Excellus BCBS

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 ac

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 ac

Job Description: Summary:As a professional within the network contracting and administration team the incumbent will contribute to the development and maintenance of provider networks. This position is accountable for performing provider and network analysis evaluating provider reimbu

Job Description: Summary:As a professional within the network contracting and administration team the incumbent will contribute to the development and maintenance of provider networks. This position is accountable for performing provider and network analysis evaluating provider reimbu

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 provider network and member populations. As an indi

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 provider network and member populations. As an indi

Job Description: Summary:The position is primarily responsible for the overall relationship and management of the Provider-Vendor agreement account. This position is responsible for the building and maintaining of favorable relationships with these entities; coordinating internal reso

Job Description: Summary:The position is primarily responsible for the overall relationship and management of the Provider-Vendor agreement account. This position is responsible for the building and maintaining of favorable relationships with these entities; coordinating internal reso

Job Description: Summary:The Large Group Underwriter is responsible for determining acceptability of insurance risks and appropriate premium rates for large and complex group cases as well as managing the experience rated block of business to produce desired MLR and profit targets. Th

Job Description: Summary:The Large Group Underwriter is responsible for determining acceptability of insurance risks and appropriate premium rates for large and complex group cases as well as managing the experience rated block of business to produce desired MLR and profit targets. Th

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 Manager Applications Development is responsible for overseeing and evaluating the work of IT staff in both the development of new applications as well as updates fixes and revisions to existing production systems. Key responsibilities include developing an

Job Description: Summary:The Manager Applications Development is responsible for overseeing and evaluating the work of IT staff in both the development of new applications as well as updates fixes and revisions to existing production systems. Key responsibilities include developing an

Job Description: Summary:The BI Administrator is responsible for designing developing implementing securing and maintaining Business Intelligence (BI) software environments that drive analytical and data driven decision making across the organization. The BI Administrator works closel

Job Description: Summary:The BI Administrator is responsible for designing developing implementing securing and maintaining Business Intelligence (BI) software environments that drive analytical and data driven decision making across the organization. The BI Administrator works closel

Job Description: Summary:The Digital Content Manager supports the Health Plans digital strategic initiatives by developing a digital content roadmap managing a centralized digital editorial calendar to provide content visibility to key stakeholders and creating digital content style g

Job Description: Summary:The Digital Content Manager supports the Health Plans digital strategic initiatives by developing a digital content roadmap managing a centralized digital editorial calendar to provide content visibility to key stakeholders and creating digital content style g

Job Description: Summary:The Manager of Actuarial Services is responsible for managing a team that preforms financial projections and actuarial analyses for complex projects in support of our organizations diverse product portfolio. This role will oversee the development of actuarial

Job Description: Summary:The Manager of Actuarial Services is responsible for managing a team that preforms financial projections and actuarial analyses for complex projects in support of our organizations diverse product portfolio. This role will oversee the development of actuarial

Job Description: Summary:The Cyber Incident Response (IR) Engineer role is critical in detecting investigating and responding to cybersecurity threats across the enterprise. This role supports and leads security operations through proactive threat hunting tool development forensics an

Job Description: Summary:The Cyber Incident Response (IR) Engineer role is critical in detecting investigating and responding to cybersecurity threats across the enterprise. This role supports and leads security operations through proactive threat hunting tool development forensics an

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 Committee for Quality Assurance (NCQA) accreditation

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 Committee for Quality Assurance (NCQA) accreditation

Job Description: Summary:The position is responsible for collaborating with leaders across a 2000 person organization to support strategy around how to drive organizational effectiveness through collaboration sharing best practices ensuring effective change management productivity and

Job Description: Summary:The position is responsible for collaborating with leaders across a 2000 person organization to support strategy around how to drive organizational effectiveness through collaboration sharing best practices ensuring effective change management productivity and

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: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