CDPHP

Job Description: Job Description 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. Please note that this is a hybrid position requiring both remote and on-site work. CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC....

Job Description: Job Description Summary: Fall 2026 Internship The Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire fall. In addition, through the internship program, our interns can attend development workshops that are focused on key business concept. Interns may work within the skills-based tracks of Information Technology, Business Administration, Actuarial, Human Resources, Analytics & Data, Communications, Finance, Marketing & Sales, Project Management, Clinical Studies, Customer Experience, Digital Operations, and other non-technical and/or technical based degree programs. This is a paid internship/co-op. May reside in either a technical or non-technical area....

Job Description: Job Description Summary: Fall 2026 Internship The Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire fall. In addition, through the internship program, our interns can attend development workshops that are focused on key business concept. Interns may work within the skills-based tracks of Information Technology, Business Administration, Actuarial, Human Resources, Analytics & Data, Communications, Finance, Marketing & Sales, Project Management, Clinical Studies, Customer Experience, Digital Operations, and other non-technical and/or technical based degree programs. This is a paid internship/co-op. May reside in either a technical or non-technical area....

Job Description: Summary: This role provides the vision, strategy, functionality, and technology solutions for creating and maintaining network platforms for both public and private cloud infrastructure-based solutions. This entails the design and use of flexible platforms that deliver features, functionality, and services compatible with industry-leading providers while allowing legacy systems to interact safely when required. This position requires the necessary skills to provide technology research, evaluation, development, and delivery in support of infrastructure deployment solution lifecycles. The candidate will work directly with the Information Technology teams to lead the organization toward the deployment of technologies that may include PaaS, SaaS, hosted, and on-premises subscriptions - which will allow for flexible, secure, on-demand cloud-like functionality and services while endeavoring to provide resiliency and achieve cost reduction, while maintaining a...

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

Job Description: Summary: The Business Systems Analyst is a critical role in the delivery of products for Lifetime Healthcare Companies. This position collaborates with stakeholders throughout the organization to understand business objectives and defines IT system requirements and specifications for the implementation of IT system solutions. The Business Systems Analyst will serve as the primary interface between the business and IT teams to gather, document and analyze all level of requirements with the emphasis on delivering functional and non-functional requirements to solution architects and IT teams. Business Systems Analyst, in collaboration, with their stakeholders sets scope for work items. Essential Accountabilities: All Levels: Collaborates with all stakeholders to elicit, analyze, specify, and gather business, stakeholder, and solution requirements. This will include assisting and/or contributing to the creation of documented requirements leveraging the...

Job Description: *This position is supporting our CDPHP Medicare Sales team. Leadership is open to considering candidates who reside within our service area in NYS (Inclusive of Albany, Rochester, Buffalo, Syracuse, Utica & Binghamton regions) Summary: The Medicare Sales Advocate (MSA) is responsible for finding Medicare solutions for beneficiaries by explaining CDPHP's Medicare benefits and plans to prospective members along with assisting CDPHP Medicare Authorized Agents. This position will also qualify prospective members and arrange for enrollment meetings with a CDPHP Authorized Sales Agent. The MSA duties also include resolving eligibility and enrollment related questions and responding to internal and external customer inquiries that may be received via email or by phone. This position requires the ability to work a flexible schedule to ensure all Medicare regulations are met. Essential Accountabilities: Responsible for accurately explaining CDPHP Medicare...

Job Description: Summary: The Finance Data Management Team is responsible for supporting the Finance division in several main capacities: management of the Workday Foundation Data Model and Workday Finance Business Processes, administration and development of Workday Accounting Center, administration of Workday Adaptive Planning, maintenance of Workday Finance configurations, and data management in support of reporting, integrations, audits and compliance. This role provides maintenance and administration of finance specific applications, data and business processes which provide support across the Finance division. A Financial Data Consultant collaborates cross-functionally throughout the organization to ensure the quality and timeliness of our financial transactions, reporting and analysis. Essential Accountabilities: Level I • Participates in administration and configuration across all finance technologies supported by the Finance Data Management team which include...

Job Description: Summary: The Business Systems Analyst is a critical role in the delivery of products for Lifetime Healthcare Companies. This position collaborates with stakeholders throughout the organization to understand business objectives and defines IT system requirements and specifications for the implementation of IT system solutions. The Business Systems Analyst will serve as the primary interface between the business and IT teams to gather, document and analyze all level of requirements with the emphasis on delivering functional and non-functional requirements to solution architects and IT teams. Business Systems Analyst, in collaboration, with their stakeholders sets scope for work items. Essential Accountabilities: All Levels: Collaborates with all stakeholders to elicit, analyze, specify, and gather business, stakeholder, and solution requirements. This will include assisting and/or contributing to the creation of documented requirements leveraging the...

Job Description: Summary: This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members and the Clinical Operations Department. Community Connections Representatives educate members about accessing community resources and assists with navigating resources available and provide assistance with addressing SDoH barriers and care gaps. This position educates and assists with the enrollment and recertification process for Marketplace Facilitated Enrollment (MFE): On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market - Qualified Health Plan (QHP). This position requires working occasional evenings and weekends for outreach and community events. Essential Accountabilities: Level I • Educates Medicaid, Medicare, and Commercial members on healthcare benefits, and community...

