Excellus BCBS

Job Description: Based on the scope of the role & business needs were exclusively seeking candidates who reside in Albany/Capital Region. Summary:This role is responsible for management of client aligned relationships - responding to employee concerns workplace policies procedures com

Job Description: Based on the scope of the role & business needs were exclusively seeking candidates who reside in Albany/Capital Region. Summary:This role is responsible for management of client aligned relationships - responding to employee concerns workplace policies procedures com

Job Description: SummaryThe AI Engineer is part of a highly collaborative team that develops cutting-edge machine learning (ML) and artificial intelligence (AI) models to solve complex business challenges and improve member health this role you will work on high-impact projects invol

Job Description: SummaryThe AI Engineer is part of a highly collaborative team that develops cutting-edge machine learning (ML) and artificial intelligence (AI) models to solve complex business challenges and improve member health this role you will work on high-impact projects invol

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 spe

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 spe

Job Description: Summary:The Vendor Manager (VM) is responsible for strategically managing vendor portfolios and vendor relationships which may vary in complexity risk size and spend etc. The incumbent acts as a strategic trusted advisor to the business unit and business partners and

Job Description: Summary:The Vendor Manager (VM) is responsible for strategically managing vendor portfolios and vendor relationships which may vary in complexity risk size and spend etc. The incumbent acts as a strategic trusted advisor to the business unit and business partners and

Job Description: Summary:This position plans directs and controls the contracting activities related to all professional (e.g. physician dentist and non-physician including but not limited to psychologist LCSW podiatrist audiologist etc.) and assigned ancillary (e.g. Homecare agency)

Job Description: Summary:This position plans directs and controls the contracting activities related to all professional (e.g. physician dentist and non-physician including but not limited to psychologist LCSW podiatrist audiologist etc.) and assigned ancillary (e.g. Homecare agency)

Job Description: SummaryThe Fixed Asset and Lease Accountant will be a part of a team responsible for the accounting and financial reporting functions of the Lifetime Healthcare Companies fixed asset and leases including but not limited to the preparation of external (U.S. generally a

Job Description: SummaryThe Fixed Asset and Lease Accountant will be a part of a team responsible for the accounting and financial reporting functions of the Lifetime Healthcare Companies fixed asset and leases including but not limited to the preparation of external (U.S. generally a

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

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

Job Description: Summary:This position is responsible for the design and development of curriculum for instructor-led and online learning programs throughout the Enterprise. The Instructional Designer will partner with authors managers and subject matter experts in curriculum developm

Job Description: Summary:This position is responsible for the design and development of curriculum for instructor-led and online learning programs throughout the Enterprise. The Instructional Designer will partner with authors managers and subject matter experts in curriculum developm

Job Description: Summary:This position serves as the expert and leader for clinical and care management activities and overall coordination of Case and Disease Management specifically related to transplants and catastrophic conditions. This position oversees the clinical and administr

Job Description: Summary:This position serves as the expert and leader for clinical and care management activities and overall coordination of Case and Disease Management specifically related to transplants and catastrophic conditions. This position oversees the clinical and administr

Job Description: Summary:The Investment Accountant will be a part of a team responsible for the accounting and financial reporting functions of the Lifetime Healthcare Companies investments including but not limited to the preparation of external (generally accepted accounting princip

Job Description: Summary:The Investment Accountant will be a part of a team responsible for the accounting and financial reporting functions of the Lifetime Healthcare Companies investments including but not limited to the preparation of external (generally accepted accounting princip

Job Description: Summary:The Principal Artificial Intelligence (AI) Security Engineer serves as the technical lead for securing machine learning (ML) generative artificial intelligence (GenAI) and agentic systems in production with emphasis on healthcare and other regulated environmen

Job Description: Summary:The Principal Artificial Intelligence (AI) Security Engineer serves as the technical lead for securing machine learning (ML) generative artificial intelligence (GenAI) and agentic systems in production with emphasis on healthcare and other regulated environmen

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including but not limited to Medical and Pharmacy Utilization Management quality management member care management and medical policy processes and support for our various

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including but not limited to Medical and Pharmacy Utilization Management quality management member care management and medical policy processes and support for our various

Job Description: Job DescriptionBased on the scope of the role & business needs were exclusively seeking candidates who reside in the Greater Syracuse & Utica region (Jefferson Onondaga Oneida Madison and Broome Counties) Summary:The Medicare Broker Account Executive will be responsib

Job Description: Job DescriptionBased on the scope of the role & business needs were exclusively seeking candidates who reside in the Greater Syracuse & Utica region (Jefferson Onondaga Oneida Madison and Broome Counties) Summary:The Medicare Broker Account Executive will be responsib

Job Description: Summary:This role will require coming into the Rochester office. 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 i

Job Description: Summary:This role will require coming into the Rochester office. 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 i

Job Description: Summary:The Customer Care Advocate (CCA) resolves customer inquiries via telephone walk in mail fax web chat off-phone work and email concerning but not limited to contract benefits claim payments and enrollment in accordance with LOS Corporate Service strategy NCQA a

Job Description: Summary:The Customer Care Advocate (CCA) resolves customer inquiries via telephone walk in mail fax web chat off-phone work and email concerning but not limited to contract benefits claim payments and enrollment in accordance with LOS Corporate Service strategy NCQA a

Job Description: Summary:The IT Cloud Engineer - Security provides the vision strategy functionality and technology solutions for creating and maintaining security system and solutions for both public and private cloud infrastructure-based solutions. This position collaborates with th

Job Description: Summary:The IT Cloud Engineer - Security provides the vision strategy functionality and technology solutions for creating and maintaining security system and solutions for both public and private cloud infrastructure-based solutions. This position collaborates with th

Job Description: Summary:The Pharmacy Analytics Consultant provides direct support for both Pharmacy and Medical Drug information needs using a variety of analytic tools and applications. The Consultant will work with internal and external stakeholders and management as required to ac

Job Description: Summary:The Pharmacy Analytics Consultant provides direct support for both Pharmacy and Medical Drug information needs using a variety of analytic tools and applications. The Consultant will work with internal and external stakeholders and management as required to ac

Job Description: Summary:Under the guidance of the assigned EPMO leader the EPMO Project Manager is responsible for managing and delivering application operations ongoing program and/or business projects for the Excellus Health Plan.Essential Primary Responsibilities/Accountabilities:

Job Description: Summary:Under the guidance of the assigned EPMO leader the EPMO Project Manager is responsible for managing and delivering application operations ongoing program and/or business projects for the Excellus Health Plan.Essential Primary Responsibilities/Accountabilities:

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 delive

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 delive

Job Description: Summary:The Health Outcomes Specialist I-II supports the Health Outcomes & Community Impact (HOCI) strategic plan goals enterprise-wide measures and efforts to achieve improvement across our markets and populations. The role supports the design implementation and eval

Job Description: Summary:The Health Outcomes Specialist I-II supports the Health Outcomes & Community Impact (HOCI) strategic plan goals enterprise-wide measures and efforts to achieve improvement across our markets and populations. The role supports the design implementation and eval