Company · 27 open roles

Careers at Excellus BlueCross BlueShield

Excellus BlueCross BlueShield has 27 active roles on ResuMinder right now. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.

All open roles

27 positions at Excellus BlueCross BlueShield

Personal Care Pharmacist

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time1d ago

Embrace the opportunity to become a Personal Care Pharmacist and make a real impact on patient care. Collaborate with cross-functional teams to address medication needs, optimize disease management, and drive gap closure. If you have strong clinical pharmacy skills and a passion …

clinical pharmacymedication therapy managementdisease managementpharmacy benefit management+11

Community Connections Representative I/II (Utica Area)

Excellus BlueCross BlueShield·Utica, New York, United States of America

OnsiteFull-time1d ago

Embrace the role of a Community Connections Representative I/II, where you'll educate and empower members to access healthcare resources, coordinate community outreach, and support enrollment for Marketplace Health Plans. Make a meaningful impact by bridging gaps in care and fost…

community outreachhealth insurance enrollmentcase managementcommunity resource navigation+9

Utilization Management Services Rep I

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time2d ago

Embrace the role of a Utilization Management Services Representative I, supporting critical UM workflows and delivering exceptional customer service. Leverage your expertise in healthcare administration, regulatory compliance, and authorizations to ensure seamless operations. Gro…

customer serviceauthorization processingcall center operationsregulatory compliance+9

Actuarial Analyst I/II/III/IV

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time8d ago

Embrace the role of an Actuarial Analyst and play a key role in risk management, financial modeling, and data analysis for health plan operations. Collaborate with cross-functional teams, develop actuarial models, and drive process improvements. Ideal for professionals with stron…

actuarial analysisinsurance pricingrisk managementfinancial modeling+11

Business Systems Analyst III - IV

Excellus BlueCross BlueShield·Buffalo, New York, United States of America

OnsiteFull-time9d ago

Join our team as a Senior Business Systems Analyst and drive impactful IT solutions for Lifetime Healthcare Companies. Collaborate with stakeholders, define requirements, and lead complex projects. Leverage your expertise in business analysis, SQL, and Agile methodologies to shap…

requirements gatheringbusiness process analysisstakeholder managementrequirements documentation+11

Publishing Sys Eng I

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time9d ago

Embrace the role of a Publishing Systems Engineer I and play a key role in designing, developing, and maintaining electronic publishing solutions. Leverage your expertise in variable data composition, programming, and document management systems to support critical business opera…

variable data compositionprogrammingelectronic publishing systemsxml+11

Customer Care Advocate IA - Utica/Albany areas

Excellus BlueCross BlueShield·Utica, New York, United States of America

OnsiteFull-time13d ago

Embrace the opportunity to become a Customer Care Advocate, supporting members and providers in resolving inquiries across multiple channels. Use your bilingual English/Spanish skills and customer service expertise to deliver first-contact solutions, ensure compliance, and enhanc…

customer servicebilingual communicationproblem-solvingcomputer skills+3

Investment Accountant I/II/III

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time13d ago

Embrace the opportunity to become an Investment Accountant and play a key role in financial reporting, GAAP compliance, and investment accounting for a leading healthcare company. Collaborate with cross-functional teams, support audits, and drive process improvements. Ideal for d…

gaapinvestment accountingstatutory accountingfinancial reporting+11

Utilization Management Reviewer (RN) - Multiple Positions!

Excellus BlueCross BlueShield·Albany, New York, United States of America

OnsiteFull-time13d ago

Embrace the opportunity to become a Utilization Management Reviewer (RN) and play a vital role in ensuring quality care for behavioral health members. Leverage your clinical expertise to review, interpret, and optimize healthcare services, collaborate with providers, and drive co…

utilization managementclinical reviewbehavioral health servicesphysical health services+11

Pharmacy Analytics Consultant I/II

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time13d ago

Embrace the role of a Pharmacy Analytics Consultant and drive impactful decisions through advanced analytics, data mining, and predictive modeling. Collaborate with cross-functional teams to optimize pharmacy benefit strategies, ensure compliance, and deliver actionable insights.…

sasstatistical analysiscognosspss+11

Manager Physician Contracting

Excellus BlueCross BlueShield·Utica, New York, United States of America

OnsiteFull-time13d ago

Join our team as a Manager, Physician Contracting and lead the development and execution of provider contracting strategies. Drive negotiations, manage contracts, and collaborate with healthcare professionals to ensure optimal reimbursement and compliance. Shape the future of hea…

contract negotiationphysician contractingreimbursement strategyprovider relations+11

Medical Director, Commercial

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time13d ago

Embrace the opportunity to become a Medical Director, Commercial, and lead utilization management, quality improvement, and policy development for medical services. Leverage your clinical expertise and board certification to drive healthcare outcomes, mentor staff, and ensure com…

utilization managementmedical policy developmentclinical reviewcase management+11

