Excellus BCBS

Job Description: Summary:The Enrollment Resolution Examiner is responsible for resolving complex enrollment and billing reconciliation issues between the Health Plan and external customers including but not limited to State and Federal Government Agencies under the general direction o

Job Description: Summary:The Enrollment Resolution Examiner is responsible for resolving complex enrollment and billing reconciliation issues between the Health Plan and external customers including but not limited to State and Federal Government Agencies under the general direction o

Job Description: Summary:Under the direction of the Assigned Management upon successful completion of all phases of training and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health P

Job Description: Summary:Under the direction of the Assigned Management upon successful completion of all phases of training and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health P

Job Description: Summary:Under the direction of the Assigned Management upon successful completion of all phases of training and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health P

Job Description: Summary:Under the direction of the Assigned Management upon successful completion of all phases of training and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health P

Job Description: NOTE: Based on business needs and the geographic territory associated with this opening were exclusively seeking candidates who currently reside in the greater Rochester area (Monroe Seneca Yates and Livingston counties) Summary:This role is responsible for identifyin

Job Description: NOTE: Based on business needs and the geographic territory associated with this opening were exclusively seeking candidates who currently reside in the greater Rochester area (Monroe Seneca Yates and Livingston counties) Summary:This role is responsible for identifyin

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: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 process relative to benefit design financial impac

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 process relative to benefit design financial impac

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: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: Summer:The Summer College Internship Program is a 10-week 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 a

Job Description: Summer:The Summer College Internship Program is a 10-week 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 a

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 design and use of flexible platforms that delive

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 design and use of flexible platforms that delive

Job Description: Summary:The COBRA & Premium Billing Administrator responds to and resolves written telephone and personal inquiries from clients and/or subscribers concerning policies and procedures in a professional and efficient manner. This position coordinates and monitors daily

Job Description: Summary:The COBRA & Premium Billing Administrator responds to and resolves written telephone and personal inquiries from clients and/or subscribers concerning policies and procedures in a professional and efficient manner. This position coordinates and monitors daily

Job Description: Job DescriptionSummary: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 optimization through strategic partnerships broker and

Job Description: Job DescriptionSummary: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 optimization through strategic partnerships broker and

Job Description: Summary:The Manager of Salesforce & Product Owner is a central role in the delivery of products for Excellus. This position works with stakeholders throughout the organization to define and prioritize features while working with architects and their teams to ensure ea

Job Description: Summary:The Manager of Salesforce & Product Owner is a central role in the delivery of products for Excellus. This position works with stakeholders throughout the organization to define and prioritize features while working with architects and their teams to ensure ea

Job Description: Summary:This position assists the Chief Medical Director to direct and coordinate the medical management quality improvement and credentialing functions for the business unit. This role supports the HARP line of business. Essential Accountabilities:Level IProvides med

Job Description: Summary:This position assists the Chief Medical Director to direct and coordinate the medical management quality improvement and credentialing functions for the business unit. This role supports the HARP line of business. Essential Accountabilities:Level IProvides med

Job Description: Summary:Under the general guidance of the assigned management and in accordance with established systems and applicable accounting principles the incumbent prepares and maintains a complete set of records to support financial transactions of the assigned area and/or C

Job Description: Summary:Under the general guidance of the assigned management and in accordance with established systems and applicable accounting principles the incumbent prepares and maintains a complete set of records to support financial transactions of the assigned area and/or C

Job Description: This position is responsible for coordinating integrating and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refer

Job Description: This position is responsible for coordinating integrating and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refer

Job Description: 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 the visi

Job Description: 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 the visi

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 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