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Added 5 mins ago
Procurement Project Manager
Integra
Houston, TX · Akron, OH
Align procurement milestones with overall project milestones through collaborating with the Product Program Manager
Added 6 mins ago
Senior Engineering Product Manager - Strategic Partnership Initiatives
Cisco
Boulder, CO
The Strategic Partnership Initiatives team within the Splunk Platform organization is the engine behind our most critical growth initiatives, bridging the gap between Splunk’s core…
Added 7 mins ago
EG
Product Manager
Eliassen Group
Cheyenne, WY
- $70 USD / hour
Our client seeks a Product Manager to lead product planning and execution across the lifecycle for Oracle Retail Demand Forecasting (RDF) and Oracle Retail Merchandising System (RMS). The…
Added 8 mins ago
BE
Sr Manager Technology - API Platform
Boeing Employees' Credit Union
Remote, United States
- $135,100 to $250,600 USD / year
The Sr. Manager, Technology – API Platform is responsible for leading the execution of BECU’s API strategy by delivering enterprise APIs and platform capabilities that securely expose…
Added 9 mins ago
C
First Line Risk Manager
Citizens
Johnston, RI
- $84,000 to $110,000 USD / year
We're seeking an experienced First Line Risk Manager to support Commercial Banking risk management activities. This role is ideal for a risk professional who has direct experience executing…
Added 9 mins ago
C
Category Team Manager Real Estate, Facilities & Retail Network
Citizens
Johnston, RI
- $139,680 to $248,320 USD / year
Citizens has transformed the Strategic Sourcing experience across the enterprise. As a Category Team Manager within Strategic Sourcing, you will direct a team of Sourcing colleagues,…
Added 9 mins ago
Senior Product Development Manager – Store Brands
CVS Health
Woonsocket, RI
…where your passion meets purpose. As a Product Development Manager, you will play a key role in supporting the growth of our Store Brands portfolio by developing and executing product…
Added 9 mins ago
Merchandising Senior Analyst - Personal Intimacy Team
CVS Health
Woonsocket, RI
The ideal candidate can not only identify complex problems but implement solutions and drive strategic changes across their category of responsibility as well as support larger business…
Added 9 mins ago
Manager of Strategic Analytics – Front Store Offer Strategy
CVS Health
Providence, RI
We currently have an important opportunity for a Manager of Strategic Analytics, Front Store Offer Strategy.
Added 9 mins ago
S
Technical Sales Manager: Life Science
Saint-Gobain
BRISTOL, RI
- $92,000 to $142,000 USD / year
As a Technical Sales Manager you will partner with leading Life Science industry customers to identify opportunities, develop innovative solutions and turn complex technical requirements…
Added 9 mins ago
EG
Product Manager
Eliassen Group
Providence, RI
- $70 USD / hour
Our client seeks a Product Manager to lead product planning and execution across the lifecycle for Oracle Retail Demand Forecasting (RDF) and Oracle Retail Merchandising System (RMS). The…
Added 9 mins ago
Quality Manager
US0767 Prysmian Cables and Systems Usa LLC
Lincoln, RI
Accountable to the North America I&C Quality Manager and Plant Manager, the Quality Manager position is responsible for managing, implementing, and facilitating Quality Assurance and…
Added 11 mins ago
AA
Business Development Manager
Apera AI Inc
MI
- $90,000 to $110,000 USD / year
We're hiring a Business Development Manager for our Michigan and Ohio territory. If you've spent years building relationships with Tier 1 automotive suppliers, plant engineers, and OEM…
Added 12 mins ago
GI
16yrs Project Manager with PMP & health exp - Onsite
GoIntellects Inc.
Washington, DC
- $85 to $90 USD / hour
…effectively presenting information and responding to questions or complex inquiries from groups of employees, managers and internal customers, influencing leadership and facilitation skills…
Added 14 mins ago
Pricing and Sales Strategy_ Senior Manager, Strategy, Growth, and Transformation
Deloitte
Louisville, KY
As a Senior Manager, you will lead large engagements that begin with a complex pricing, revenue, and margin-focused problems and serve as a leader in Deloitte Consulting's Customer Strategy…
Added 14 mins ago
Pricing and Sales Strategy_Manager, Strategy, Growth, and Transformation
Deloitte
Louisville, KY
As Manager, you will lead large engagements that begin with a complex pricing, revenue, and margin-focused problems and serve as a leader in Deloitte Consulting's Customer Strategy &…
Added 14 mins ago
Health Care Research Manager - Deloitte Center for Health Solutions
Deloitte
Louisville, KY
What You will Do: As a Research Manager of the Center for Health Solutions, you will:
Added 14 mins ago
Life Sciences Research Manager - Deloitte Center for Health Solutions
Deloitte
Louisville, KY
What You will Do: As a Research Manager of the Center for Health Solutions, you will:
Added 15 mins ago
Federal Account Leader- US Navy
Arcadis
Washington
Arcadis is seeking a Strategic Account Manager with demonstrated relationships across US Navy nationwide. This role will focus on driving the growth of Arcadis' multidisciplined services…
Added 15 mins ago
BH
Senior Manager, Content Marketing
Bamboo Health Inc
Louisville, KY
- $7.25 USD / hour
Bamboo Health is seeking a strategic and execution-oriented Sr. Manager Content Marketing to lead the development, activation, and performance of a modern content engine that unifies brand…
Added 15 mins ago
EG
Product Manager
Eliassen Group
Frankfort, KY
- $70 USD / hour
Our client seeks a Product Manager to lead product planning and execution across the lifecycle for Oracle Retail Demand Forecasting (RDF) and Oracle Retail Merchandising System (RMS). The…
Added 16 mins ago
Project Delivery Director - Fare Payment Modernization
Masabi
Remote, United States
// Masabi is seeking an experienced Lead Program Manager to lead the end-to-end implementation and delivery of a major, multi-year transit technology modernization program in North America.…
Added 16 mins ago
CO
HUMAN TRAFFICKING COORDINATOR (PROGRAM SPECIALIST)
City of Long Beach
Long Beach, CA
- $85,000 to $105,000 USD / year
The City Manager’s Office is recruiting for a full-time, unclassified Human Trafficking Coordinator (Program Specialist). Under the supervision of the Deputy City Manager for Strategic…
Added 23 mins ago
Platform Growth Manager
Advocate Health, Inc.
Charlotte, NC
10189 Enterprise Corporate - Strategic Planning
Added 27 mins ago
KC
BH-ASO Project Program Manager (PPM III)
King County
Seattle, WA
- $52.93 to $67.09 USD / hour
…Health & Administrative Services Organization (BH-ASO) Project/Program Manager who will assist the BH-ASO Operations Manager with coordination and oversight of BHASO team’s operational…

