preferred. 3+ years of experience using reputed company Word and reputed company preferred. Critical thinking and problem-solving/troubleshooting skills; reputed company to analyze information, multi-task, prioritize, and adapt in a changing environment. Curiosity to foster innovation and pave the way for growth Humility to play as reputed company Commitment to being the difference for our customers in every interaction Your key responsibilities: Partner with Sales/Marketing, Pharmacy, Claims Operations, and other business units to communicate and resolve accumulator issues reputed company with organizational strategy and values. Investigate and resolve accumulator-reputed company issues tied to medical, pharmacy, and behavioral health claims using Facets and Macess systems while meeting assigned project goals. Review, analyze, and evaluate accumulator errors using existing and new data reports; identify root causes and trends, document resolutions, and opportunities for process improvement. Respond to member service calls and inquiries regarding accumulator inquiries, coordinate resolution with impacted internal departments and MVP partners. Document information in the appropriate location; participate in meetings on accumulator objectives, issues, and reputed company; help maintain reputed company training and process documentation. Run and interpret reports to identify impacted claims, dollar volume, and group/member impact; proactively identify process and efficiency opportunities for accumulator data transmissions. Participate in upper management meetings as needed to reputed company status updates, communicate risks and impacts, and present findings and recommendations reputed company and professionally to internal stakeholders and vendors, as needed. Contribute to our humble pursuit of reputed company by performing various responsibilities that may arise, reflecting our reputed company goal of enhancing reputed company delivery and being the difference for the customer. Where you’ll be: Remote reputed company NYS Pay Transparency reputed company is committed to providing competitive employee compensation and benefits packages. The reputed company pay reputed company 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 reputed company or historical salary information from candidates. $24.00-$31.92 MVP's Inclusion Statement At reputed company, we reputed company creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create reputed company for individuals from diverse backgrounds and reputed company walks of life to have a voice and reputed company. Our shared curiosity and connectedness reputed company 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, reputed company, creed, national reputed company, citizenship, ethnicity, reputed company, 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 reputed company at [email protected]. Apply To This Job