CDPHP Analyst - EDI Services and Support 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 M&B Analyst of EDI Services & Support is responsible for successfully tracking Electronic Data Interchange (EDI) enrollment streams and delivery requirements. To accomplish this, the Analyst will track, strategize, plan, prioritize, troubleshoot, and calibrate all assigned work independently and in conjunction with the M&B Management Team and vendor partners to ensure that enrollment is received without negative internal or external customer impacts. The Analyst will be successful when they can adjust for the seasonality of the work – ensuring that spikes during Open Enrollment are proactively planned for and executed upon to deliver enrollment excellence. The Analyst will track daily, weekly, monthly, quarterly, and yearly deliverables proactively in order to highlight and anticipate any risks to enrollment being received and processed timely. The Analyst will maintain a list of tasks, milestones, and initiatives and partner with the M&B team to deliver upon those expectations.
A minimum of three years of experience in a healthcare enrollment, benefit administration division is required; Facets and Macess experience highly desired.
Experience working on high-performing teams
Experience with planning, tracking and documentation is highly desired
Experience in a customer facing role is highly desired
Detailed understanding of health care benefit/ claims administration platform
Strong verbal and written communication skills
Strong Excel skills
Strong analytical skills
Strong Meeting Facilitator capable to commanding a room
Demonstrated ability to manage and shift priorities to meet department objectives
Demonstrated ability to effectively communicate with external and internal contacts both verbally and via written correspondence is required
Ability to effectively manage time with multiple task assignments is required
As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices due to an applicant’s 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 Solutions (PSS), and ConnectRX Services, LLC.