Company · 25 open roles
Careers at Excellus BlueCross BlueShield
Excellus BlueCross BlueShield has 25 active roles on ResuMinder right now. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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25 positions at Excellus BlueCross BlueShield
Medical Services Coordination Specialist I
Excellus BlueCross BlueShield·Albany, New York, United States of America
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…
Community Connections Representative I/II (Utica and Broome County Areas)
Excellus BlueCross BlueShield·Utica, New York, United States of America
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 a…
Strategic/National Account Manager I/II
Excellus BlueCross BlueShield·Dewitt, New York, United States of America
Embrace the opportunity to become a Strategic Account Manager, driving client satisfaction and business growth through expert account management, strategic advisory, and cross-functional collaboration. Leverage your sales expertise and relationship-building skills to deliver tail…
Purchasing Specialist I
Excellus BlueCross BlueShield·Rochester, New York, United States of America
Embrace the role of a Purchasing Specialist I and play a key role in managing procurement systems, supplier relationships, and strategic sourcing initiatives. Leverage your expertise in contract negotiation, analytics, and process improvement to drive efficiency and support busin…
Utilization Management Services Rep I
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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…
Actuarial Analyst I/II/III/IV
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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…
Business Systems Analyst III - IV
Excellus BlueCross BlueShield·Buffalo, New York, United States of America
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…
Publishing Sys Eng I
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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…
Customer Care Advocate IA - Utica/Albany areas
Excellus BlueCross BlueShield·Utica, New York, United States of America
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…
Investment Accountant I/II/III
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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 account…
Utilization Management Reviewer (RN) - Multiple Positions!
Excellus BlueCross BlueShield·Albany, New York, United States of America
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…
Pharmacy Analytics Consultant I/II
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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.…
Manager Physician Contracting
Excellus BlueCross BlueShield·Utica, New York, United States of America
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…
Medical Director, Commercial
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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…
AI Engineer I/II
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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…
Vendor Manager I/II
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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 …
IT Cloud Service Engineer Service Platform
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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 t…
Medical Director, Children's Behavioral Health
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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…
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
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…
Enrollment Specialist I/II/III/IV (Government Programs: CHP/QHP- Multiple Positions Available)
Excellus BlueCross BlueShield·Rochester, New York, United States of America
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…
Customer Care Advocate (Customer Care Representative)
Excellus BlueCross BlueShield·Albany, New York, United States of America
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…
Software Engineer IV - ETL Developer
Excellus BlueCross BlueShield·Rochester, New York, United States of America
Job Description: Summary: The Software Engineer is responsible for working on projects that are currently being visualized or developed by our organization. This role will be involved with the Software Development Life Cycle methodology and framework, directing software system v…
Medical Investigator I/II (RN Required)
Excellus BlueCross BlueShield·Buffalo, New York, United States of America
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…
Print Operations Specialist I (Onsite - Overnight Shift)
Excellus BlueCross BlueShield·Rochester, New York, United States of America
Job Description: This position is onsite/in-person at our Court St. office in Rochester, NY. Multiple Overnight Openings Available! Schedule 1: Mon – Thurs: 10PM – 6:30AM, & Fri: 11:55PM - 8:30AM Schedule 2: Sun-Thurs : 10PM - 6:30AM *New hires will temporarily orient on day…
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