Excellus BlueCross BlueShield Jobs

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Excellus BlueCross BlueShield - Rochester, NY - 7/01/2022
Summary Under the direction of Assigned leadership, Health Plan Analytic Consultant has the responsibility to consult with the business/departmental leads and staff to gain an understanding of our business (i.e. lines of business leadership inclusive of Finance, Marketing and Sales, Health Care Network Management (HCNM), Operational Excellence (OpEx), Safety Net (SN) program owners-as applicable). This position extracts, analyzes, shapes and develops reports in ways that can be easily underst...
Excellus BlueCross BlueShield - Rochester, NY - 6/30/2022
Summary Under the direction of Operations Leadership, the Director of Advocacy is responsible for identifying and developing strategic action plans to respond to division and departmental needs. This position has oversight for all Advocacy Departments within Operations and coordinates all strategic initiatives relative to Advocacy. This position reviews and is accountable to ensure the department meets metrics and deliverables to provide strategic direction and prioritization within Advocacy,...
Excellus BlueCross BlueShield - Rochester, NY - 6/30/2022
Summary: Under the direction of the Assigned Management, this individual conducts primary research projects and provides consulting services that are aligned with the Corporate Strategy and that will help improve the performance of the Health Plan and its affiliates. The Research Insights Consultant possesses the technical skills and abilities to help establish Research Insights team as a research Center of Excellence for the Lifetime Health organization. Projects range in scope from conducti...
Excellus BlueCross BlueShield - Rochester, NY - 6/30/2022
Summary: Under the guidance of Claims senior leadership, this position is responsible for executing on Operational Excellence performance goals by developing and leading the analytical process improvement and optimization teams responsible for participating in and leading continuous improvement initiatives designed to improve operational, process and system excellence. The Director balances strategic vision with day-to-day execution regarding root cause analysis, leading continuous improvemen...
Excellus BlueCross BlueShield - Rochester, NY - 6/30/2022
Data Scientists are responsible for modeling complex business problems, discovering new business insights and finding opportunities through the use of algorithmic, statistical, data-mining and visualization techniques. In addition, this role also integrates and prepares large, varied datasets and designs and builds specialized databases and computing environments (data architecture). The incumbents communicate and present results of their research in a structured and clear way that can be eas...
Excellus BlueCross BlueShield - Rochester, NY - 6/29/2022
The LTC Customer Service Representative resolves customer inquiries via telephone, mail, fax, and email concerning, but not limited to, policy benefits, claim payments, benefit reductions and billing. The LTC Customer Service Representative provides service for customers and business partners while responding in a professional, efficient, and timely manner to resolve issues and enhance customer satisfaction. Provides service among the customers and business partners while responding in a prof...
Excellus BlueCross BlueShield - Rochester, NY - 6/28/2022
Summary: Working in collaboration with the Executive Leadership Team, regional presidents, Legal, Regulatory Compliance, Corporate Communications and others throughout the organization, the Manager, Government Relations, Public Policy Strategy, and Embedded Compliance Business Partnerships develops and executes strategies supporting and responding to public policy issues and risks impacting the company. The role will foster and maintain relationships with elected officials in all regions and ...
Excellus BlueCross BlueShield - Rochester, NY - 6/28/2022
Summary The Vendor Manager owns the vendor relationship and is accountable for the performance of vendors within the Enterprise Information Technology (EIT) and Health Plan organization. This position leads in the identification and selection of vendors through maintaining industry contacts, directs the RFP process, partners with Finance on the financial details of the contract, and partners with Legal to ensure the corporation is protected by the contract. Additionally, position ensures all ...
Excellus BlueCross BlueShield - Rochester, NY - 6/27/2022
PLEASE NOTE: With limited exceptions, our company is requiring all employees to be vaccinated against COVID-19 by Jan. 1, 2022. We also currently mandate vaccinations for employees who enter our buildings. Please keep this in mind when applying for positions at our organization. The iOS/Android Software Engineer is responsible for the design, development, testing, and deployment of software on the iOS and/or Android platform(s). In collaboration with engineering leadership, product management...
Excellus BlueCross BlueShield - Rochester, NY - 6/27/2022
Serves as a primary contact for participating provider and pharmacy-related member communication consulting needs. The PNMO Communications Consultant creates a multidisciplinary team approach by acting as a liaison to Provider Relations, Provider Network Management and Operations Provider Communications, Pharmacy Management and other key internal business areas. This partnership creates and deploys planned external communications that support and provide education related to corporate policy,...
