Excellus BCBS Jobs in United States

The Reimbursement Plan Administrator responds to and resolves written telephone inquiries from subscribers concerning all departmental products policies procedures in a professional efficient manner. · Responds to all inquiries from an internal external perspective completely acc ...

Summary · Job Description: · Under general supervision of the Assigned Management, this position is responsible and accountable for the management of pharmacy finance analytics, reporting, and pricing strategy to support the attainment of corporate growth and margin targets for t ...

Job summary: Job Description: This position provides support and often leads initiatives related to Divisional Strategy and Operations. Essential Responsibilities/Accountabilities: Interprets and trends metrics to identify problems patterns and potential solutions effectively esc ...

Summary · Job Description: · Under the general direction of the Assigned Management, and in accordance with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteristics of Health Plan provider network ...

Summary · Job Description: · The Operations Support Analyst is a critical role in providing a technical interface between User Departments, Applications Development, Computer Operations and technical infrastructure disciplines. This includes job scheduling, Release Management pr ...

This position drafts and reviews provider contract documents... · Drafts and reviews provider contract documents. · Provides assistance and responds to internal and external inquiries of pertinent regulatory and provider contracting issues. · ...

The Digital Content Manager supports the Health Plan's digital strategic initiatives by developing a digital content roadmap, managing a centralized digital editorial calendar to provide content visibility to key stakeholders, · Five (5) years of experience producing digital cont ...

Summary · Job Description: · The Spring/Fall College Internship Program is a paid internship experience that provides undergraduate and graduate students the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful ...

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. · ...

The Large Group Underwriter is responsible for determining acceptability of insurance risks and appropriate premium rates for large and complex group cases as well as managing the experience rated block of business to produce desired MLR and profit targets. · Develops both new bu ...

Summary: · This role is responsible for leading and managing all aspects of the payroll process within the organization. The Manager drives process execution to ensure effective and efficient service delivery through timely and accurate processing of employee compensation in acco ...

Summary · Job Description: · This position supervises, coordinates and is accountable for the daily work of employees who provide case management and clinical related services. The Supervisor facilitates day-to-day operations of the department such as customer requests, coordina ...

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. · ...

+This role serves as subject matter expert for The Lifetime Healthcare Companies Records & Information Management (RIM) Program. · +Executes and monitors RIM across organizational business areas including communications, · change management and identifying opportunities for conti ...

The Document Solutions team focuses on the design and creation of correspondence and transactional statements using various software programs. · Develops code; analyzes, researches, and resolves system issues for electronic publishing-related problems. · ...

This position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. · The incumbent's analyses include but is not limited to, contracting strategies; calculation and testing of provider rates; · implementation oversight for all regions and mo ...

Summary · Job Description: · The Operations Support Analyst is a critical role in providing a technical interface between User Departments, Applications Development, Computer Operations and technical infrastructure disciplines. This includes job scheduling, Release Management pri ...

Job summary: This position supports the workflow of the Medical Services division. It provides administrative support for programs such as Utilization Management, Behavioral Health, Quality Management or Member Care Management. The role involves acting as a resource for staff reg ...

This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. · Provides timely response to all research inquiries from other departments and assures the response is thorough, accurate, · and within regulatory timeframe ...

Summary · Job Description: · Under general supervision of the Assigned Management, this position is responsible and accountable for the management of pharmacy finance analytics, reporting, and pricing strategy to support the attainment of corporate growth and margin targets for ...