Corporate Policies Jobs in USA

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 assumptions and...

Mentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry. As a world leader in life science engineering and technical solutions MTG has the knowledge and experience to ensure compliance with pharmaceutical biotechnology and med...

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 resources; ensuring...

Job Description: Summary:The Network Strategy Planning & Delivery Lead manages crossdivisional strategic initiatives costsaving programs and enterprise planning efforts while ensuring strong coordination with senior leaders and key stakeholders across the organization. This role will be responsible...

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 analyzes actuaria...

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 individual contribu...

Job Description: Summary:The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation and/or inpatient coding and has a high level of understanding of the current MS-DRG and APR-DRG payment systems. This position i...

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 and containment....

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 accessing communi...

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 analyzes actuaria...

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 individual contribu...

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 of the UM Pharma...

Job Description: Summary:The Document Solutions team focuses on the design and creation of correspondence and transactional statements using various software programs. The Publishing Systems Engineer operates in a business analyst/document-generation specialist role as part of the Document Solutions...

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 calls creating...

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 closely with project...

Job Description: Summary:The Digital Content Developer supports the Health Plans digital initiatives/lifecycle management work and business goals by creating best-in-class digital user experiences for our customers. This role is responsible for the accuracy relevance and timeliness of digital conten...

Job Description: Summary:This position provides support and often leads initiatives related to the Divisional Strategy and Operations. The incumbent leads various projects and workstreams to ensure effective division performance and consultation on opportunities to improve overall division processes...

Job Description: Summary:This position will partner with both the business area and the technical teams to develop high quality deliverables across all phases of a project and/or complex process implementation from identifying and defining process flows and use cases through to user acceptance testi...

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 position also is re...

Job Description: This position is onsite/in-person at our Court St. office in Rochester NY.Multiple Overnight Openings Available! Schedule 1: Mon Thurs: 10PM 6:30AM & Fri: 11:55PM - 8:30AM Schedule 2: Sun-Thurs : 10PM - 6:30AM *New hires will temporarily orient on days to start. Summary:Under gene...