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Fleet Administrative Assistant
TWO-TAC LLC
Manassas Park, VA
- $19 to $26 USD / hour
…Fleet Operations team, reporting directly to the Senior Fleet Manager. This role will focus on overseeing all aspects of fleet compliance, including invoice reconciliation, reporting,…
Added just now
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Field Service Technician - Louisville, KY
Getinge
Frankfort, KY
- $32 to $39 USD / hour
Maintain expenses and required inventory within guidelines and limits established by the Area Manager, Service.
Added just now
Case Manager/Social Worker
LFCS
Joplin, MO
Provide case management, parenting education, community resource referral, parent-child activities, and child development education.
Added 1 min ago
M
Beauty Counter Manager - Trend Beauty, Alderwood - Full Time
Macy's
Lynnwood, WA
- Full-time
As a Counter Manager in the Macy's Cosmetics Department, you will be responsible for managing all aspects of a cosmetics line, including coaching a team of skilled Beauty Advisors. You will…
Added 1 min ago
IC
Production Lead, Flower Pack - MPX
iAnthus Capital
Pleasantville, NJ
- $22.5 USD / hour
…nationally. At iAnthus, you will be given opportunities for career development, a flexible work environment, excellent benefits, a wellness program and the ability to interact with and…
Added 2 mins ago
2027 Summer Intern - Performance and Sales Insights (NYC)
First Citizens Bank
New York, NY
While a majority of the principal accountabilities are assigned by the intern's direct manager, there is a determined effort across the Bank to make each intern a dynamic part of the team…
Added 2 mins ago
(O
Senior Account Manager, Government Services
(USA) Oxford Global Resource, LLC
Washington, DC
- $55,000 to $80,000 USD / year
…outside of the office; an award-winning onboarding and training program recognized by the Association for Talent Development (ATD); the opportunity to qualify for President’s Club; and…
Added 2 mins ago
CO
Program Manager, Buildings
City of New York
New York City, NY
- $145,000 to $165,000 USD / year
The Program Manager, Buildings in the Mayor’s Office of Capital Project Development, will support the team responsible for capital project coordination and implementation across City…
Added 2 mins ago
AU
Security Account Manager Retail
Allied Universal
Chapel Hill, NC
- $60,000 USD / year
Allied Universal is hiring a Retail Account Manager. The Account Manager job is accountable for day-to-day operations of an assigned account, including hiring, training, disciplining and…
Added 3 mins ago
Groomer
Petco Animal Supplies Stores, Inc.
Chester, VA
Career development and growth opportunities, such as a Grooming Salon Leader, Grooming Mentor and Grooming Instructor
Added 3 mins ago
Groomer
Petco Animal Supplies Stores, Inc.
Amelia, OH
Career development and growth opportunities, such as a Grooming Salon Leader, Grooming Mentor and Grooming Instructor
Added 3 mins ago
Groomer
Petco Animal Supplies Stores, Inc.
Apple Valley, MN
Career development and growth opportunities, such as a Grooming Salon Leader, Grooming Mentor and Grooming Instructor
Added 3 mins ago
FT Community Inclusion Specialist/ Job Coach
Easter Seal Rehabilitation Center
Danbury, CT · Brookfield, CT
Under the supervision of the department Manager, Community Inclusion Specialists are primary implementers of our organization’s services, working on the front lines in our communities. As…
Added 3 mins ago
Food Service Worker
Grow Early Learning Corp
Semmes, AL
Preferred: Associate’s degree in culinary arts or ServSafe Food Manager’s Certificate and documented years of related experience in quantity cooking.
Added 3 mins ago
Development Manager, Amazon Cloud Management Frameworks
Amazon.com Services LLC
Seattle, WA
- 8+ years of leading the definition and development of multi tier web services experience
Added 3 mins ago
LF
Travel & Expense Analyst
LPL Financial Corp
United States
- $23.47 to $39.12 USD / hour
…day-to-day operation of the company's corporate travel and expense program. Working closely with the Travel & Expense Manager, this role is responsible for monitoring travel and expense…
Added 4 mins ago
Rigging Field Operations Supervisor
Bechtel Corporation
Sugar Land, TX
Conduct project specific training (Bull Rigging, Crane Operations, Rigging, etc.) as requested by Rigging Training Manager/Project Trainer Manager to support onsite Workforce Development…
Added 4 mins ago
Relationship Banker I (Park Slope) PT 30 Hours
TD Bank, N.A.
Brooklyn, NY
…opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been…
Added 4 mins ago
Associate Banker II (Richmond Ave.) PT 20 Hours
TD Bank, N.A.
Staten Island, NY
…opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been…
Added 4 mins ago
Associate Banker II/Lehigh Avenue/Bilingual Spanish preferred
TD Bank, N.A.
Philadelphia, PA
…opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been…
Added 4 mins ago
Business Insights Specialist (US)
TD Bank, N.A.
Mount Laurel, NJ · Wilmington, DE · NY
…opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been…
Added 4 mins ago
Associate, Structured Trade & Export Finance, TD Securities Global Transaction Banking, TD Securities
TD Securities (USA) LLC
NY
…opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been…
Added 4 mins ago
GO
Clearance Processor
Goodwill of Central & Northern Arizona
United States
- $15.15 USD / hour
Informs supervisor or manager of any potentially hazardous and dangerous materials found while processing merchandise for storage and/or disposal.
Added 4 mins ago
C
Manager Outpatient Rehabilitation
CentraCare
Saint Cloud, MN
- $108,305.6 to $162,448 USD / year
…community stakeholders to support service excellence, workforce development, program growth, and continuous improvement across the rehabilitation continuum. Promotes patient safety,…
Added 4 mins ago
Director of Surgical Services
Shady Grove Medical Center
Rockville, MD
Facilitate/collaborate in the development of program and business plans to address newly identified patient care needs.

Excellus BlueCross BlueShield

Medicare Segment Manager

Rochester, NY, United States

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Job details

Posting language: English
Posted: Nov 1, 2026

Original job description

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.

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.

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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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