Capital District Physicians Health Plan Inc

Utilization Management Services Representative

Buffalo, New York

Capital District Physicians Health Plan Inc

Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completin...

4d

Network Services Analyst I/II/III

Dewitt, New York

Capital District Physicians Health Plan Inc

Job Description: Summary: Under the general direction of the Assigned Management, and in accordance with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteri...

4d

Provider Program Quality & Integration Consultant I/II

Buffalo, New York

Capital District Physicians Health Plan Inc

Job Description: Summary: The Provider Program Quality & Integration Consultant facilitates the development and effective implementation of quality and incentive programs and contracts. This work directly impacts the Excellus clinical provi...

4d

IT Cloud Engineer Service Platform III

Dewitt, New York

Capital District Physicians Health Plan Inc

Job Description: Summary: This role provides the vision, strategy, functionality, and technology solutions for creating and maintaining distributed platforms for both public and private cloud infrastructure-based solutions. This entails the...

4d

Commerical Markets Pharmacy Growth & Retention Manager

Buffalo, New York

Capital District Physicians Health Plan Inc

Job Description: Job Description Summary: This position plays a critical role in advancing the sales pharmacy strategy across Excellus Health Plan. The incumbent is responsible for driving pharmacy growth, client retention, and margin optim...

4d

Clinical Pharmacist Product Manager, Candesa Utilization Management

Dewitt, New York

Capital District Physicians Health Plan Inc

Job Description: Summary: This role provides strategic, clinical, and operational leadership for the Candesa Utilization Management (UM) program, driving innovation and ensuring strong alignment with organizational goals. As the senior clin...

4d

Strategic & National Account Manager I/II

Utica, New York

Capital District Physicians Health Plan Inc

Job Description: Summary: This position is primarily responsible for the overall management of strategic and national accounts. This includes but is not limited to acting as a strategic advisor to support clients in the decision making proc...

4d

Sourcing Analyst

Utica, New York

Capital District Physicians Health Plan Inc

Job Description: Summary: The Sourcing Analyst is responsible for the design, development and presentation of detailed analysis to support critical sourcing activities and special projects. This includes development of tools and templates t...

4d

Case Manager, RN (Multiple Openings!)

Latham, New York

Capital District Physicians Health Plan Inc

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Co...

4d

Provider Program Quality & Integration Consultant I/II

Latham, New York

Capital District Physicians Health Plan Inc

Job Description: Summary: The Provider Program Quality & Integration Consultant facilitates the development and effective implementation of quality and incentive programs and contracts. This work directly impacts the Excellus clinical provi...

4d