Excellus BCBS Jobs

Excellus BCBS

ELMIRA, NY | 2861 followers

Excellus BCBS Overview

WEBSITE excellusbcbs.com
HEADQUARTERS ELMIRA, NY
SIZE 1,000 - 3,000
CEO KEVIN J MCGURGAN
REVENUE <$5M
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About Excellus BCBS

Excellus BlueCross BlueShield, a nonprofit independent licensee of the BlueCross BlueShield Association, is part of a family of companies that finances and delivers vital health care services to about 1.5 million people across upstate New York. Excellus BlueCross BlueShield provides access to high-quality, affordable health coverage, including valuable health-related resources that our members use every day, such as cost-saving prescription drug discounts and wellness tracking tools. To learn more, visit excellusbcbs.com.

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Utilization Management Services Rep I/II/III (Multiple Openings Available!) at Excellus BCBS

Elmira, NY | Full Time
$69k-86k (estimate)
Just Posted
Summary. Job Description. This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls, creating authorizations via phone, Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health, and durable medical equipm...

Corporate Tax Analyst I/ II at Excellus BCBS

Elmira, NY | Full Time
$80k-98k (estimate)
Just Posted
Summary. Job Description. Under the direction of the Assigned Management, the Corporate Tax Analyst supports the enterprise-wide corporate tax function in all aspects of federal and state tax compliance, planning, research, tax accounting and forecasting, audits and strategic projects. The Corporate Tax Analyst provides tax analytical support and research while keeping up to date on new regulations and industry trends in support of the company’s ...

Utilization Management Services Rep I/II/III (Multiple Openings Available!) at Excellus BCBS

Latham, NY | Full Time
$73k-91k (estimate)
Just Posted
Summary. Job Description. This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls, creating authorizations via phone, Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health, and durable medical equipm...

Corporate Tax Analyst I/ II at Excellus BCBS

Latham, NY | Full Time
$85k-104k (estimate)
Just Posted
Summary. Job Description. Under the direction of the Assigned Management, the Corporate Tax Analyst supports the enterprise-wide corporate tax function in all aspects of federal and state tax compliance, planning, research, tax accounting and forecasting, audits and strategic projects. The Corporate Tax Analyst provides tax analytical support and research while keeping up to date on new regulations and industry trends in support of the company’s ...

Utilization Management Services Rep I/II/III (Multiple Openings Available!) at Excellus BCBS

Rochester, NY | Full Time
$71k-88k (estimate)
Just Posted
Summary. Job Description. This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls, creating authorizations via phone, Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health, and durable medical equipm...

Retail Sales Consultant at Excellus BCBS

Liverpool, NY | Full Time
$28k-36k (estimate)
1 Week Ago
Company Description. Excellus BlueCross BlueShield is a nonprofit independent licensee of the BlueCross BlueShield Association, serving about 1.5 million people across upstate New York. The company provides high-quality, affordable health coverage and valuable health-related resources, such as prescription drug discounts and wellness tools. Role Description. This is a full-time in-person Retail Sales Consultant role based in Liverpool, NY. The Re...

Investigator I/II at Excellus BCBS

Rochester, NY | Full Time
$70k-92k (estimate)
1 Week Ago
Summary. Job Description. This position is responsible for the accurate and thorough investigation of potential fraud and abuse for all lines of business. The scope of accountability includes investigating and remediating allegations of fraud, waste, and abuse (FWA) while adhering to compliance and regulatory requirements. FWA investigative activities encompass cases within the Health Plan regions but will additionally involve cases outside the s...

Investigator I/II at Excellus BCBS

Rochester, NY | Full Time
$70k-92k (estimate)
1 Week Ago
Summary. Job Description. This position is responsible for the accurate and thorough investigation of potential fraud and abuse for all lines of business. The scope of accountability includes investigating and remediating allegations of fraud, waste, and abuse (FWA) while adhering to compliance and regulatory requirements. FWA investigative activities encompass cases within the Health Plan regions but will additionally involve cases outside the s...

Insights & Competitive Intelligence Data Consultant at Excellus BCBS

De Witt, NY | Full Time
$74k-93k (estimate)
3 Weeks Ago
Summary. Job Description. The Insights & Competitive Intelligence Data Consultant will work with unstructured and structured data, and contributing to the development of predictive analytics, customer segmentation methodologies, market & financial intelligence analytics, data visualization creation, as well as the evaluation of new data sources and perform advanced data processing. This position will be a part of the Market Insights & Intelligenc...

Pharmacy Prior Authorization Technician I/II/III at Excellus BCBS

De Witt, NY | Full Time
$74k-91k (estimate)
3 Weeks Ago
Job Description. The Pharmacy Prior Authorization Technician performs functions as permitted by law including the initial level processing and review of prior authorization requests for both pharmacy reviews and medical specialty drug reviews. These reviews are performed utilizing pharmacy management drug policies and procedures. This position accurately prepares and interprets cases for UM (utilization management) reviews and determination. In a...

Pharmacy Prior Authorization Technician I/II/III at Excellus BCBS

Jamestown, NY | Full Time
$66k-81k (estimate)
3 Weeks Ago
Job Description. The Pharmacy Prior Authorization Technician performs functions as permitted by law including the initial level processing and review of prior authorization requests for both pharmacy reviews and medical specialty drug reviews. These reviews are performed utilizing pharmacy management drug policies and procedures. This position accurately prepares and interprets cases for UM (utilization management) reviews and determination. In a...

Pharmacy Prior Authorization Technician I/II/III at Excellus BCBS

Binghamton, NY | Full Time
$67k-82k (estimate)
3 Weeks Ago
Job Description. The Pharmacy Prior Authorization Technician performs functions as permitted by law including the initial level processing and review of prior authorization requests for both pharmacy reviews and medical specialty drug reviews. These reviews are performed utilizing pharmacy management drug policies and procedures. This position accurately prepares and interprets cases for UM (utilization management) reviews and determination. In a...
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