Univera Healthcare

Job Description: Summary:The HCRA Analyst is responsible for administering monitoring and analyzing activities of the Lifetime Healthcare Companies related to the New York State Health Care Reform Act (HCRA) Federal Affordable Care Act (ACA) extraterritorial state surcharges and asses

Job Description: Summary:The HCRA Analyst is responsible for administering monitoring and analyzing activities of the Lifetime Healthcare Companies related to the New York State Health Care Reform Act (HCRA) Federal Affordable Care Act (ACA) extraterritorial state surcharges and asses

Job Description: Summary:The Healthcare Statistical Analyst performs technical services within the actuarial or risk adjustment department that support of the Health Plans operations which monitors and maintains financial solvency through the understanding of current data & environmen

Job Description: Summary:The Healthcare Statistical Analyst performs technical services within the actuarial or risk adjustment department that support of the Health Plans operations which monitors and maintains financial solvency through the understanding of current data & environmen

Job Description: Summary:The IT Platform Administrator acts as a liaison between the business and technical resources by ensuring the availability and successful operation of applications for users. This individual will demonstrate a high-level of responsibility and consistency by tim

Job Description: Summary:The IT Platform Administrator acts as a liaison between the business and technical resources by ensuring the availability and successful operation of applications for users. This individual will demonstrate a high-level of responsibility and consistency by tim

Job Description: NOTE: Based on the book of business and geographic territory associated with this opening were exclusively seeking candidates who reside within our 8 county WNY Service Region (Allegany Cattaraugus Chautauqua Erie Genesee Niagara Orleans & Wyoming)Summary:Under the su

Job Description: NOTE: Based on the book of business and geographic territory associated with this opening were exclusively seeking candidates who reside within our 8 county WNY Service Region (Allegany Cattaraugus Chautauqua Erie Genesee Niagara Orleans & Wyoming)Summary:Under the su

Job Description: Summary:This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members and the Clinical Operations Department. Community Connections Representatives educate members about ac

Job Description: Summary:This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members and the Clinical Operations Department. Community Connections Representatives educate members about ac

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 FSA/HRA Plan Administrator responds to and resolves written telephone and personal inquiries from subscribers groups and providers concerning all departmental products policies and procedures in a professional and efficient manner. This position coordinate

Job Description: Summary:The FSA/HRA Plan Administrator responds to and resolves written telephone and personal inquiries from subscribers groups and providers concerning all departmental products policies and procedures in a professional and efficient manner. This position coordinate

Job Description: Summary:This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members and the Clinical Operations Department. Community Connections Representatives educate members about ac

Job Description: Summary:This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members and the Clinical Operations Department. Community Connections Representatives educate members about ac

Job Description: Summary:The Business Coordinator supports the Government Programs (GP) line of business organization strategy goals and objectives to achieve required line of business (LOB) performance. This includesour SafetyNet (Medicaid Child Health Plus-CHP) Essential Plan (EP) a

Job Description: Summary:The Business Coordinator supports the Government Programs (GP) line of business organization strategy goals and objectives to achieve required line of business (LOB) performance. This includesour SafetyNet (Medicaid Child Health Plus-CHP) Essential Plan (EP) a

Job Description: Summary:The Manager of Data Platform Administration plans directs and evaluates the work of Data Platform Administration team in the planning design development and maintenance of new and existing applications and data systems. This position communicates with users to

Job Description: Summary:The Manager of Data Platform Administration plans directs and evaluates the work of Data Platform Administration team in the planning design development and maintenance of new and existing applications and data systems. This position communicates with users to

Job Description: Summary:This position supports the workflow of the Medical Services division. The Medical Services Coordination Specialist provides support for any of the programs of Behavioral Health Quality Management or Member Care Management. This position is responsible for adhe

Job Description: Summary:This position supports the workflow of the Medical Services division. The Medical Services Coordination Specialist provides support for any of the programs of Behavioral Health Quality Management or Member Care Management. This position is responsible for adhe

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:This position supports the workflow of the Long-Term Support and Services (LTSS) and Duals Special Needs (DSNP) department. Depending on the specific tasks assigned the LTSS/DUALs SN Project Coordinator provides administrative support for DUALs and/or LTSS sta

Job Description: Summary:This position supports the workflow of the Long-Term Support and Services (LTSS) and Duals Special Needs (DSNP) department. Depending on the specific tasks assigned the LTSS/DUALs SN Project Coordinator provides administrative support for DUALs and/or LTSS sta

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 role performs audits to ensure the organization is in compliance with federal state and Association regulatory requirements (Centers for Medicare and Medicaid Services Department of Health Department of Financial Services Department of Labor Blue Cross Bl

Job Description: Summary:This role performs audits to ensure the organization is in compliance with federal state and Association regulatory requirements (Centers for Medicare and Medicaid Services Department of Health Department of Financial Services Department of Labor Blue Cross Bl

Job Description: Summary:This position is the primary representative for Physician Ancillary and Facility reimbursement analysis. The incumbents analyses include but is not limited to contracting strategies; calculation and testing of provider rates; implementation oversight for all r

Job Description: Summary:This position is the primary representative for Physician Ancillary and Facility reimbursement analysis. The incumbents analyses include but is not limited to contracting strategies; calculation and testing of provider rates; implementation oversight for all r

Job Description: Summary:The Director Digital Delivery provides enterprise leadership in translating business strategy into scalable measurable digital outcomes across the health plan. This role owns the strategy roadmap delivery performance and continuous evolution of customer-facing

Job Description: Summary:The Director Digital Delivery provides enterprise leadership in translating business strategy into scalable measurable digital outcomes across the health plan. This role owns the strategy roadmap delivery performance and continuous evolution of customer-facing

Job Description: Summary:The Purchasing Specialist manages the processes and tools for automated and stand-alone procurement systems and communicates throughout the organization as needed. Incumbent works pro-actively with supply base and supports and/or leads strategic sourcing effor

Job Description: Summary:The Purchasing Specialist manages the processes and tools for automated and stand-alone procurement systems and communicates throughout the organization as needed. Incumbent works pro-actively with supply base and supports and/or leads strategic sourcing effor

Job Description: This position supports the health plans Personal Care Pharmacy Team by addressing the medication needs of members with multiple chronic conditions and open clinical collaboration with departments such as Quality Management Customer Care and Care Management the Person

Job Description: This position supports the health plans Personal Care Pharmacy Team by addressing the medication needs of members with multiple chronic conditions and open clinical collaboration with departments such as Quality Management Customer Care and Care Management the Person

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