Excellus BCBS

Job Description: Summary:The Risk Adjustment Project Coordinator supports the risk adjustment initiatives for Excellus Health Plan.Essential Primary Responsibilities/Accountabilities:Level I:Review monitor and track the medical record retrieval reports to identify provider issues such

Job Description: Summary:The Risk Adjustment Project Coordinator supports the risk adjustment initiatives for Excellus Health Plan.Essential Primary Responsibilities/Accountabilities:Level I:Review monitor and track the medical record retrieval reports to identify provider issues such

Job Description: Summary:This position is responsible for and participates in a wide range of provider patient and employer initiatives and programs. The pharmacist supports all of our lines of business which include Medicare Commercial Exchange (Marketplace) and Medicaid. The focus o

Job Description: Summary:This position is responsible for and participates in a wide range of provider patient and employer initiatives and programs. The pharmacist supports all of our lines of business which include Medicare Commercial Exchange (Marketplace) and Medicaid. The focus o

Job Description: Summary:The SCRUM Master improves the team & customer experience by leveraging Agile delivery techniques. This position is responsible for the continuation of Agile Scrum growth throughout the organization utilizing the processes and tools that have been established d

Job Description: Summary:The SCRUM Master improves the team & customer experience by leveraging Agile delivery techniques. This position is responsible for the continuation of Agile Scrum growth throughout the organization utilizing the processes and tools that have been established d

Job Description: Summary:The Account Service Consultant ensures prompt accurate and efficient servicing of the Medicare Sales team which include Medicare Advantage Medicare Supplement and Prescription Drug Plans (PDPs). Inquiries received by an Account Service Consultant may be via on

Job Description: Summary:The Account Service Consultant ensures prompt accurate and efficient servicing of the Medicare Sales team which include Medicare Advantage Medicare Supplement and Prescription Drug Plans (PDPs). Inquiries received by an Account Service Consultant may be via on

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 to streamline sourcing initiatives. The incumben

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 to streamline sourcing initiatives. The incumben

Job Description: Summary:The Service Control/Operations Methodology at Excellus generally consists of the following disciplines:Asset and Configuration ManagementIncident/Problem/Change ManagementService DeskThe Asset-Configuration Management Analyst is specific to the Asset and Confi

Job Description: Summary:The Service Control/Operations Methodology at Excellus generally consists of the following disciplines:Asset and Configuration ManagementIncident/Problem/Change ManagementService DeskThe Asset-Configuration Management Analyst is specific to the Asset and Confi

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 clinical authority for Candesa UM this position sets

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 clinical authority for Candesa UM this position sets

Job Description: Summary:The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. This role is amongst the group that is r

Job Description: Summary:The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. This role is amongst the group that is r

Job Description: Summary:The Information Security & Cybersecurity Engineer role develops maintains and coordinates the Organizations information security activities in support of the Lifetime Healthcare Companies information security program. This position provides technical informati

Job Description: Summary:The Information Security & Cybersecurity Engineer role develops maintains and coordinates the Organizations information security activities in support of the Lifetime Healthcare Companies information security program. This position provides technical informati

Job Description: Summary:The Software Engineer is responsible for working on projects that are currently being visualized or developed by our organization. This role will be involved with the Software Development Life Cycle methodology and framework directing software system validatio

Job Description: Summary:The Software Engineer is responsible for working on projects that are currently being visualized or developed by our organization. This role will be involved with the Software Development Life Cycle methodology and framework directing software system validatio

Job Description: Summary:The Financial Analyst is responsible for recording financial data and assisting in the preparation and analysis of various financial records and statements used to monitor and measure business activity within the limits of established practices policies and pr

Job Description: Summary:The Financial Analyst is responsible for recording financial data and assisting in the preparation and analysis of various financial records and statements used to monitor and measure business activity within the limits of established practices policies and pr

Job Description: Summary:Under the guidance of the SIU Management this position is responsible for the accurate and thorough clinical investigation of potential fraud waste and abuse (FWA) for all lines of business. The scope of accountability includes investigating and remediating al

Job Description: Summary:Under the guidance of the SIU Management this position is responsible for the accurate and thorough clinical investigation of potential fraud waste and abuse (FWA) for all lines of business. The scope of accountability includes investigating and remediating al

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 completing timely and accurate inbound and/or outbound

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 completing timely and accurate inbound and/or outbound

Job Description: Summary:This role supports the Team Leader B2B Marketing and Marketing Managers in creating editing and implementing marketing tactics for promotion of product and service launches go-to-market campaigns and customer initiatives for the Excellus BlueCross BlueShield a

Job Description: Summary:This role supports the Team Leader B2B Marketing and Marketing Managers in creating editing and implementing marketing tactics for promotion of product and service launches go-to-market campaigns and customer initiatives for the Excellus BlueCross BlueShield a

Job Description: Summary:Under general supervision of the Assigned Management this position is responsible and accountable for the management of pharmacy finance analytics reporting and pricing strategy to support the attainment of corporate growth and margin targets for the Pharmacy

Job Description: Summary:Under general supervision of the Assigned Management this position is responsible and accountable for the management of pharmacy finance analytics reporting and pricing strategy to support the attainment of corporate growth and margin targets for the Pharmacy

Job Description: Summary:The Manager of Accounting & Financial Reporting is responsible for designing implementing and maintaining appropriate policies and procedures to ensure accurate and timely monthly quarterly and annual financial reporting which is compliant with GAAP Statutory

Job Description: Summary:The Manager of Accounting & Financial Reporting is responsible for designing implementing and maintaining appropriate policies and procedures to ensure accurate and timely monthly quarterly and annual financial reporting which is compliant with GAAP Statutory

Job Description: Summary:The Spring/Fall College Internship Program is a paid 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

Job Description: Summary:The Spring/Fall College Internship Program is a paid 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

Job Description: Summary:The IT Platform Administrator acts as a liaison between the business and technical resources by ensuring the availability and successful operation of applications for users. This individual will demonstrate a high-level of responsibility and consistency by tim

Job Description: Summary:The IT Platform Administrator acts as a liaison between the business and technical resources by ensuring the availability and successful operation of applications for users. This individual will demonstrate a high-level of responsibility and consistency by tim

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 characteristics of Health Plan provider networks. This posi

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 characteristics of Health Plan provider networks. This posi

Job Description: Summary:The Software Engineer is responsible for working on projects that are currently being visualized or developed by our organization. This role will be involved with the Software Development Life Cycle methodology and framework directing software system validatio

Job Description: Summary:The Software Engineer is responsible for working on projects that are currently being visualized or developed by our organization. This role will be involved with the Software Development Life Cycle methodology and framework directing software system validatio