Excellus BCBS

Print Operations Specialist I (Onsite - Overnight Shift)

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $18.55 - $26.9 per hour ⭐ 0-2 yrs exp 💼 Others

Operate production printers, finishing equipment, and high-speed mail insertion machinery to fulfill job requests. Maintain equipment, manage supplies, and ensure quality and accuracy of printed and mailed materials.

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Medical Investigator I/II (RN Required)

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $62400 - $106K per year ⭐ 5-10 yrs exp 💼 Healthcare

Conduct clinical investigations into potential fraud, waste, and abuse across various lines of business. This includes reviewing medical records, conducting audits, and collaborating with law enforcement and regulatory agencies to remediate FWA allegations.

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Commerical Markets Pharmacy Growth & Retention Manager

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $98297 - $176K per year ⭐ 5-10 yrs exp 💼 Marketing

Drive pharmacy growth and client retention through strategic partnerships and broker engagement. Serve as a subject matter expert to enable sales teams and provide pharmacy-related consultation to clients and stakeholders.

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Software Engineer IV - ETL Developer

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $98297 - $176K per year ⭐ 10+ yrs exp 💼 Software Development

The Software Engineer IV is responsible for designing, developing, and maintaining complex ETL processes and software system architectures. This role involves directing programming initiatives, mitigating technical risks, and serving as a subject matter expert for cross-functional teams.

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Community Connections Representative I/II (Central New York Region)

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $19.22 - $33.03 per hour ⭐ 2-5 yrs exp 💼 Others

This role bridges the gap between health plan members and clinical operations through home visits and community outreach. Responsibilities include educating members on benefits, assisting with health insurance enrollment, and connecting individuals to community social services.

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Publishing Sys Eng I

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $60410 - $129K per year ⭐ 2-5 yrs exp 💼 Others

The role involves designing and creating correspondence and transactional statements using variable data composition systems. Responsibilities include developing code, resolving system issues, and maintaining document workflows and functional specifications.

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Customer Care Advocate (Customer Care Representative)

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States ⭐ 0-2 yrs exp 💼 Support

The Customer Care Advocate resolves customer inquiries regarding contract benefits, claim payments, and enrollment across multiple communication channels. They are responsible for enhancing member and provider satisfaction while adhering to legislative and corporate requirements.

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IT Cloud Service Engineer Service Platform

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $79068 - $198K per year ⭐ 5-10 yrs exp 💼 Software Development

Design and maintain distributed public and private cloud platforms to provide flexible, secure, and resilient infrastructure services. Lead the deployment of PaaS, SaaS, and on-premises solutions while optimizing costs and ensuring alignment with business requirements.

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Utilization Management Services Rep I

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $20 - $26.9 per hour ⭐ 0-2 yrs exp 💼 Others

Provides administrative and customer service support for Utilization Management workflows, including handling inbound and outbound calls and creating authorizations. Acts as a primary contact for providers and members while ensuring compliance with regulatory requirements and internal policies.

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

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $65346 - $142K per year ⭐ 5-10 yrs exp 💼 Healthcare

Review medical records to validate coding and DRG assignment accuracy, ensuring physician documentation supports hospital coded data. Perform audits of acute inpatient claims and provide guidance or leadership depending on the analyst level.

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Medical Director, Children's Behavioral Health

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $202K - $303K per year ⭐ 5-10 yrs exp 💼 Healthcare

Directs medical management, quality improvement, and credentialing functions for the children's behavioral health business unit. Provides medical leadership for utilization review, cost containment, and the implementation of performance improvement initiatives.

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Pharmacy Analytics Consultant I/II

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $62400 - $106K per year ⭐ 2-5 yrs exp 💼 Software Development

The consultant provides analytic support for pharmacy and medical drug information to drive strategy, growth, and affordability. They collaborate with multidisciplinary teams to deliver actionable insights and standardized reporting for senior management and external stakeholders.