Business System Analyst II/III/IV

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time21d ago

Embrace the opportunity to become a Business Systems Analyst II/III/IV and play a pivotal role in bridging business and IT. Collaborate with stakeholders, define requirements, and drive impactful solutions in a dynamic healthcare environment. Grow your career with hands-on experi…

requirements gatheringbusiness process analysisstakeholder managementrequirements documentation+11

AI Engineer I/II

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time22d ago

Embrace the role of an AI Engineer I/II and help develop advanced machine learning and generative AI solutions to drive real-world impact. Collaborate with experts, work on large language models, and contribute to innovative projects that improve member health outcomes. Grow your…

machine learningartificial intelligencelarge language modelsgenerative ai+11

Vendor Manager I/II

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time26d ago

Embrace the opportunity to become a Vendor Manager and drive strategic vendor relationships, sourcing, and contract negotiations for a leading organization. Leverage your expertise in ERP systems, project management, and cross-functional leadership to optimize vendor performance …

vendor managementcontract negotiationprocurementsourcing+10

Long Term Care Benefits Planner I/II (Rochester)

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time36d ago

Embrace the opportunity to become a Long Term Care Benefits Planner I/II in Rochester! Evaluate and manage insurance benefits for long-term care clients, coordinate care plans, and ensure timely claims processing. Use your clinical and insurance expertise to make a real impact on…

long term care claims adjudicationbenefit eligibility evaluationmedical record reviewcase management+11

IT Cloud Engineer Security III

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time41d ago

Join us as an IT Cloud Security Engineer III and play a pivotal role in designing, deploying, and securing cloud and on-premises solutions. Leverage your expertise in cloud security, automation, and compliance to protect critical infrastructure and drive innovation. Shape the fut…

cloud securitysecurity architectureinfrastructure securitycloud computing+11

IT Cloud Service Engineer Service Platform

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time42d ago

Embrace the role of an IT Cloud Service Engineer and help design, deploy, and optimize secure, scalable cloud platforms. Collaborate with IT teams, drive automation, and support enterprise infrastructure. If you excel in cloud infrastructure, scripting, and technical leadership, …

cloud computing infrastructureinfrastructure operationsscripting and automationhybrid cloud technology+11

Medical Director, Children's Behavioral Health

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time42d ago

Embrace the opportunity to become a Medical Director, Children's Behavioral Health, leading medical management, quality improvement, and credentialing for a dynamic business unit. Drive clinical excellence, collaborate with multidisciplinary teams, and shape policy in a high-impa…

verbal presentationclinical supervisionmedical directorutilization management+11

Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required)

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time42d ago

Embrace the opportunity to become a Payment Integrity DRG Coding & Clinical Validation Analyst and play a key role in ensuring accurate inpatient coding and compliance. Leverage your expertise in DRG, ICD-10, and claims auditing to support quality healthcare outcomes. Grow your c…

icd-10 codingms-drg codingclaims auditingapr-drg coding+11

Enrollment Specialist I/II/III/IV (Government Programs: CHP/QHP- Multiple Positions Available)

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time42d ago

Embrace the role of an Enrollment Specialist and play a key role in ensuring accurate and efficient enrollment operations for government programs. Leverage your expertise in health insurance systems, regulatory compliance, and customer service to deliver high-quality service. Gro…

health plan enrollment systemshipaa compliancemicrosoft office suitedata entry+11

Customer Care Advocate (Customer Care Representative)

Excellus BlueCross BlueShield·Albany, New York, United States of America

OnsiteFull-time49d ago

Embrace the role of a Customer Care Advocate and make a real impact by resolving customer inquiries and enhancing satisfaction. Use your bilingual English/Spanish skills, customer service expertise, and problem-solving abilities to deliver first-class support. Grow your career in…

customer servicebilingual english/spanishwindows environmentmultitasking+8

Software Engineer IV - ETL Developer

Excellus BlueCross BlueShield·Rochester, New York, United States of America

OnsiteFull-time63d ago

Join our team as a Senior ETL Developer and drive impactful data solutions using Informatica PowerCenter, SQL, and cloud integration tools. Collaborate with cross-functional teams, mentor peers, and shape enterprise technology standards. If you excel in ETL development and softwa…

etl developmentinformatica powercentersqlxml+11

Medical Investigator I/II (RN Required)

Excellus BlueCross BlueShield·Buffalo, New York, United States of America

OnsiteFull-time93d ago

Embrace the opportunity to become a Medical Investigator I/II (RN) and play a key role in combating fraud and abuse. Leverage your clinical expertise and investigative skills to review medical records, conduct audits, and collaborate with law enforcement. Make a meaningful impact…

clinical investigationfraud detectionmedical record reviewregulatory compliance+11

Tech stack signals

What Excellus BlueCross BlueShield hires for

Most-requested skills across active job descriptions.

stakeholder managementsqlregulatory compliancecase managementcustomer servicetraining deliveryanalytical skillsmicrosoft office suitemicrosoft excelmicrosoft officeproject managementutilization management
Excellus BlueCross BlueShield careers — 27 open roles | ResuMinder | ResuMinder