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Excellus BlueCross BlueShield - Rochester, NY - 5/26/2022
Summary: This position reviews and drafts legal documents (such as memoranda, contracts, amendments, confidentiality agreements, correspondence, and requests and responses. This position provides coordination and oversight of legal matters assigned to Enterprise Legal attorneys and performs independent action and follow-up on legal matters assigned to or through the Enterprise Legal Department. Essential Responsibilities/Accountabilities: · Works with Enterprise Legal attorneys and staff to d...
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ESL - Rochester, NY - 5/25/2022
Hours: 40 Schedule: Monday - Friday branch hours with Saturdays when needed; Please note this position will support some evening and Saturday appointments. Must be flexible to meet current and future business needs. This position is located at our Victor Branches Primary Accountability: The role of a Financial Consultant II is accountable for developing and delivering financial advice through a specified branch based territory and client roster. The position is responsible for developing and ...
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ESL - Rochester, NY - 5/24/2022
Belong to something bigger. At ESL, it’s more than a job. It’s your unique journey. Your Journey Begins Here Are you looking for your next challenge of working in an enterprise banking environment that allows you to surround yourself with a highly talented engineers who like to solve complex problems, but also enjoy work life balance? ESL has an immediate opportunity to join our inclusive, collaborative, and people-oriented organization as a Telecom Engineer. Join us in innovating our telecom...
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Excellus BlueCross BlueShield - Rochester, NY - 5/23/2022
Under the direction of the Manager of IT, the Programmer-Analyst develops programs/codes, tests and support of application systems. Acts as project manager where assigned and promotes the management of data. This position provides our company with development and technical support on various technological applications and systems using structured and/or object oriented programming (SQL or related language) and testing techniques. The Programmer/Analyst also develops, creates, monitors, and sc...
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Excellus BlueCross BlueShield - Rochester, NY - 5/20/2022
SummaryUnder general guidance of the Supervisor of Advocacy Unit, this position is responsible for the research and processing of Grievances, Appeals, Intangibles and Inquiries for both members and providers, for all lines of business (may include Medicare Advantage or Medicare PDP plans). This includes in-depth research, analysis, decision making within prescribed guidelines, written or oral communication to management and the provider or member. The associate works closely with Legal, Compl...
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Excellus BlueCross BlueShield - Rochester, NY - 5/20/2022
Summary This position is responsible for the Operational Excellence (OPEX) and EPMO Business Strategy development and alignment to overall enterprise strategy and business priorities. The Director is accountable for communication to enterprise stakeholders, including but not limited to: organizational leaders and key executives to ensure buy-in and alignment with strategy. This role is responsible for establishing and maintaining a business decision life cycle for all significant OPEX program...
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Excellus BlueCross BlueShield - Rochester, NY - 5/19/2022
Due to the nature of this role, incumbents must be vaccinated for Covid-19 SummaryThis position serves as the primary contact between the organization and behavioral health and supporting ancillary Providers including but not limited to professional providers, facilities and health homes. The position is responsible for servicing assigned providers within a defined geographic market. Key responsibilities include educating and servicing behavioral health providers including all providers who s...
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Excellus BlueCross BlueShield - Rochester, NY - 5/19/2022
The ETL 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: Level I (Associate): Develops code; analyzes, researches, and resolves system issues. Responsi...
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ESL - Rochester, NY - 5/18/2022
Hours: 40 Schedule: This position is remote eligible for 40% of the time. Hours are Monday - Friday 8:00 a.m. - 5:00 p.m. Must be flexible to meet current and future business needs Purpose of Position: This position is accountable for assisting in the development and implementation of the compliance program for the organization. The incumbent also responsible for adhering to Bank Secrecy Act (BSA) regulations, identifying compliance risks and training staff to mitigate the risk. Principle Acc...
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Excellus BlueCross BlueShield - Rochester, NY - 5/17/2022
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...
