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Excellus Health Plan Inc. Careers 20 Jobs in Rochester, NY

  • Treasury Coordinator I/II

    Excellus Health Plan Inc. - Rochester, New York
    ... from/to providers, groups and subscribers from various systems including the national Blue Card system ... /> Balances daily incoming and outgoing payments for more complex and/or evolving claims systems including but ...
  • Accountant I/II/III

    Excellus Health Plan Inc. - Rochester, New York
    ... assigned management and in accordance with established systems and applicable accounting principles, the ... systems/locations, for management review. Prepares financial statements and regulatory filings ...
  • Case Manager (RN or Licensed Behavioral Health) I/II/III (DUALS/Previous CM experience Preferred)

    Excellus Health Plan Inc. - Rochester, New York
    ... using this differentiated approach to place new hires, it also provides guideposts for employee ... multiple functional areas and supporting systems.Expertise in Case Management area and able to ...
  • EPMO Project Mgr III/IV

    Excellus Health Plan Inc. - Rochester, New York
    ... IT, outsource partners, contractors, third-party consultants, etc., in delivering solutions.<li ... managers, Business areas, Sponsors, IT staff and EPMO leadership.Provides project management ...
  • Case Manager (RN or Behavioral Health Professional) I/II/III - SN LTSS

    Excellus Health Plan Inc. - Rochester, New York
    ... resource to others. In addition to using this differentiated approach to place new hires, it also provides ... know multiple functional areas and supporting systems. Expertise in Case Management area ...
  • Utilization Management Services Representative I/II/III

    Excellus Health Plan Inc. - Rochester, New York
    ... using this differentiated approach to place new hires, it also provides guideposts for employee ... management systems and processes, departmental policies and procedures, product lines, and contract benefits ...
  • Healthcare Improvement Administrator

    Excellus Health Plan Inc. - Rochester, New York
    ... /or CAHPS, HOS and QRS Enrollee Satisfaction requirements and scoring criteria as it relates to health ...
  • Case Manager (RN) I/II/III - Safety Net

    Excellus Health Plan Inc. - Rochester, New York
    ... using this differentiated approach to place new hires, it also provides guideposts for employee ... areas and supporting systems.Expertise in Case Management area and able to handle complex ...
  • Payment Integrity DRG Coding & Clinical Validation Analyst I

    Excellus Health Plan Inc. - Rochester, New York
    ... payment systems. This position is responsible for reviewing medical records for appropriate provider ... using this differentiated approach to place new hires, it also provides guideposts for employee ...
  • Finance Governance & Special Projects Consultant

    Excellus Health Plan Inc. - Rochester, New York
    ... systems, processes to their full potential. Consistently demonstrates high standards of ... make our communities healthier, and we can't do it without you. We know diversity helps fuel our ...
  • Employer Group Contract Development Coordinator I

    Excellus Health Plan Inc. - Rochester, New York
    ... may be impacted. Analyzes benefit and rate information on group support systems (PEGA/SAHC, Seibel, Stepwise Salesforce or membership systems) for all new and renewing groups to initiate the group ...
  • Investment Accountant I/II/III

    Excellus Health Plan Inc. - Rochester, New York
    ... approach to place new hires, it also provides guideposts for employee development and promotional ... systems preferred. Ability to interpret and effectively implement/apply changes in accounting ...
  • EPMO Project Manager I/II/III/IV

    Excellus Health Plan Inc. - Rochester, New York
    ... IT, outsource partners, contractors, third-party consultants, etc., in delivering solutions.<li ... managers, Business areas, Sponsors, IT staff and EPMO leadership.Provides project management ...
  • Medical Services Coordination Specialist I/II/III

    Excellus Health Plan Inc. - Rochester, New York
    ... more junior staff as it relates to the assigned unit's processes, procedures, and business systems.</li ... applies care management criteria to determine member appropriateness for care management programs (systems ...
  • Case Manager (RN) I/II/III - Medicare

    Excellus Health Plan Inc. - Rochester, New York
    ... using this differentiated approach to place new hires, it also provides guideposts for employee ... areas and supporting systems.Expertise in Case Management area and able to handle complex ...
  • Supv Operations I/II (Local Claims)

    Excellus Health Plan Inc. - Rochester, New York
    ... >Maintains knowledge of current systems, benefit changes, market segments, project management, to ensure ... , becoming a resource to others. In addition to using this differentiated approach to place new hires, it ...
  • Enterprise Architect I/II/III

    Excellus Health Plan Inc. - Rochester, New York
    ... , to inform and influence business and IT direction. Acts as mentor to Level I/II ... , becoming a resource to others. In addition to using this differentiated approach to place new hires, it ...
  • Case Manager (RN or Licensed Behavioral Health) I/II/III - DUALS

    Excellus Health Plan Inc. - Rochester, New York
    ... using this differentiated approach to place new hires, it also provides guideposts for employee ... multiple functional areas and supporting systems.Expertise in Case Management area and able to ...
  • Medicare Part D Formulary Manager (Pharmacist)

    Excellus Health Plan Inc. - Rochester, New York
    ... Job Description: Summary: Under the guidance of assigned mana ...
  • Actuarial Analyst I/II/III/IV

    Excellus Health Plan Inc. - Rochester, New York
    ... BCBSA, NYSID and CMS. Establishes insurance rates, rating structures, and rating systems for groups and ... using this differentiated approach to place new hires, it also provides guideposts for employee ...
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