Behavioral Health Program Support Specialist - MVP Health Care : Job Details

At MVP Health Care, we are committed to creating a healthier future for everyone, driven by innovative thinking and continuous improvement. We are searching for a Behavioral Health Program Support Specialist to be a part of #TeamMVP. If you are passionate about healthcare and enjoy collaboration, teamwork, and empowering others, this is the perfect opportunity for you!

What we offer:

• Opportunities for career growth and advancement
• A supportive, people-centric culture that values diverse perspectives and experiences
• Competitive pay and comprehensive benefits focused on your overall well-being
• The chance to impact the future of healthcare with a team recognized as a Best Place to Work in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

Qualifications:

• Bachelor's Degree in a health-related field
• Preferred two years of experience in a healthcare setting
• Preferred one year of experience in health insurance or managed care
• Exceptional customer service skills
• Ability to meet and uphold departmental quality and performance standards
• Strong follow-up skills for tasks and assignments
• Professional documentation skills for communications
• Capability to work independently and collaboratively with diverse staff
• Proficiency in prioritization, multitasking, and adapting to organizational changes
• Acuriosity that fosters innovation and a desire for growth
• Humility and teamwork commitment
• A dedication to making a positive impact in every customer interaction

Key Responsibilities:

• Enter all notifications of admission for in-network hospitals into MVP's medical management system
• Identify and assign cases needing concurrent review to the appropriate Behavioral Health UM Clinician
• Communicate with hospital staff to assess admission and discharge status
• Enter timely discharges to support transitions of care
• Assist providers with MVP's transition of care program
• Obtain and provide referrals for in-network providers
• Collaborate with Behavioral Health clinicians
• Support Behavioral Health Care Management staff for member-initiated out-of-network requests
• Help members seeking care from behavioral health providers with referrals
• Assist in preparing materials for regulatory presentations, meetings, and audits
• Uphold strict confidentiality standards
• Perform additional duties as assigned by leadership
• Contribute to our collective goal of enhancing healthcare delivery and making a difference for customers.

Where you will work:

Virtual in NYS

Compensation Transparency:

MVP Health Care is eager to provide competitive employee compensation and benefits. The base pay range for this role reflects our good faith estimate at posting time. Compensation offers will be made based on factors including geographic location, relevant experience, education, and training.

Inclusion Statement:

At MVP Health Care, we believe that healthier communities begin with a healthy workplace. We are committed to creating an environment where individuals of diverse backgrounds can thrive and contribute their unique perspectives.

MVP is an equal opportunity employer and does not discriminate based on race, color, creed, national origin, gender, age, or any other legally protected classification.

To maintain a safe, drug-free workplace, pre-employment criminal background checks and drug testing are a part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team.