Professional, Provider Relations - Contracting

• Join Us in Shaping the Future of Health Care
• At MVP Health Care, 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. Our team 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 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.

• 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

•. You'll 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. This position works with Network leadership, Provider Partnership team members and other key leaders/contributors across the organization to develop, recruit, negotiate, implement, oversee, and evaluate professional/ancillary contracts for the region. Ensures network adequacy and performance for MVP members.

• ESSENTIAL JOB FUNCTIONS

• Professional/Ancillary recruitment related but not limited to county expansions, access and availability requirements and member need/demand.

Professional/Ancillary contracting execution including:

Coordinates with Analytics Team to generate performance reporting and associated financial models. Assists Leaders in leveraging of competitive transparency data during contract negotiation and annual performance reviews. Assists with developing contract documents for renewals and/or amendments in compliance with company templates, reimbursement structure standards and other key process controls. Supports the business relationships with Providers as it relates to contracting issues. Ensures the smooth operation and administration of provider agreements. Advancement of Value Based Payment Models, such Primary Care Model Maintains an inventory of contracts, renewal dates, term clauses/end dates, spend and services by LOB. Processes forms, tracks and scans signed/executed agreements and amendments. Assists with Provider Payment Policies as necessary.

• OTHER DUTIES & RESPONSIBILITIES

• Participates in meetings and supports successful implementation for assigned projects.

Ability to maintain confidentiality and adhere to regulatory compliance issues as they exist and change from time to time. Proactive in identifying areas for efficiency improvement across all of Network Management; consistently challenges the status quo in favor of incremental improvement opportunities that could be achieved through new methods. Performs other related duties as assigned.

• INTERNAL AND EXTERNAL CONTACTS / CUSTOMERS

• + Customer Care + MVP Members + MVP Providers + Network/Professional Relations + Hospitals + Physician Groups + Finance + External Auditors + Legal

• JOB QUALIFICATIONS

• ­­­

Education/Degree:

• Bachelors Degree preferred, equivalent experience may be substituted if the candidate can demonstrate significant relevant work experience.

• Experience:

• + •Minimum of 5 years in health insurance or equivalent experience in Finance or Contract Management or equivalent provider office experience.

• Skills:

• + •Knowledge of

ICD-10, CPT-4, HCPCS

coding

• + •Strong proficiency in problem solving and analysis•+ •Demonstrated ability to interact with all levels of management•+ •Adaptability and flexibility in a changing environment•+ •Ability to use Excel, Microsoft Office, Power Point•+ •Excellent presentation skills•+ •Excellent follow up skills•+ •Excellent verbal and written communication skills•Physical demands/Working conditions:•+ •Hybrid work schedule - in office and work from home•+ •Onsite provider meetings (travel required)•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. $76,321.30-$101,506.90

• 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 hr@mvphealthcare.com .