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Added just now
LI
Manager, National Accounts
Lennox International
Richardson, TX
- $103,000 to $135,450 USD / year
Under limited supervision, the Manager, National Accounts leads a team responsible for supporting strategic National Account customers through onboarding, program execution, customer…
Added just now
LI
Manager, National Accounts
Lennox International
Richardson, TX
- $103,000 to $135,450 USD / year
Under limited supervision, the Manager, National Accounts leads a team responsible for supporting strategic National Account customers through onboarding, program execution, customer…
Added just now
A
Sr CRA I
Actalent
Santa Clara, CA
- $58.62 to $62.07 USD / hour
Contribute to other project work and continuous process improvement initiatives as required, supporting operational excellence across studies.
Added 1 min ago
Line Lead - Glass Forming
Molson Coors
Wheat Ridge, CO
…contributions, and facilitating the forming technician development program to ensure operational excellence. The leader conducts regular one-on-one development conversations, collaborates…
Added 1 min ago
A
Sr CRA I
Actalent
Austin, TX
- $58.62 to $62.07 USD / hour
Contribute to other project work and continuous process improvement initiatives as required, supporting operational excellence across studies.
Added 1 min ago
G&
Bar Manager
Gin & Luck
South Seattle, WA
- $82,500 to $86,500 USD / year
The Bar Manager is responsible for the execution of all beverage business operations and management of all bar staff including, hiring, training, and onboarding. The Bar Manager also is…
Added 2 mins ago
SG
Station Manager - Airline Crew Transportation
Skyhop Global
Morrisville, NC
- $75,000 USD / year
Station Operations Manager – Airline Crew Transportation (RDU)
Added 2 mins ago
XE
Director, Compensation
Xcel Energy
Minneapolis, MN
- $148,400 to $210,733 USD / year
Build, mentor, and lead team of compensation consultants to foster a high performing culture focusing on value creation, operational excellence, collaboration and continuous learning.
Added 2 mins ago
Manager, Car Wash Operations
Nouria Energy Services, Inc.
Leominster, MA
Golden Nozzle Car Wash is seeking a hands-on, results-driven Site Manager to oversee the daily operations of our high-volume car wash facility. This leadership role is ideal for someone who…
Added 3 mins ago
KL
Manager, Records & Information Governance (RIG)
KPMG LLP
Minneapolis, MN
- $11.41 USD / hour
…development, embraces an inclusive environment, rewards innovative excellence and supports our communities. With qualities like those, it's no wonder we're consistently ranked among the…
Added 3 mins ago
FH
Clinical Trial Startup Project Manager
Fred Hutchinson Cancer Center
Seattle, WA
- $82,493 to $123,697 USD / year
At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of…
Added 4 mins ago
BA
Copy Of Club Director - Mosley Boys & Girls Club
BOYS AND GIRLS CLUBS OF METRO DENVER INC.
Aurora, CO
- $58,700 to $60,000 USD / year
…Club site. The Club Director will champion the pursuit of Club Excellence by leading the operational, fiscal and management aspects of the…
Added 4 mins ago
Senior Project Manager
Adolfson & Peterson Inc.
Tempe, AZ
Adolfson & Peterson Construction, one of the nation’s top contractors, is recruiting for an experienced Senior Project Manager.
Added 5 mins ago
ES
Store Manager
Extra Space Management, Inc
Providence, RI
- $18 to $20 USD / hour
The Store Manager oversees the daily operations of one or more self-storage locations with limited direct supervision. This role ensures the facility meets high cleanliness standards,…
Added 5 mins ago
Assistant Store Manager
Extra Space Management, Inc
Philadelphia, PA
The Assistant Store Manager plays a pivotal role in supporting the daily operations of one or more self-storage locations, under the guidance of the District Manager and Store Manager. This…
Added 5 mins ago
ES
Assistant Store Manager
Extra Space Management, Inc
Providence, RI
- $16 to $18 USD / hour
The Assistant Store Manager plays a pivotal role in supporting the daily operations of one or more self-storage locations, under the guidance of the District Manager and Store Manager. This…
Added 5 mins ago
Assistant Store Manager
Extra Space Management, Inc
Kissimmee, FL
The Assistant Store Manager plays a pivotal role in supporting the daily operations of one or more self-storage locations, under the guidance of the District Manager and Store Manager. This…
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Assistant Store Manager
Extra Space Management, Inc
Orlando, FL
The Assistant Store Manager plays a pivotal role in supporting the daily operations of one or more self-storage locations, under the guidance of the District Manager and Store Manager. This…
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Account Manager (Commercial Landscaping)
LandCare
Flowery Branch, GA
Participate in programs that focus on building operational excellence
Added 5 mins ago
Account Manager (Commercial Landscaping)
LandCare
Durham, NC
Participate in programs that focus on building operational excellence
Added 6 mins ago
Human Resources Analyst Senior
Arizona Department of Administration
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…health-related moments. Reporting to the Employee Relations Manager, this position manages and makes decisions on a variety of leave and disability programs, including FMLA, Workers'…
Added 6 mins ago
Program Manager, Elevate APP Program (Hybrid)
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WESTSIDE IS LOOKING FOR A ELEVATE APP PROGRAM MANAGER!
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Weld School Manager
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…and dock facilities. Our commitment to quality, safety, and operational excellence supports the reliable movement of goods throughout the nation's inland…
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Diesel Mechanic B
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Landfill Operations Supervisor
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…permit. The Operations Supervisor works with the Operations Manager and General Manager to implement tactical initiatives to drive functional excellence and budget achievement. The…

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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