What are the responsibilities and job description for the Stop Loss Reporting Analyst position at CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC?
Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly. CDPHP is committed to fostering a culture of belonging and takes a wholistic approach to diversity, equity, and inclusion. 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 Stop Loss Reporting Analyst will support new business sales and account retention by creating, maintaining, and facilitating stop loss reporting. The Stop Loss Reporting Analyst will be responsible for all reporting needs, including but not limited to monthly reports submitted to stop loss carriers, self-funded clients, assigned third party vendors and brokers. Additionally, the Stop Loss Reporting Analyst will be responsible for facilitating both clinical and non-clinical information as needed by the stop loss carriers, self-funded clients, assigned third party vendors and brokers for the purpose of stop loss claim reimbursement and stop loss policy management and referral to CDPHP’s Utilization Management team.
Qualifications:
- Minimum (3) years health care, health insurance or stop loss insurance related experience required.
- Associates degree or two (2) years of equivalent experience required
- NYS Life, Health and Accident License required (or obtained within 90 days of employment in this role).
- Minimum three (3) years of reporting/data analysis experience required.
- Minimum three (3) years self-funded experience preferred.
- Must have a working knowledge of Microsoft Excel and Microsoft Access.
- Strong organizational skills.
- Ability to work collaboratively with internal and external constituents to assure timely and reliable data outputs.
- Effective verbal and written communication skills are required.
- Working knowledge of computers required. Microsoft Office required.
- Knowledge of COGNOS, Tableau, Salesforce and FACETS experience preferred.
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 at https://www.cdphp.com/about-us/jobs/benefits.
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 Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.
