Professional, CASE Analyst

Join Us in Shaping the Future of Health Care
At MVP Health Care, were 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. Weve 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.
Whats 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 .

Youll 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.
Qualifications youll bring:
A Bachelors 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. Data Analysis experience preferred
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

Your key 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.

Where youll be:
Hybrid
- Schenectady, NY or Rochester, NY
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.
$51,395.00-$68,354.75
MVPs 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…