- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: Fall 2025 Co-op (Semester): The Fall 2025 College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students ... the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire summer. In addition, through the… more
- BlueCross BlueShield of North Carolina (NC)
- …As a Category Management Analyst, you'll play a strategic role in supporting enterprise-wide category management initiatives. This position partners across Corporate ... Procurement and business units to drive value through vendor evaluation, relationship management, strategic planning, and contract oversight. You'll help ensure the effectiveness of the category management process by coordinating cross-functional efforts and… more
- BlueCross BlueShield of North Carolina (NC)
- …The Episodic Care Manager is responsible for performing clinical reviews to assess, facilitate, and coordinate the delivery of health care services for members based ... on medical necessity and contractual benefits. Effectively coordinate with providers, members, and internal staff to support the delivery of high quality and cost-effective care across the health care system. **What You'll Do** **Clinical Evaluation and… more
- BlueCross BlueShield of North Carolina (NC)
- …As a Consulting Actuary at our healthcare organization, you will play a pivotal role in shaping the future of care delivery through data-driven insights and strategic ... actuarial expertise. You'll lead initiatives that directly impact patient outcomes and business performance-whether it's designing innovative insurance products, optimizing pricing strategies, or evaluating advanced care management models. Your work will… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: In constant pursuit of improving quality outcomes for the Health Plan, this position exists to retrieve and abstract data from medical records based upon an ... established set of guidelines. In addition, the second level of this job is responsible for auditing the retrieval and abstraction results. This is a seasonal role in which employees work the months of January through April. The daily schedule is flexible… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …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 about accessing community resources and assists with navigating resources available and provide assistance with addressing SDoH barriers and care gaps. This position… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: The LTC Customer Service Representative resolves customer inquiries via telephone, mail, fax, and email concerning, but not limited to, policy benefits, ... claim payments, benefit reductions and billing. The LTC Customer Service Representative provides service for customers and business partners while responding in a professional, efficient, and timely manner to resolve issues and enhance customer satisfaction.… more
- BlueCross BlueShield of North Carolina (NC)
- …**Expression of Interest: 2026 Summer Internship Program** **Interested in joining our Summer 2026 Internship Program?** We'll begin accepting applications in ... **November 2025** -but you don't have to wait to get on our radar. **Submitting your interest here ensures you'll be among the first to be notified via email when our Summer 2026 internship roles open.** **Who we are** **At Blue Cross and Blue Shield of North… more
- BlueCross BlueShield of North Carolina (NC)
- …The Strategic Advisor, Healthcare plays a crucial role in assisting with complex analysis, evaluation, and planning to achieve the organization's innovation-based ... goals. This includes new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement, and market offer opportunities. Underwriting experience is essential for this role, as it supports the promotion of enterprise… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare ... Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for… more
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