Excellus BlueCross BlueShield - Rochester, NY - 6/23/2022
Summary PLEASE NOTE: With limited exceptions, our company is requiring all employees to be vaccinated against COVID-19 by Jan. 1, 2022. We also currently mandate vaccinations for employees who enter our buildings. Please keep this in mind when applying for positions at our organization. Are you interested in helping us put our best (online) face forward? We are seeking 2 Java Software developers to expand our teams that build and support our company sites. Our developers design, develop, test...
Excellus BlueCross BlueShield - Rochester, NY - 6/22/2022
This position supports the workflow of the Pharmacy department. Depending on the specific tasks assigned, the Pharmacy Outreach Coordinator provides administrative support to pharmacy programs designed to generate revenue and lower pharmacy spend for our health plan as well as lower out-of-pocket cost and improve quality metrics for our program members. . The Pharmacy Outreach Coordinator performs functions as permitted by law including outreach to providers, members and/or pharmacies focusin...
Excellus BlueCross BlueShield - Rochester, NY - 6/22/2022
Summary This position supports Corporate Supplier Governance, Real Estate, Facilities and, divisionally, Enterprise Risk and Corporate Services, with systems administration, data analysis, lease administration, and vendor management across the Health Plan regions and subsidiaries. In addition, this position provides project management support on various projects and initiatives including software implementations, vendor transitions, real estate relocations, and facility projects. The incumben...
Excellus BlueCross BlueShield - Rochester, NY - 6/22/2022
Summary: The Software Developer is responsible for utilizing agile development methodologies to analyze, develop, and test system solutions in response to business requirements. Incumbents are expected to understand user stories, identify appropriate designs, code to the design specifications, and complete appropriate unit testing to ensure a quality solution delivery. Essential Responsibilities/Accountabilities: All Levels: Level I (Associate): Develops code; analyzes, researches, and resolv...
Excellus BlueCross BlueShield - Rochester, NY - 6/22/2022
Summary: Under the guidance of the Manager Customer Advocacy Unit, the Advocacy Audit Coordinator oversees all aspects of the internal and external customer care audits and provides risk assessment to the business function. The Advocacy Audit Coordinator provides direct liaison with external auditors in this area and works closely with the Customer Advocacy Unit, Corporate Compliance, and Corporate Audit internally to assure an efficient and effective audit process from the inception of the a...
Excellus BlueCross BlueShield - Rochester, NY - 6/16/2022
This position manages a Cost Accounting function, which may include preparation, review, approval, reporting, analysis, and presentations of critical financial data related to Administrative Expense Allocations. Manages the staff for Cost Allocation function and line of business support, monitors, and measures business activity within the limits of established practices, policies, and procedures of the Health Plan. Additionally, there will be oversight of divisional budget and forecasting pro...
Excellus BlueCross BlueShield - Rochester, NY - 6/15/2022
Summary Under general supervision, the Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding of current data environment and modeling of future events. Interacts with internal and external departments such as Rating Underwriting, Finance, Network Management, Provider Contracting, Health Informatics, Marketing Sales as well as BCBSA, NYSID and CMS. Establishes insurance rates, rating structures...
Excellus BlueCross BlueShield - Rochester, NY - 6/15/2022
Summary: The Sales and Service Trainer is responsible for the development and revision of training content by using appropriate instructional design methods to support and drive enterprise-wide training and performance development efforts through blended learning and development solutions. This position also primarily supports commercial and consumer Sales in the effective communication and training of new hire or current information, changing operational procedures, changing industry informa...
Excellus BlueCross BlueShield - Rochester, NY - 6/15/2022
Summary: Supports corporate goals and objectives through the strategic planning, development, positioning, promotion of brand, product and service launches, go-to-market campaigns and acquisition, retention and brand engagement for key target audiences. Manages internal and external agency partners for creative development and campaign execution. Responsible for executing brand guidelines and processes. Including product naming, messaging and graphic identity for Excellus BlueCross BlueShield...
Excellus BlueCross BlueShield - Rochester, NY - 6/13/2022
Summary: The incumbent acts as a point person for the Enterprise Project Management Organization (EPMO) division with regards to programs they work on an as well as working to understand the impact of other projects to their division. The position leverages the ability to form relationships, understanding dependencies and assessing impacts that allows the Consultant to guide their daily efforts and success in the role. The work supports Corporate Strategic Projects, Divisional Initiatives, Re...