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ESL - Rochester, NY - 5/17/2022
Hours: 40 Schedule: Monday - Friday 8:00 a.m. - 5:00 p.m. Must be flexible to meet current and future business needs. This position is hybrid working up to 40% at home. Purpose of Position: The Executive Assistant is accountable for providing administrative support for executive leadership at ESL. This position will specifically support the Wealth department. Principle Accountabilities: Support assigned senior manager’s organization with a broad range of administrative and executive assistant...
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Excellus BlueCross BlueShield - Rochester, NY - 5/17/2022
The Pharmacy Operations Coordinator utilizes quality principles, performance improvement and project management. The position focuses on process design and improvement to identify opportunities and implement solutions for operational development, new product initiatives, regulatory response, vendor coordination and end-to-end business process for new and existing health plan and Lifetime Benefit Solutions pharmacy products with focused responsibility on achieving the strategic goals of the or...
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Excellus BlueCross BlueShield - Rochester, NY - 5/17/2022
The Pharmacy Innovation Product Analyst supports the product development and product management process, including accelerated initiatives, for innovative Clinical and Pharmacy Services programs for the Health Plan and Lifetime Benefit Solutions (LBS). The incumbent, working in partnership across internal and external partners, helps explore and define product opportunities within in-area and out-of-area pharmacy services related commercial markets, conducting market research, documenting req...
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ESL - Rochester, NY - 5/16/2022
Hours: 40 Schedule: Monday - Friday 8:00 a.m. - 5:00 p.m. Must be flexible to meet current and future business needs. This position is remote eligible for up to 40% of the time Purpose of Position: Responsible for supporting Relationship Managers (RMs) with the maintenance of assigned customer relationships with a primary focus on new business and portfolio management of companies with revenues in excess of $5 million and new business development goals of over $8 million. Assist the RMs with ...
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Excellus BlueCross BlueShield - Rochester, NY - 5/16/2022
Summary As the User Experience (UX) Designer, you will be responsible for finding innovative ways to shape the user experience across our organization’s web and mobile environments. You are the creative mastermind who works closely with users, business partners, researchers and Agile development teams to overcome design challenges and create engaging and intuitive experiences that address complex business goals and user needs and priorities. Essential Responsibilities/Accountabilities • Work ...
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ESL - Rochester, NY - 5/13/2022
Hours: 40 Schedule: This position is remote eligible for up to 40% of the time. Hours are Monday – Friday 8:00 a.m. – 5:00 p.m. Must be flexible for current and future business needs. Purpose of position: This position is accountable for the generation of new Business Banking relationships along with Relationship Management responsibilities of a portfolio of customers. Achieve individual sales goals and expand existing relationships through outbound sales calling efforts and networking within...
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Excellus BlueCross BlueShield - Rochester, NY - 5/12/2022
The Middleware Engineer provides enterprise-wide administration and production support for the company’s Middleware Technologies, Environments, Toolsets, and associated peripherals. Including but not limited to operating, deploying, testing, configuring, monitoring, and performance tuning for the MQ Series, Datapower, and/or Portal environments.Essential Responsibilities/Accountabilities:Level I: Maintains a basic level of knowledge of Middleware (MQSeries or Datapower or Portal) Systems and ...
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Excellus BlueCross BlueShield - Rochester, NY - 5/11/2022
Recruiter: Allie Capparelli Grade: 205,206,207,208 Summary The Rating and Renewal Analyst develops new business rate proposals utilizing available claim information provided from prospect accounts through sales. Incumbent also develops renewal rates for existing group accounts utilizing claim, premium and enrollment information extracted from Excellus systems. Position prepares stop loss quotes and complex group reports to assist sales in the retention of accounts, interacts with company sale...
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Excellus BlueCross BlueShield - Rochester, NY - 5/10/2022
SummaryUnder the general guidance of the assigned management and in accordance with established systems, and applicable accounting principles, prepares and maintains a compete set of records to show financial transactions of the corporation. The incumbent will perform the accounting functions and activities in accordance with the specific requirements of the accounting area to which assigned, prepare and analyze various tax filings, and/or prepare internal and external financial reports. Esse...
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Excellus BlueCross BlueShield - Rochester, NY - 5/10/2022
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...
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