Excellus BCBS

Job Description: Summary:The Community Investments and Partnerships (CIP) Regional Lead is responsible for developing recommending executing and overseeing regional CIP strategy with matrix accountability to regional executive leadership. This individual leads the collaborative select

Job Description: Summary:The Community Investments and Partnerships (CIP) Regional Lead is responsible for developing recommending executing and overseeing regional CIP strategy with matrix accountability to regional executive leadership. This individual leads the collaborative select

Job Description: Summary:The Database Administrator will provide enterprise-wide administration and production support for corporate databases. This position will be responsible for installing testing configuring monitoring performance tuning security and developing evaluation plans e

Job Description: Summary:The Database Administrator will provide enterprise-wide administration and production support for corporate databases. This position will be responsible for installing testing configuring monitoring performance tuning security and developing evaluation plans e

Job Description: Summary:This Team Leader provides oversight of a team that provides financial projections and actuarial analyses for complex projects or assignments or staff performing the design and implementation of data structures utilizing SAS software. Initiates organizes and an

Job Description: Summary:This Team Leader provides oversight of a team that provides financial projections and actuarial analyses for complex projects or assignments or staff performing the design and implementation of data structures utilizing SAS software. Initiates organizes and an

Job Description: Summary:This position is responsible for the accurate and thorough claim and clinical investigation of potential claim payment integrity issues involving all lines of business. This position investigates and remediates claim overpayments creating data and reporting an

Job Description: Summary:This position is responsible for the accurate and thorough claim and clinical investigation of potential claim payment integrity issues involving all lines of business. This position investigates and remediates claim overpayments creating data and reporting an

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 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