Excellus BCBS

Job Description: Summary:This position is responsible for the design and development of curriculum for instructor-led and online learning programs throughout the Enterprise. The Instructional Designer will partner with authors managers and subject matter experts in curriculum developm

Job Description: Summary:This position is responsible for the design and development of curriculum for instructor-led and online learning programs throughout the Enterprise. The Instructional Designer will partner with authors managers and subject matter experts in curriculum developm

Job Description: Summary:This position serves as the expert and leader for clinical and care management activities and overall coordination of Case and Disease Management specifically related to transplants and catastrophic conditions. This position oversees the clinical and administr

Job Description: Summary:This position serves as the expert and leader for clinical and care management activities and overall coordination of Case and Disease Management specifically related to transplants and catastrophic conditions. This position oversees the clinical and administr

Job Description: Summary:The Investment Accountant will be a part of a team responsible for the accounting and financial reporting functions of the Lifetime Healthcare Companies investments including but not limited to the preparation of external (generally accepted accounting princip

Job Description: Summary:The Investment Accountant will be a part of a team responsible for the accounting and financial reporting functions of the Lifetime Healthcare Companies investments including but not limited to the preparation of external (generally accepted accounting princip

Job Description: Summary:The Principal Artificial Intelligence (AI) Security Engineer serves as the technical lead for securing machine learning (ML) generative artificial intelligence (GenAI) and agentic systems in production with emphasis on healthcare and other regulated environmen

Job Description: Summary:The Principal Artificial Intelligence (AI) Security Engineer serves as the technical lead for securing machine learning (ML) generative artificial intelligence (GenAI) and agentic systems in production with emphasis on healthcare and other regulated environmen

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including but not limited to Medical and Pharmacy Utilization Management quality management member care management and medical policy processes and support for our various

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including but not limited to Medical and Pharmacy Utilization Management quality management member care management and medical policy processes and support for our various

Job Description: Job DescriptionBased on the scope of the role & business needs were exclusively seeking candidates who reside in the Greater Syracuse & Utica region (Jefferson Onondaga Oneida Madison and Broome Counties) Summary:The Medicare Broker Account Executive will be responsib

Job Description: Job DescriptionBased on the scope of the role & business needs were exclusively seeking candidates who reside in the Greater Syracuse & Utica region (Jefferson Onondaga Oneida Madison and Broome Counties) Summary:The Medicare Broker Account Executive will be responsib

Job Description: Summary:This role will require coming into the Rochester office. The LTC Benefits Planner (Personal Care Advisor) has the responsibility of evaluating and managing those Insureds that are accessing their benefits based on their need for long-term care services. This i

Job Description: Summary:This role will require coming into the Rochester office. The LTC Benefits Planner (Personal Care Advisor) has the responsibility of evaluating and managing those Insureds that are accessing their benefits based on their need for long-term care services. This i

Job Description: Summary:The Customer Care Advocate (CCA) resolves customer inquiries via telephone walk in mail fax web chat off-phone work and email concerning but not limited to contract benefits claim payments and enrollment in accordance with LOS Corporate Service strategy NCQA a

Job Description: Summary:The Customer Care Advocate (CCA) resolves customer inquiries via telephone walk in mail fax web chat off-phone work and email concerning but not limited to contract benefits claim payments and enrollment in accordance with LOS Corporate Service strategy NCQA a

Job Description: Summary:The IT Cloud Engineer - Security provides the vision strategy functionality and technology solutions for creating and maintaining security system and solutions for both public and private cloud infrastructure-based solutions. This position collaborates with th

Job Description: Summary:The IT Cloud Engineer - Security provides the vision strategy functionality and technology solutions for creating and maintaining security system and solutions for both public and private cloud infrastructure-based solutions. This position collaborates with th

Job Description: Summary:The Pharmacy Analytics Consultant provides direct support for both Pharmacy and Medical Drug information needs using a variety of analytic tools and applications. The Consultant will work with internal and external stakeholders and management as required to ac

Job Description: Summary:The Pharmacy Analytics Consultant provides direct support for both Pharmacy and Medical Drug information needs using a variety of analytic tools and applications. The Consultant will work with internal and external stakeholders and management as required to ac

Job Description: Summary:Under the guidance of the assigned EPMO leader the EPMO Project Manager is responsible for managing and delivering application operations ongoing program and/or business projects for the Excellus Health Plan.Essential Primary Responsibilities/Accountabilities:

Job Description: Summary:Under the guidance of the assigned EPMO leader the EPMO Project Manager is responsible for managing and delivering application operations ongoing program and/or business projects for the Excellus Health Plan.Essential Primary Responsibilities/Accountabilities:

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 Health Outcomes Specialist I-II supports the Health Outcomes & Community Impact (HOCI) strategic plan goals enterprise-wide measures and efforts to achieve improvement across our markets and populations. The role supports the design implementation and eval

Job Description: Summary:The Health Outcomes Specialist I-II supports the Health Outcomes & Community Impact (HOCI) strategic plan goals enterprise-wide measures and efforts to achieve improvement across our markets and populations. The role supports the design implementation and eval

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: 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 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: 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 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