MVP Health Care

Manager

• Utilize the essentials of an integrated care management model that includes assessment, planning, implementation, care coordination, monitoring, and care planning to meet the comprehensive health needs of members admitted to selected hospital facilities
• In collaboration with hospital discharge staff, identify the medical and psychosocial needs of members and provide appropriate education, resources, and healthcare coaching through face-to-face meetings during the member's inpatient hospital stay
• Engage with the member, their caregiver, and their specific providers during the inpatient hospital stay
• Identify any potential barriers to a safe and effective discharge plan and provide guidance in understanding benefit coverage and navigating the healthcare delivery system
• Work collaboratively with hospital staff and assist in discharge planning to ensure the member achieves optimal healthcare services through the coordination of quality cost-effective care
• Monitor and review cases with the appropriate provider and on-site clinical care teams to ensure appropriate outcomes when significant concerns are identified
• Support members throughout the inpatient hospital stay and for a period of 30 days post-discharge to ensure adequate care coordination and education in the transition of care period.

Hospital Based Care Manager

• Conduct thorough assessments of client needs and develop individualized care plans
• Coordinate and facilitate access to appropriate healthcare services and resources
• Collaborate with healthcare providers, insurance companies, and other stakeholders to ensure seamless care coordination
• Monitor client progress and adjust care plans as needed
• Provide education and support to clients and their families to promote self management and empowerment
• Maintain accurate and up-to-date documentation of client interactions and interventions
• Participate in case conferences and team meetings to discuss client progress and develop strategies for improvement
• Stay current with industry trends and best practices in case management.

Case Manager

Client Services Representative

• Provide daily sales and renewal support for large group new sales and client engagement teams.
• Assist with rate quote preparation, proposal support, and preparing reports and presentation materials.
• Handle new member enrollment packet preparation and new group/renewal paperwork completion and submission.
• Monitor and track broker and client issues, providing responsive problem solving and coordinating with other departments for resolution.
• Cultivate and maintain strong relationships with brokers, consultants, and their support staff.
• Work extensively with external brokers and customers, sales and marketing staff, and MVP’s operational departments including Sales Operations, Actuarial, Underwriting, Enrollment, Group Set Up, and Member Services.
• Ensure all support activities comply with company policies, procedures, and regulatory requirements.

Client Support

Backend Engineer

• Design, develop, and maintain scalable RESTful and GraphQL APIs supporting enterprise applications and integrations.
• Define API specifications, contracts, data models, and versioning strategies to ensure consistency and reusability.
• Build high-performance, secure, and reusable API services aligned with microservices and cloud architecture.
• Design and integrate APIs that expose and consume AI/ML services, including predictive models and NLP solutions.
• Enable intelligent automation, personalization, and data-driven use cases through API and AI integration.
• Integrate APIs with backend systems, data platforms, and third-party services to support digital transformation initiatives.
• Collaborate cross-functionally with product, engineering, and data teams to translate business and AI use cases into scalable solutions.
• Implement API security standards, including OAuth2 and JWT, ensuring data privacy, access control, and compliance with governance policies.
• Optimize API performance, reliability, and scalability, including latency-aware design for real-time and batch AI workloads.
• Develop and maintain API documentation (OpenAPI/Swagger) and establish standards for API design, lifecycle management, and governance.

Hospital Based Care Manager

Case Manager

Client Support

Senior API Engineer