Leader, Claims Support

At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for a Leader, Claims Support to join #TeamMVP. If you have a passion for Operational Excellence, problem solving, and Team empowerment, this is the opportunity for you. 

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 and one of the Best Companies to Work For in New York  

Qualifications you’ll bring: 

• Associate’s degree preferred, but equivalent experience may be substituted.
• Requires at least 3 years of health insurance claims experience. 1 year of supervisory experience or 2 years' experience as a team lead/senior. Knowledge of ICD-10, CPT-4, and HCPCS coding preferred.
• Strong problem-solving and decision-making abilities, with the capability to interact effectively at all levels of management and lead cross-functional teams.
• Strong presentation, verbal, and written communication skills, with excellent follow-up and attention to detail. 

Your key responsibilities: 

• Mentor, support, and build a high-performing team within Claims Operations.

• Supervise claims processing activities related to adjustments, correspondence, and encounter data.
• Track attendance, evaluate personnel, and address disciplinary actions as needed.

• Identify opportunities to enhance efficiency and challenge the status quo with innovative solutions.

• Foster strong relationships with internal and external customers to improve member and provider experiences. 

• Ensure adherence to regulatory requirements and maintain confidentiality in all processes.

• Proactively address operational issues and prevent escalations.
• 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. 

Where you’ll be: 

Hybrid- Rochester, NY or Schenectady, NY

 #cs

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. 
 
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.
 
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, 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 Talent team at [email protected].