Job Information
CDPHP Provider Registry Specialist in Albany, New York
CDPHP and its family of companies are mission-driven organizations that support the health and well-being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician-guided not-for-profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
The Provider Registry Specialist (PRS) position supports the development, servicing and improvement of CDPHP’s provider networks. The PRS is responsible for the quality data entry and processing of all provider file maintenance in CDPHP’s operating systems.
QUALIFICATIONS:
High school diploma or GED required. Associates degree preferred.
Minimum three (3) years of experience in a HMO, Managed Care Organization, Indemnity or health related industry required.
Working experience in MS Office Suite and Windows environment is required.
Experience with Microsoft Access, MS Excel, and core claims or providers processing systems preferred.
Demonstrated time management skills including self-directed multi-task scheduling of projects and routine duties are required.
Demonstrated experience in researching, organizing, and filtering large amounts of data to populate complex databases and the ability to handle highly confidential information in a fast paced environment is required.
Demonstrated experience in completing large projects independently and accurately through completion with minimum supervision is required.
Working knowledge of regulatory requirements that impact the health insurance industry is preferred.
Demonstrated ability to comprehend and interpret correspondence requests and apply discretion for complex issues using established standards and guidelines and enforcing guidelines is required.
Demonstrated ability to apply problem-solving methodology to organizational issues is required.
CDPHP salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills. In addition to cash compensation, CDPHP employees may be eligible for an incentive payment, a discretionary cash reward based on employee and company performance. Some roles may also be eligible for overtime pay.
CDPHP compensation packages go far beyond just salary. The company offers a comprehensive total rewards package that includes award-winning health care coverage, health care dollars, a generous paid time off allowance, employee assistance programs, flexible work environment, and much more. Learn about all CDPHP employee benefits here.
As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices on the basis of race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law. To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.
CDPHP and its family of companies include subsidiaries Acuitas Health LLC, Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC.