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Recruiting Specialist - Professional Services Opening! TalentEDGE is a full-service professional recruitment firm located in Rochester, NY. We are currently expanding our firm and looking for a new recruiter to join this dynamic team and work with us to grow our business. If you have staffing industry experience and are interested in a very rewarding position with flexibility, great benefits, and unlimited earning potential come join us! Core Responsibilities: Business Development: Focus on b...

The Risk Adjustment Analyst performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance with CMS and NYS standards and modeling financial impacts of changes in risk adjustment data and methodologies. This position interacts with analytical\coding staff in all regions, vendors, as well as internal departments such as Finance, Actuarial, Operations, Network Management, Provider Contracting, Legal, and Compliance. Upper levels of the role also int...

SummaryThe Federal Employee Program (FEP) Customer Care Advocate works to resolves customer inquiries via telephone, walk in, mail, fax, eService, off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with FEP PIP Scorecard, NCQA and Federal requirements. The position provides service for customers and business partners while responding in a professional, efficient, and timely manner to resolve issues and enhance member provi...

Hours: 40 Schedule: Monday – Saturday with a day off during the week. Branch hours are Monday Thursday 9:00 a.m. – 5:00 p.m., Tuesday Wednesday 9:00 a.m. – 4:00 p.m., Friday 9:00 a.m. – 6:00 p.m., and Saturday 9:00 a.m. – 1:30 p.m. Must be flexible to meet current and future business needs. Being a Teller at ESL is more than a job, it's your unique journey. Since 2010, ESL has been consistently ranked one of the Best Workplaces in America by Great Place to Work ®. Great Place to Work and Fort...

Hours: 40 Schedule: Monday – Saturday with a day off during the week. Branch hours are Monday Thursday 9:00 a.m. – 5:00 p.m., Tuesday Wednesday 9:00 a.m. – 4:00 p.m., Friday 9:00 a.m. – 6:00 p.m., and Saturday 9:00 a.m. – 1:30 p.m. Must be flexible to meet current and future business needs. Something wonderful happens when you love what you do. So consider a career at ESL. Since 2010, ESL has been consistently ranked one of the Best Workplaces in America by Great Place to Work ®. Great Place ...

Hours: 40 hours Schedule: Monday - Friday to follow branch hours of Monday Thursday 9:00 a.m. – 5:00 p.m., Tuesday Wednesday 9:00 a.m. – 4:00 p.m., and Friday 9:00 a.m. – 6:00 p.m. Must be flexible to meet current and future business needs. Something wonderful happens when you love what you do. So consider a career at ESL. Since 2010, ESL has been consistently ranked one of the Best Workplaces in America by Great Place to Work ®. Great Place to Work and Fortune magazine have recently places E...

Hours: 40 Schedule: Set schedule, Monday – Saturday with a day off during the week, and every Sunday off. The contact center is open Monday – Friday 7:00 a.m. – 7:00 p.m. and Saturday 8:30 a.m. – 2:00 p.m. This positon is remote eligible for up to 40% of the time. As a Telebanker at ESL you will: Create a positive member experience Receive a high volume of incoming calls from members and assist them with a variety of transactions to meet their financial needs in a contact center environment R...

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: The Facilities Project Manager will be responsible for managing multiple aspects of the planning, design, budget, renovation and installation processes for the project management unit of the facilities department . These projects will consist of new builds, renovations and preventative maintenance...

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 Market Research 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 conducting...

In close collaboration with assigned management, performs administrative duties to help achieve department, divisional, and organization-wide goals. May perform a variety of duties in support of other divisional staff. Administrative Coordinator duties and responsibilities include providing administrative support as out-lined below to ensure efficient operations and collaboration across teams. Supports leadership team and employees through a variety of tasks related to organization, collabora...

Under the direction of the Manager of LTC Benefits, 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 includes ongoing evaluation of the Insured’s eligibility for benefits, appropriateness of the plan of care, coordination of other insurance policies/providers, documentation and communication with Insured, Insured’s family, care providers, and...

Belong to something bigger. At ESL, it’s more than a job. It’s your unique journey. Your Journey Begins Here ESL has an immediate opportunity to join our inclusive, collaborative and people oriented organization as a Data Systems Analyst. ESL is focused on delivering innovative products and services to differentiate the customer experience. This position leverages knowledge of the interaction between technology, business, and critical vendors to assist in ensuring that requirements are met an...

Belong to something bigger. At ESL, it’s more than a job. It’s your unique journey. Your Journey Begins Here ESL has an immediate opportunity to join our inclusive, collaborative, and people oriented organization as a Systems Administrator. We are looking for someone with experience in supporting a state of the art enterprise cloud environment, preferably as a system administrator. This position will work closely with the other system administrator and engineer team members to help expand our...

The Information Technology (IT) division is interested in providing opportunities for top notch technology students who are passionate about IT and interested in staying in area for the summer, and possibly beyond, to further their practical work experience and skills, while bringing a fresh perspective and new ideas to our organization. You will learn skills that you can apply to your school work and future career opportunities. Summary Our college interns work on meaningful projects, are me...

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 review treatment ...

Hours: 40 Schedule: This position is hybrid and remote eligible for up to 40% of the time. The office location for this position is at ESL Corporate Headquarters in Rochester, NY. Hours are Monday - Friday 8:00 a.m. - 5:00 p.m. Must be flexible to meet current and future business needs. Belong to something bigger. At ESL, we have a greater purpose and so do you. It’s more than a job, it’s your unique journey. Your Journey Begins Here ESL has an immediate opportunity to join our purpose driven...

Hours: 40 Schedule: Monday-Friday; 7:30am-4:00pm. Available after branch hours and weekends for emergency calls. Alternating weeks on call (1 week on and 1 week off). Work hour flexibility may be required on a project by project basis. Must be flexible to meet current and future business needs. Primary Accountability: This position is accountable for maintaining facilities across entire ESL Branch and ATM property portfolio Principal Accountabilities: Maintenance and Repair of building relate...

This strategic clinical pharmacist position is part of a dynamic team and responsible for providing pharmacy consultative sales and account management clinical support for commercial employer groups. This position will work in collaboration with the Pharmacy Consultation Sales team, Sales, Marketing and Medical Directors, acting as a consultant to interpret and apply pharmacy and healthcare market trends to create strategically competitive benefits and program offerings. The Pharmacist is hig...

Summary: Under the guidance of Customer Operations Senior Leadership, the position is responsible for managing assigned area and ensuring that departmental metrics are met and assigned projects completed accurately and on time on a consistent basis. The position will manage the activities of assigned areas such as Customer Operations Accuracy and Training, Workforce Planning, and Operational Improvement. Responsible for creating and managing business plans consistent with the Health Plan stra...

Do you have expert knowledge of writing complex SQL queries and database queries?Do you have any experience writing automated test scripts with ETL test automation tools such as ICEDQ or QuerySurge?APPLY NOW! The primary responsibility includes validating data sources, validating extraction of data, making sure transformation logic applied correctly, and testing loading of the data into target tables or structures.Summary: The Information Design Test Engineer is accountable for the validation...