Excellus BlueCross BlueShield Jobs

Job Description: Summary:The IT Platform Administrator acts as a liaison between the business and technical resources by ensuring the availability and successful operation of applications for users. This individual will demonstrate a high-level of responsibility and consistency by timely monitoring, responding, and troubleshooting of incidents, installing, upgrading, and maintaining application currency. This position will work to identify functionality to empower users through self-service a...

Excited to grow your career?We value our talented employees, and strive to help employees grow professionally. If you think the open position you see is right for you, we encourage you to apply!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. Refers appropriate c...

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 & environment and modeling of future events. This role interacts with internal and external partners and Regulatory agencies. This role monitors trends, bring forward opportunities and insights found in the data to the appli...

Excited to grow your career?We value our talented employees, and strive to help employees grow professionally. If you think the open position you see is right for you, we encourage you to apply!Job Description: Summary:The Manager of Credentialing Operations has direct responsibility for managing the internal operational credentialing activities for the Health Plan. The Manager oversees the end-to-end credentialing process for healthcare providers in compliance with regulatory, accreditation,...

Job Description: Summary:The Finance Data Management Team is responsible for supporting the Finance division in several main capacities: management of the Workday Foundation Data Model and Workday Finance Business Processes, administration and development of Workday Accounting Center, administration of Workday Adaptive Planning, maintenance of Workday Finance configurations, and data management in support of reporting, integrations, audits and compliance.This role provides maintenance and adm...

Job Description: Summary:The Business Systems Analyst is a critical role in the delivery of products for Lifetime Healthcare Companies. This position collaborates with stakeholders throughout the organization to understand business objectives and defines IT system requirements and specifications for the implementation of IT system solutions. The Business Systems Analyst will serve as the primary interface between the business and IT teams to gather, document and analyze all level of requireme...

Job Description: Summary:The Manager of Data Platform Administration plans, directs, and evaluates the work of Data Platform Administration team in the planning, design, development and maintenance of new and existing applications and data systems. This position communicates with users to develop and maintain a firsthand knowledge of their plans, operations, problems, and opportunities. This position also champions the development, enforcement and refinement of standards for use, control, per...

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 deliver features, functionality, and services compatible with industry-leading providers while allowing legacy systems to interact safely when required. This position requires the necessary skills to provide technol...

Job Description: Based on the scope of the role and business needs, we're exclusively seeking candidates who reside in the Rochester, NY area. Summary:The Account Executive, Pharmacy Solutions, is an internally and externally facing position that is responsible for the sales and prospecting activity for experience-rated and self-funded medical and Rx groups. This includes, but is not limited to, acting as a strategic advisor to support clients in the decision-making process relative to benefi...

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 standards, as appropriate to the member’s case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and...

Excited to grow your career?We value our talented employees, and strive to help employees grow professionally. If you think the open position you see is right for you, we encourage you to apply!Job Description: Summary:The IT Platform Administrator acts as a liaison between the business and technical resources by ensuring the availability and successful operation of applications for users. This individual will demonstrate a high-level of responsibility and consistency by timely monitoring, re...

Excited to grow your career?We value our talented employees, and strive to help employees grow professionally. If you think the open position you see is right for you, we encourage you to apply!Job Description: Summary:This position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. The incumbent’s analyses include but is not limited to, contracting strategies; calculation and testing of provider rates; implementation oversight for all regions and moni...

Excited to grow your career?We value our talented employees, and strive to help employees grow professionally. If you think the open position you see is right for you, we encourage you to apply!Job Description: Summary:The Director, Digital Delivery provides enterprise leadership in translating business strategy into scalable, measurable digital outcomes across the health plan. This role owns the strategy, roadmap, delivery, performance, and continuous evolution of customer-facing digital pla...

Job Description: Summary:The Business Systems Analyst is a critical role in the delivery of products for Lifetime Healthcare Companies. This position collaborates with stakeholders throughout the organization to understand business objectives and defines IT system requirements and specifications for the implementation of IT system solutions. The Business Systems Analyst will serve as the primary interface between the business and IT teams to gather, document and analyze all level of requireme...