Univera Healthcare

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: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: 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: NOTE: Based on the scope of the role and business needs were exclusively seeking candidates who reside within the 8 county WNY service region (Allegany Cattaraugus Chautauqua Erie Genesee Niagara Orleans & Wyoming)Summary:Under the supervision of the local Manager Sal

Job Description: NOTE: Based on the scope of the role and business needs were exclusively seeking candidates who reside within the 8 county WNY service region (Allegany Cattaraugus Chautauqua Erie Genesee Niagara Orleans & Wyoming)Summary:Under the supervision of the local Manager Sal

Job Description: Summary:The Transition Coordinator will work in support of the Hospital to Home program by coordinating efforts of medical and behavioral health care managers to ensure that all members who are hospitalized leave with comprehensive discharge plans. The Care Coordinato

Job Description: Summary:The Transition Coordinator will work in support of the Hospital to Home program by coordinating efforts of medical and behavioral health care managers to ensure that all members who are hospitalized leave with comprehensive discharge plans. The Care Coordinato

Job Description: Thank you for your interest in our Customer Care team. Due to the volume of applications we receive we review all applications in the order in which they were received. If you are chosen to move to the next step in the process you will receive a Video Assessment from

Job Description: Thank you for your interest in our Customer Care team. Due to the volume of applications we receive we review all applications in the order in which they were received. If you are chosen to move to the next step in the process you will receive a Video Assessment from

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: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: 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: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:Under the guidance of the Clinical Pharmacists other clinical team members and divisional management this position supports and participates in a wide range of provider customer and staff initiatives/programs including Utilization Management; Quality/Disease M

Job Description: Summary:Under the guidance of the Clinical Pharmacists other clinical team members and divisional management this position supports and participates in a wide range of provider customer and staff initiatives/programs including Utilization Management; Quality/Disease M

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 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: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: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: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 Healthcare Statistical Analyst performs technical services within the actuarial or risk adjustment department that support of the Health Plans operations which monitors and maintains financial solvency through the understanding of current data & environmen

Job Description: Summary:The Healthcare Statistical Analyst performs technical services within the actuarial or risk adjustment department that support of the Health Plans operations which monitors and maintains financial solvency through the understanding of current data & environmen