Mgr. Provider Registry Configuration
Company: Capital District Physicians' Health Plan, Inc
Posted on: June 14, 2019
For more than 30 years, CDPHP has been providing outstanding health
care coverage in the Capital Region of New York and beyond. Based
in Albany, NY, the physician-guided not-for-profit offers plans in
24 counties. CDPHP cares deeply about the health and well-being of
its members as well as its employees. 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 Manager, Provider Registry Configuration will have the
responsibility for the oversight, development and monitoring of
implementation, monitoring and evaluation of all Provider Registry
data and staff. Responsible for the strategic development,
implementation, and monitoring of process efficiencies, technology,
regulatory compliance, and product development as related to CDPHP
This individual works with management, developers and analysts to
manage and configure the applications supporting CDPHP s core
processes and functions for provider data. The Manager, Provider
Registry Configuration is responsible for provider data
deliverables associated with management, configuration and
maintenance of CDPHP s Provider Registry systems and applications
during their lifecycle, specifically with Facets and its integrated
This individual will ensure that processes within the Provider
Registry team are documented and followed. They will analyze
business procedures, problems, and business requirements, and
determine solutions. The Manager, Provider Registry Configuration
is responsible for accuracy of company-wide provider data including
data that impacts claims payment and directory information.
* Bachelor s degree required. 7 years relevant experience may be
substituted for degree.
* Minimum five (5) years configuration and business analysis
experience that includes: evaluation of business procedures and
problems, feasibility studies, system configuration, configuration
design, preparing detailed specifications for the development of
business configuration and testing is required.
* A minimum of five (5) years experience in healthcare programs and
processes and working with internal departments and external
vendors is required.
* Experience in applying relational database concepts and
* Previous management experience required.
* Knowledge of healthcare and HMO processes, rules, regulations,
enrollment/eligibility guideline and reporting requirements for
HMO, PPO, ASO, Medicare, Medicaid, Child Health Plus.
* Demonstrated ability to analyze, identify, implement and monitor
* Demonstrated ability to manage and shift priorities to meet
* Ability to successfully work with an application management and
development team in defining system implementation, conversion and
* Proficiency in Microsoft Excel is required. Access and SQL
* Organizational skills and excellent written and verbal
communication skills are required.
* Demonstrated ability to identify weaknesses in workflow and
develop and implement process improvements to continually ensure
that corporate goals are satisfied is required.
* Excellent interpersonal skills and a productive team player.
* Must possess strong analytical skills.
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, physical and mental disability, criminal
record, genetic information, predisposition or carrier status,
status with respect to receiving public assistance, domestic
violence victim status, a disabled, special, recently separated,
active duty wartime, campaign badge, Armed Forces service medal
veteran, or any other characteristics protected under applicable
Keywords: Capital District Physicians' Health Plan, Inc, Albany , Mgr. Provider Registry Configuration, Other , Albany, New York
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