Excellus BCBS

Job Description: Summary:Under the guidance of Corporate Director of EPMO this position is responsible for execution of strategic projects while overseeing multiple Project Managers (PMs) and Project Coordinators. The Director balances strategic vision with day to day execution and le

Job Description: Summary:Under the guidance of Corporate Director of EPMO this position is responsible for execution of strategic projects while overseeing multiple Project Managers (PMs) and Project Coordinators. The Director balances strategic vision with day to day execution and le

Job Description: Summary:The Medical Record Retrieval Specialist I/II is responsible for the retrieval of medical records from various healthcare facilities.Essential Accountabilities:Level IAccurately and efficiently retrieves medical records via remote EMR access fax and/or on-site

Job Description: Summary:The Medical Record Retrieval Specialist I/II is responsible for the retrieval of medical records from various healthcare facilities.Essential Accountabilities:Level IAccurately and efficiently retrieves medical records via remote EMR access fax and/or on-site

Job Description: Summary:Under general supervision of department management the Production Print Specialist may support one or more areas of Production Operations. Assignments are determined based on need; shifts may include day evening and/or overnight hours with some including weeke

Job Description: Summary:Under general supervision of department management the Production Print Specialist may support one or more areas of Production Operations. Assignments are determined based on need; shifts may include day evening and/or overnight hours with some including weeke

Job Description: Summary:The Enterprise Regulatory Compliance Program Administrator evaluates new and evolving federal and state regulatory guidance and assesses their impact on enterprise-wide business processes products and operational strategies. This role partners closely with fun

Job Description: Summary:The Enterprise Regulatory Compliance Program Administrator evaluates new and evolving federal and state regulatory guidance and assesses their impact on enterprise-wide business processes products and operational strategies. This role partners closely with fun

Job Description: Summary:The Legal Operations Specialist supports the Office of General Counsel (OGC) by administering department programs technology platforms data analytics and reporting outside counsel and vendor management processes and other department initiatives. Working closel

Job Description: Summary:The Legal Operations Specialist supports the Office of General Counsel (OGC) by administering department programs technology platforms data analytics and reporting outside counsel and vendor management processes and other department initiatives. Working closel

Job Description: Summary:The Director Actuarial Services is responsible for supervision of staff in the routine operation of the Actuarial Services departments. This position leads healthcare cost trend and medical cost analysis and financial forecasting and budgeting process for the

Job Description: Summary:The Director Actuarial Services is responsible for supervision of staff in the routine operation of the Actuarial Services departments. This position leads healthcare cost trend and medical cost analysis and financial forecasting and budgeting process for the

Job Description: Summary:The Advocacy Clinical Review Coordinator investigates member and provider appeals grievances and complaints across all lines of business. Using clinical nursing and medical expertise they will review medical necessity requests determine appropriateness of care

Job Description: Summary:The Advocacy Clinical Review Coordinator investigates member and provider appeals grievances and complaints across all lines of business. Using clinical nursing and medical expertise they will review medical necessity requests determine appropriateness of care

Job Description: Summary:Under the direction of the Assigned Management upon successful completion of all phases of training and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health P

Job Description: Summary:Under the direction of the Assigned Management upon successful completion of all phases of training and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health P

Job Description: Summary:The Enrollment Resolution Examiner is responsible for resolving complex enrollment and billing reconciliation issues between the Health Plan and external customers including but not limited to State and Federal Government Agencies under the general direction o

Job Description: Summary:The Enrollment Resolution Examiner is responsible for resolving complex enrollment and billing reconciliation issues between the Health Plan and external customers including but not limited to State and Federal Government Agencies under the general direction o

Job Description: This position is onsite/in-person at our Court St. office in Rochester NY.Schedule: Monday - Friday 2PM - 10:30PM*New hires will temporarily orient on days to start.Summary:Under general supervision of department management the Production Print Specialist may support

Job Description: This position is onsite/in-person at our Court St. office in Rochester NY.Schedule: Monday - Friday 2PM - 10:30PM*New hires will temporarily orient on days to start.Summary:Under general supervision of department management the Production Print Specialist may support