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

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $20 - $33.03 per hour ⭐ 5-10 yrs exp 💼 Others

Perform enrollment core processing and servicing for government programs and employer groups in accordance with HIPAA and health plan regulations. Manage inquiries from brokers, members, and administrators via phone, email, and in-person visits to ensure accurate eligibility and benefit updates.

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IT Cloud Engineer Security III

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $98297 - $176K per year ⭐ 5-10 yrs exp 💼 Software Development

The IT Cloud Engineer Security III designs and implements security solutions for public and private cloud infrastructures to ensure trust and risk management. This role focuses on automation workflows, system analysis, and mentoring junior engineers to maintain a secure and resilient environment.

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Medical Director, Commercial

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $202K - $303K per year ⭐ 10+ yrs exp 💼 Healthcare

The Medical Director oversees utilization and case management activities, including clinical reviews and the development of medical policies. They serve as a liaison between the organization and the regional medical community while ensuring compliance with state and federal mandates.

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Investment Accountant I/II/III

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $62400 - $129K per year ⭐ 5-10 yrs exp 💼 Finance

Responsible for the accounting and financial reporting of company investments, including GAAP and statutory reporting and monthly close processes. Collaborates with internal finance teams and external custodians to ensure accuracy of financial data and regulatory compliance.

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Principal AI Security Engineer

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $123K - $221K per year ⭐ 10+ yrs exp 💼 Software Development

Lead the technical security architecture and threat modeling for AI, GenAI, and agentic systems within a regulated healthcare environment. Design and implement secure MLOps controls, guardrails for PHI/ePHI, and offensive/defensive security capabilities for AI platforms.

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Manager, Care Management (Specialty Team)

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $79068 - $142K per year ⭐ 10+ yrs exp 💼 Others

Leads clinical and care management activities specifically for transplants and catastrophic conditions, overseeing both administrative operations and staff development. Ensures compliance with regulatory and accrediting standards while optimizing member health outcomes and resource management.

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Case Manager, RN or Licensed Behavioral Health (Multiple Openings!)

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $62400 - $117K per year ⭐ 5-10 yrs exp 💼 Healthcare

Conducts comprehensive case management activities to identify member needs, develop care plans, and coordinate health services. Collaborates with interdisciplinary teams and community resources to ensure cost-effective and optimal health outcomes for members.

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Instructional Designer I/II/III/IV

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $62400 - $142K per year ⭐ 10+ yrs exp 💼 Design

Design and develop curriculum for instructor-led, virtual, and online learning programs across the enterprise. Partner with subject matter experts to create training materials, job aides, and learning evaluations to improve organizational performance.

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Fixed Asset & Lease Accountant I/II/III

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $62400 - $129K per year ⭐ 5-10 yrs exp 💼 Finance

Responsible for the accounting and financial reporting of fixed assets and leases, including the preparation of GAAP and SAP reports. The role involves maintaining the fixed asset register, managing lease schedules, and supporting monthly, quarterly, and annual close processes.

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Case Manager, RN or Licensed Behavioral Health (Pediatrics)

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $62400 - $117K per year ⭐ 2-5 yrs exp 💼 Healthcare

Conducts pediatric case management activities to identify member needs, develop comprehensive care plans, and coordinate services with providers and community resources. Collaborates with multi-disciplinary teams to ensure cost-effective health outcomes and adherence to regulatory standards.

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Manager Physician Contracting

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $87766 - $157K per year ⭐ 2-5 yrs exp 💼 Healthcare

This role directs contracting activities for professional and ancillary healthcare services to ensure the corporation acts as a prudent purchaser. It involves developing reimbursement strategies, leading negotiations, and managing contractual disputes and templates.

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Vendor Manager I/II

Excellus BCBS · Full Time · 3 hours ago

Excellus BCBS

🌎 United States 💵 $62400 - $129K per year ⭐ 2-5 yrs exp 💼 Finance

Strategically manage vendor portfolios and relationships to ensure performance meets contractual obligations and business expectations. Lead sourcing, selection, negotiations, and governance activities while acting as a trusted advisor to business units.

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