Find work in the United States.

A simpler way to find your next job.

Jobs in the United States

25+ jobs

Save this search

Added just now
Manager, News Video
WP Company LLC
United States
The Washington Post is seeking a strategic, creative and collaborative leader to serve as Manager, News Video, helping drive how our journalism reaches audiences across social and video…
Added just now
Transportation Engineer - PM Roadway
DGL Consulting Engineers
Fishers, IN
Act as Project Manager and/or lead design engineer on projects
Added just now
Transportation Engineer - PM Roadway
DGL Consulting Engineers
Maumee, OH
Act as Project Manager and/or lead design engineer on projects
Added just now
Transportation Engineer - PM Roadway
DGL Consulting Engineers
Dublin, OH
Act as Project Manager and/or lead design engineer on projects
Added just now
Program Manager - Telemedicine
Johns Hopkins Health System
Baltimore, MD
Provide program management leadership for significant, cross-functional programs with functional, system, or enterprise-wide scope
Added just now
Transportation Engineer - PM Roadway
DGL Consulting Engineers
Independence, OH
Act as Project Manager and/or lead design engineer on projects
Added just now
Transportation Engineer - PM Bridge
DGL Consulting Engineers
Maumee, OH
Reports to Project Manager & Director of Structures (Transportation)
Added just now
Transportation Engineer - PM Bridge
DGL Consulting Engineers
Port Clinton, OH
Reports to Project Manager & Director of Structures (Transportation)
Added just now
Transportation Engineer - PM Bridge
DGL Consulting Engineers
Dublin, OH
Reports to Project Manager & Director of Structures (Transportation)
Added just now
Transportation Engineer - PM Bridge
DGL Consulting Engineers
Fishers, IN
Reports to Project Manager & Director of Structures (Transportation)
Added just now
Structural Engineer - PE (Development)
DGL Consulting Engineers
Independence, OH
Work closely with the Project Manager to maintain communications, and expectations, with clients during project initiation, design, and construction phases.
Added just now
Structural Engineer - PE (Development)
DGL Consulting Engineers
Dublin, OH
Work closely with the Project Manager to maintain communications, and expectations, with clients during project initiation, design, and construction phases.
Added just now
Structural Engineer - PE (Development)
DGL Consulting Engineers
Maumee, OH
Work closely with the Project Manager to maintain communications, and expectations, with clients during project initiation, design, and construction phases.
Added just now
Project Surveyor - Unlicensed
DGL Consulting Engineers
Dublin, OH
Lead field and office survey team members under the direction of the Survey Manager throughout project lifespans with effective communication and proven survey practices
Added just now
Project Surveyor - Unlicensed
DGL Consulting Engineers
Fishers, IN
Lead field and office survey team members under the direction of the Survey Manager throughout project lifespans with effective communication and proven survey practices
Added just now
Project Surveyor - Licensed
DGL Consulting Engineers
Fishers, IN
DGL Consulting Engineers (DGL) is seeking a detail-oriented and motivated Project Surveyor (Licensed) to join our team in Fishers, Indiana. DGL is celebrating our 100-year anniversary and…
Added just now
Professional Surveyor/Project Manager
DGL Consulting Engineers
Fishers, IN
Project Manager job function will be to work with current DGL management to help develop and support junior project managers, manage survey projects and expand the services currently…
Added just now
Construction Engineer
DGL Consulting Engineers
Maumee, OH
Work under supervision of a Project Manager or Senior-level Team Members
Added 1 min ago
HRBL, CMO and Future Forward
Intuitive
Sunnyvale, CA
Excellent organizational and project/program management skills.
Added 1 min ago
Nuclear Power Senior Project Manager - Technical Services
GE Vernova Hitachi Nuclear Energy Americas LLC
United States
As the Senior Project Manager - Technical Services, you will manage emergent customer needs to address technical challenges for operating nuclear power plants. You will work and coordinate…
Added 1 min ago
Senior Construction and Ops Support LNG
GE Grid Solutions, LLC
Remote, United States
We are seeking an expert Site Construction Manager to lead field execution for our Electrical Balance of Plant (eBOP) to support our clients LNG projects. You will ensure that all…
Added 1 min ago
IP
ATR Engineering Intern - Summer 2027- Pressure Relief & PM Analysis
INL Professional
Idaho Falls, ID
- $26.94 to $32.41 USD / hour
Reporting to a Senior Manager within the Experiment Engineering group, you will support the Advanced Test Reactor (ATR) by developing and documenting the technical basis for pressure relief…
Added 1 min ago
SO
Business Manager
State of Kansas
KS
- $60,000 to $80,000 USD / year
The Business Manager position is responsible for the following:
Added 2 mins ago
Head of AML Transaction Monitoring - Financial Intelligence Unit
Truist Bank
Charlotte, NC · Atlanta, GA
7. Ensure delivery of accurate and actionable analytics, reporting, or data insights to aid key decision-making and support effective operations within the Financial Crimes Program
Added 3 mins ago
Sr. Manager, Event Marketing
The American Institute of Architects
Washington, DC
Reporting to the Senior Director, Marketing, the Senior Manager, Event Marketing leads attendee-focused marketing strategy and execution for AIA’s signature events - including the AIA…

Excellus BlueCross BlueShield

Medicare Segment Manager

Rochester, NY, United States

Apply About employer

Applications open in a new tab.

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.

Apply 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

Report this job