Excellus BCBS Jobs in United States

The Dir Actuarial Service 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 health plan. · ...

Conducts case management program activities in accordance with departmental, corporate standards. · ...

The Manager of Provider Relations manages the staff that serves as the primary contact for participating Providers.This includes managing the internal and external operations of the department training prioritizing assignments auditing and interacting with external customers as w ...

The Medical Director participates in various activities including medical utilization management quality management member care management medical policy processes and support for lines of business. · ...

The 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 outcomes. · Develops Artificial Intelligence and Machine Learning solutio ...

+The Spring/Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students the opportunity to attend development workshops, network, · and be part of our company.+The intern will support the rebranding and optimization of m ...

This role leads the strategic vision roadmap and execution of Candesa UM product driving innovation and ensuring strong alignment with organizational goals. · The leader in this role removes barriers streamlines collaboration and ensures teams meet critical milestones and perform ...

This position coordinates behavioral health or physical health services for members ensuring compliance with internal and external standards. · ...

+This position supports one or more areas of Production Operations under general supervision. Assignments are determined based on need; shifts may include day, evening and/or overnight hours. · ...

The Accounts Payable Specialist reconciles and pays all approved expenditures for Lifetime Healthcare Companies in an accurate and timely manner, · Audits invoices for duplicates, discounts available, · Matches invoices to purchase orders · ...

The BI Administrator is responsible for designing, developing, implementing, securing, and maintaining Business Intelligence (BI) software environments that drive analytical and data driven decision making across the organization. · Installs, configures, administers, and troubles ...

+Job summary · The Cyber Incident Response (IR) Engineer role is critical in detecting, investigating, and responding to cybersecurity threats across the enterprise. · +ResponsibilitiesDesigns, implements, · & conducts the operation of IR operations tools including logging, · Sie ...

This Team Leader provides oversight of a team that provides financial projections and actuarial analyses for complex projects or assignments. · ...

This role serves as subject matter expert for The Lifetime Healthcare Companies Records & Information Management (RIM) Program.This position consults with Enterprise Legal & Supplier Solutions (ELSS), Information Technology and business partners to ensure the development, establi ...

The position is primarily responsible for the overall relationship and management of the Provider-Vendor agreement account. · Manages and coordinates partnerships with all contractual stakeholders. · Advises Senior Leadership, Providers, Vendors and key departments in the organiz ...

The Digital Content Developer supports digital initiatives by creating best-in-class user experiences. They are responsible for accuracy, relevance, · timeliness of digital content across websites and apps. · ...

The Service Desk Analyst is responsible for ensuring resolution and reporting of IT problems and requests. They provide on-call rotation support 24/7/365. · Logs incident/request details. · ...

+ Job Description: · 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 standa ...

This position is responsible for coordinating and monitoring the utilization of physical health medical and healthcare services for members ensuring compliance with internal and external standards set by regulatory and accreditation entities. · Performs pre-service concurrent and ...

The IT Platform Administrator acts as a liaison between business and technical resources ensuring availability and successful operation of applications for users. · Installs configures troubleshoots patches maintains enterprise software platforms. · Conducts testing systems troub ...