Job Description: Summary: The Director, CRM Strategy & Operations is responsible for providing strategic leadership, governance, operational oversight, and continuous improvement for the Marketing & Growth division's Customer Relationship Management (CRM) platform and associated sales enablement capabilities. This role serves as the product owner and operational leader for CRM strategy, administration, business process enablement, release management, user adoption, platform governance, and ongoing transformation initiatives. The Director is accountable for developing the CRM roadmap, establishing governance standards, overseeing platform enhancements, driving adoption, managing vendor relationships, and ensuring CRM capabilities evolve in alignment with organizational goals and customer engagement strategies. This position partners closely with teams across the enterprise and business leaders across Lines of Business (LOBs) and regional markets to ensure the CRM...

Job Description: Job Description Summary: Fall 2026 Internship The Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire fall. In addition, through the internship program, our interns can attend development workshops that are focused on key business concept. Interns may work within the skills-based tracks of Information Technology, Business Administration, Actuarial, Human Resources, Analytics & Data, Communications, Finance, Marketing & Sales, Project Management, Clinical Studies, Customer Experience, Digital Operations, and other non-technical and/or technical based degree programs. This is a paid internship/co-op. May reside in either a technical or non-technical area....

Job Description: Summary: The Product Configuration Technical Analyst manages and establishes end-to-end product application and/or system configuration data design and maintenance controls including design, communication, tools, approval and change process. This position is a critical liaison with the Product & Contract Management team and business partners of all functional areas as it directs design processes and procedures for product configuration items that will be built and maintained on an operational basis. The Architect fills multiple roles (simultaneously, as needed) in support of the Product & Contract Management organization; identifies and implements product and quality process improvements that may affect multiple areas; and provides support to end-to-end operations as it relates to product and contract management activities. At the higher level, this position is primarily responsible for architecting, planning, and creating solution designs;...

Job Description: Summary: The Manager of Data Platform Administration plans, directs, and evaluates the work of Data Platform Administration team in the planning, design, development and maintenance of new and existing applications and data systems. This position communicates with users to develop and maintain a firsthand knowledge of their plans, operations, problems, and opportunities. This position also champions the development, enforcement and refinement of standards for use, control, performance, updating and maintenance in conjunction with Data Platform Administration. This role reviews in-progress and completed work for completeness, quality, and adherence to standards. The Manager role is a highly technical position that focuses on Data Analytic platforms such as: Databricks, IBM Cognos, Power BI, SAS. The role will work with and provide guidance for a cross-functional team of technical professionals . Essential Accountabilities: • Plans, directs and controls the...

Job Description: Job Description Summary: Fall 2026 Internship The Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire fall. In addition, through the internship program, our interns can attend development workshops that are focused on key business concept. Interns may work within the skills-based tracks of Information Technology, Business Administration, Actuarial, Human Resources, Analytics & Data, Communications, Finance, Marketing & Sales, Project Management, Clinical Studies, Customer Experience, Digital Operations, and other non-technical and/or technical based degree programs. This is a paid internship/co-op. May reside in either a technical or non-technical area....

Job Description: Job Description Summary: Fall 2026 Internship The Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire fall. In addition, through the internship program, our interns can attend development workshops that are focused on key business concept. Interns may work within the skills-based tracks of Information Technology, Business Administration, Actuarial, Human Resources, Analytics & Data, Communications, Finance, Marketing & Sales, Project Management, Clinical Studies, Customer Experience, Digital Operations, and other non-technical and/or technical based degree programs. This is a paid internship/co-op. May reside in either a technical or non-technical area....

Job Description: Summary: The Test Engineer will interface with Project Management, Application Development, and leadership. This position is responsible for ensuring that all testing work items are delivered in a quality manner. This includes delivery without critical defects, in accordance with the schedule, with the highest degree of accuracy and quality. This position plans and executes required testing for systems and applications, while collaborating with team members on test plans, test case creation and execution. Essential Accountabilities: Level I •\tDevelops and maintains business domain subject matter expertise of a given Product Family, to assist with the design and creation of the testing scope and test plan for any incoming project work within the Product Family. •\tAnalyzes requirements and technical specifications to build appropriate test cases and find or create appropriate test data. •\tConducts test case reviews with the agile team to ensure proper...

Job Description: Fall 2026 Internship The Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire fall. In addition, through the internship program, our interns can attend development workshops that are focused on key business concept. Interns may work within the skills-based tracks of Information Technology, Business Administration, Actuarial, Human Resources, Analytics & Data, Communications, Finance, Marketing & Sales, Project Management, Clinical Studies, Customer Experience, Digital Operations, and other non-technical and/or technical based degree programs. This is a paid internship/co-op. May reside in either a technical or non-technical area. Housing is not provided as...

Job Description: Summary: Fall 2026 Internship The Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire summer. In addition, through the internship program, our interns can attend development workshops that are focused on key business concept. Interns may work within the skills-based tracks of Information Technology, Business Administration, Actuarial, Human Resources, Analytics & Data, Communications, Finance, Marketing & Sales, Project Management, Clinical Studies, Customer Experience, Digital Operations, and other non-technical and/or technical based degree programs. This is a paid internship/co-op. May reside in either a technical or non-technical area. Housing is not...

Job Description: Summary The Director, Healthcare Economics is responsible for supervision of staff in the routine operation of the Healthcare Economics, Actuarial, and Analytics department. This position leads analysis of healthcare cost trend and medical cost, the financial forecasting and budgeting process, and program evaluation/ROI calculations for the health plan. The Director develops and presents financial and programmatic recommendations that protect the organization's financial integrity and improve healthcare affordability; information and recommendations provided must be sound and consistent to support the organization's mission, as well as target corporate cost management goals, new initiatives and other complex measures related to financial solvency. The incumbent plays an active role in the preparation and interpretation of data and related formulae. This role utilizes national and local information sources ranging from industry publications and consultants to...