Job Description: Summary:The position is responsible for collaborating with leaders across a 2000 person organization to support strategy around how to drive organizational effectiveness through collaboration sharing best practices ensuring effective change management productivity and

Job Description: Summary:The position is responsible for collaborating with leaders across a 2000 person organization to support strategy around how to drive organizational effectiveness through collaboration sharing best practices ensuring effective change management productivity and

Job Description: Summary:The Claims Examiner resolves a wide variety of claims transactions that may include but not limited to entry adjudication or adjusting simple or complex claims in accordance with Member Touchpoint Measures (MTM) Inter-Plan Scorecard FEP Performance Incentive P

Job Description: Summary:The Claims Examiner resolves a wide variety of claims transactions that may include but not limited to entry adjudication or adjusting simple or complex claims in accordance with Member Touchpoint Measures (MTM) Inter-Plan Scorecard FEP Performance Incentive P

Job Description: This position is onsite/in-person at our Court St. office in Rochester NY.Schedule: Monday - Friday 10:30AM - 7PM Summary:Under general supervision of department management the Production Mail Operator may support one or more areas of Production Operations. Assignment

Job Description: This position is onsite/in-person at our Court St. office in Rochester NY.Schedule: Monday - Friday 10:30AM - 7PM Summary:Under general supervision of department management the Production Mail Operator may support one or more areas of Production Operations. Assignment

Job Description: This position acts as a quality improvement liaison with physician offices community agencies hospitals and members to promote care management and quality programs. Acts as a member advocate by addressing gaps and barriers to care and educate appropriate use of servic

Job Description: This position acts as a quality improvement liaison with physician offices community agencies hospitals and members to promote care management and quality programs. Acts as a member advocate by addressing gaps and barriers to care and educate appropriate use of servic

Job Description: SummaryThis is a hybrid position. Candidates are expected to work on-site in Rochester periodically (0-2 days per week on average). The selected candidate must also be willing and able to travel occasionally (approximately 2-3 times per year) to other regional locati

Job Description: SummaryThis is a hybrid position. Candidates are expected to work on-site in Rochester periodically (0-2 days per week on average). The selected candidate must also be willing and able to travel occasionally (approximately 2-3 times per year) to other regional locati

Job Description: Summary:The Summer College Internship Program is a 10-week paid internship experience that provides undergraduate and graduate students with the opportunity to attend development workshops network and be part of our company. Our college interns work on meaningful proj

Job Description: Summary:The Summer College Internship Program is a 10-week paid internship experience that provides undergraduate and graduate students with the opportunity to attend development workshops network and be part of our company. Our college interns work on meaningful proj

Job Description: Summary:The Summer College Internship Program is a 10-week paid internship experience that provides undergraduate and graduate students with the opportunity to attend development workshops network and be part of our company. Our college interns work on meaningful proj

Job Description: Summary:The Summer College Internship Program is a 10-week paid internship experience that provides undergraduate and graduate students with the opportunity to attend development workshops network and be part of our company. Our college interns work on meaningful proj

Job Description: Summary:The Summer College Internship Program is a 10-week paid internship experience that provides undergraduate and graduate students with the opportunity to attend development workshops network and be part of our company. Our college interns work on meaningful proj

Job Description: Summary:The Summer College Internship Program is a 10-week paid internship experience that provides undergraduate and graduate students with the opportunity to attend development workshops network and be part of our company. Our college interns work on meaningful proj

Job Description: Summary:The Summer College Internship Program is a 10-week paid internship experience that provides undergraduate and graduate students with the opportunity to attend development workshops network and be part of our company. Our college interns work on meaningful proj

Job Description: Summary:The Summer College Internship Program is a 10-week paid internship experience that provides undergraduate and graduate students with the opportunity to attend development workshops network and be part of our company. Our college interns work on meaningful proj

Job Description: Summary:The Manager of Operational Performance & Workforce Optimization (OP&WO) is responsible for executing multiple operational performance and workforce management strategic and reporting initiatives. This role provides oversight to any performance and workforce op

Job Description: Summary:The Manager of Operational Performance & Workforce Optimization (OP&WO) is responsible for executing multiple operational performance and workforce management strategic and reporting initiatives. This role provides oversight to any performance and workforce op