Closed listing

Excellus BCBS

Medicare Segment Manager

Rochester, NY, United States
Albany, NY, United States
Binghamton, NY, United States
Buffalo, NY, United States
Dewitt, NY, United States
Utica, NY, United States

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Posting language: English
Posted: Oct 30, 2026

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Original job description

Archived listing. The details below describe a past opening.

Job Description:

Summary:

Under the general direction of the Assigned Management, this position is responsible for supporting Medicare line of business strategy and execution. assuring that all Medicare products and programs are administered according to approved benefit design, regulatory requirements, and strategic objectives for the line of business. The incumbent is accountable for service and operational requirements associated with the line of business. The incumbent will be knowledgeable in all Medicare products, including Medicare Advantage, Medicare Supplement, Part D Prescription Drug Plans, and Dual Eligible products.

Essential Responsibilities/ Accountabilities:

· Develops strategic, operational, and tactical business plans to achieve desired business goals for the Medicare lines of business. · Understands and evaluates new market opportunities, including building of necessary business cases. · Conducts evaluation, review, and assessment of various operations for the purpose of identifying root causes of operations problems that contribute to noncompliance and customer dissatisfaction. · Consults with team members and stakeholders to streamline system operations and processes to improve business effectiveness and efficiency. · Plans, develops, and implements special projects, initiatives, and activities to support line of business objectives, product, benefit administration, regulatory requirements, process improvement, efficiency, and the customer experience. · Encourages innovation, process improvements and personal development within the functional business areas that support the Medicare products. · Develops and maintains relationships across the enterprise to promote consistent strategic priorities. · May serve as a regulatory liaison to NYS, CMS or BCBSA as needed. · Collaborates with cross functional business and project teams to ensure alignment to line of business objectives, compliance, operational performance and process improvement. · Ensures cross functional integration of strategies with key internal areas including, but not limited to Marketing, Operational Excellence, Population Health Engagement, Finance, Provider Contracting, Compliance and Enterprise information Technology. Represents Medicare on related key cross-functional committees and projects to ensure Medicare perspective is being integrated into strategies of other areas. · Manages maintenance of business process work item deliverables. Regularly participates in forums and activities to solicit direct customer feedback. · Reads, interprets, and identifies necessary next steps related to complex government regulations. · Engages in issue identification as well as problem solving to identify and resolve potential improvement opportunities. · Serves as a corporate resource for Medicare, providing line of business subject matter expertise to business teams on initiatives and activities that impact the line of business. · Acts quickly to continuous changes and challenges in the regulatory environment. · Works closely with other Departments for input and integration. Ensures all perspectives are considered and develops processes and timelines to incorporate planning and execution of strategies across departments. · Remains current on evolving market dynamics within the Medicare segment, connects trends to line of business objectives and ensures awareness among key business partners. · Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. · Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. · Regular and reliable attendance is expected and required. · Performs other functions as assigned by management.

Minimum Qualifications:

· Bachelor’s degree in health administration, marketing, business administration or related field with a minimum of six years progressive health plan operations experience. · Strong leadership and/or management experience. · Strong expertise and background dealing with regulatory and accreditation agencies such as NCQA, CMS, Federal & State agencies including DOH, Dept. of Finance Services. · Remain current on all relevant regulatory requirements. · Strong process and program management skills, analytical, creativity and initiative in problem solving and solution identification. · Strong facilitation skills and follow through. Project management experience required. · Must be a critical thinker and possess effective negotiation skills in dealing with middle and senior management levels. · Must be self-motivated and a self-starter, able to work independently at times without detailed direction. · Must possess strong computer skills, including MS Word, Excel and PowerPoint. · Must possess strong, demonstrated analytical ability, strategic thinking, and creativity as well as a positive attitude, strong work ethic and highly effective communication skills. · Must be capable of establishing effective relationships with all levels of representation throughout the divisions including senior management to execute cross-divisional initiatives.

Physical Requirements:

· Ability to travel across the health plan service regions as needed.

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In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Compensation Range(s):

Minimum: $79,068 - Maximum: $142,322

The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

About employer

More about this job

Skills

CMS
Regulatory compliance
Process improvement
Business processes
Problem solving
Leadership
Program management
Project management
Negotiation
Work independently
Computer skills
Microsoft Word
Microsoft Excel
Microsoft PowerPoint
Communication skills
Compensation and benefits
Recruitment

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