Professional, BH Program Support Specialist - MVP Health Care : Job Details

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 Professional, BH Program Support Specialist to join #TeamMVP. If you have a passion for healthcare, collaboration and teamwork, and empowerment and education 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 in the NY Capital District , one of the Best Companies to Work For in New York , and an Inclusive Workplace .

Qualifications you'll bring:

• Bachelor's Degree in a health-related field

• Two years' experience in a healthcare field preferred

• One year experience in health insurance/managed care preferred

• Excellent customer service skills

• Ability to meet and maintain required departmental quality and quantity standards

• Ability to monitor and follow-up on tasks and assignments

• Ability to document phone calls/emails/chats in a professional manner

• Ability to work independently and as part of a team, with all levels of staff, under limited supervision

• Ability to prioritize, multi-task, and adapt to changing organizational needs

• 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:

• Responsible for entering all notifications of admission to in-network hospitals and facilities in MVP's medical management system

• Responsible for identification and assignment of cases requiring concurrent review to the appropriate BH UM Clinician

• Communicate with hospital or facility staff to ascertain status of admission and discharge

• Enter timely discharges, supporting transitions of care

• Communicate with and assist providers supporting MVP's transition of care program

• Obtain and provide referrals for in-network providers

• Work collaboratively with BH clinicians

• Provide support and coordinate with BH CM staff for member initiated out-of-network requests

• Provide referral assistance to members seeking care with behavioral health providers

• Assist in preparation of materials for regulatory presentations, meetings, and audits

• Demonstrate strict adherence to confidentiality

• Other duties as assigned by leadership.

• 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:

Virtual in NYS

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] .

Job Details

Job Family Medical Management/Clinical

Pay Type Salary

Hiring Min Rate 44,850 USD

Hiring Max Rate 74,750 USD