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Univera Jobs

29 Jobs Found

Reporting to the Director of eBuisness, the Portal Manager is a key contributing leader and integral part of an energized and passionate team dedicated to building engaging digital experience and executing the digital strategy. This position is responsible for managing the portal experience for a segment of Constituents; Broker/Group, Individual/Member, Government Programs or Provider. Essential...
This position supports the Marketing and Sales divisions in their achievement of corporate goals and objectives through the strategic planning, design and coordination of digital adoption plans, requests for proposal submissions, finalist presentations, sales support materials and marketing programs. This involves developing strategies, concepts and messaging to make a convincing case for how our...
Under the direction of the Supervisor of the Revenue Integrity, the Revenue Integrity Coding Coordinator is responsible for various aspects of decision-making and implementation of medical coding reviews and coding policies to ensure accurate revenue to the Health Plan across all geographic regions. This position is responsible for risk adjustment coding and quality assurance validation for the f...
The Vendor Manager owns the vendor relationship and is accountable for the performance of vendors within the BT and Health Plan organization. This position leads in the identification and selection of vendors through maintaining industry contacts, directs the RFP process, partners with Finance on the financial details of the contract, and partners with Legal to ensure the corporation is protected...
This position serves as subject matter expert for Lifetime Healthcare Companies emergency management. The incumbent is responsible for coordinating advance arrangements and procedures to ensure the Lifetime Healthcare Companies Incident Management Teams can respond to an emergency event and/or critical business function interruption. This includes leadership of Workplace Violence Threat Assessmen...
Reporting to the Director of eBuisness, the Portal Manager is a key contributing leader and integral part of an energized and passionate team dedicated to building engaging digital experience and executing the digital strategy. This position is responsible for managing the portal experience for a segment of Constituents; Broker/Group, Individual/Member, Government Programs or Provider. Essential...
This position develops and maintains corporate benefit records, database, automated audits, corporate benefit audit report enhancement recommendations, develops open enrollment sessions and supports all welfare plan projects, as required. The Corporate Benefits Data Administrator understands and interprets welfare plan documents and makes decisions when required in support of corporate benefit po...
Data Scientists are responsible for modeling complex business problems, discovering new business insights and finding opportunities through the use of algorithmic, statistical, data-mining and visualization techniques. In addition, this role also integrates and prepares large, varied datasets and designs and builds specialized databases and computing environments (data architecture). Incumbents m...
The Business Intelligence (BI) Solutions Analyst is responsible for analytical and reporting solutions across the Health Plan organization. The BI Solutions Analyst will design, develop, implement and maintain Health Plan Business Intelligence solutions; specifically, but not limited to Cognos reports, scorecards, and dashboards. The BI Solutions Analyst works very closely with project teams and ...
Under the general direction of the Manager of IT Business Analysis, the IT Business Analyst works with stakeholders from all business units and related third parties to define and document business processes and software requirements for Health Plan initiatives. The Business Analyst evaluates and validates new and existing functions, identifies and analyzes end-user issues, and provides support t...
This position is responsible for the overall management of facility operations functions for the Western New York (WNY) region. Specifically, the Park Club Lane site and including Facility Management support to the Healthcare Centers and Jamestown locations. The Manager conducts facility inspections to ensure facilities are maintained to corporate standards. Other areas of responsibility include ...
Under the direction of the Supervisor of the Recovery Department, the Medical Coding Analyst l assures the appropriate payment of claims through the identification and retrospective audit of claims and/or medical records. Facilitates the daily work of the coding validation unit including DRG validation and readmission reviews for all lines of business in compliance with applicable law and regulat...
Solution Architects partner with EHP business professionals, Developers, Engineers, FBPMs and Analysts to design and lead the integration of IT enterprise solutions that are aligned with business objectives and core technology assets utilized by project and program teams. The overall goal of the position is to define, design and oversee the implementation of solutions compliant with the architect...
The Applications Administrators provide support for all application environments. This includes maintaining application software, monitoring and troubleshooting issues within the software environment, forecasting and planning for application capacity and demand, among other things. Incumbents communicate and work with various businesses partners and management to determine application requirement...
The Social Media Manager is responsible for managing the organization’s social media presence and channels strategy to deliver on objectives for engagement and growth. This position conducts day-to-day efforts to source, generate, edit, publish, and share daily content (original text, images, video, HTML) that builds meaningful connections and encourages community members to take desired actions....
Under the direction of the Assigned Management, this position uses informatics and health care industry knowledge to research, interpret and recommend development, modifications, and evaluation of health care improvement programs, strategies, and analysis of health care information, focusing on either member experience/service quality or clinical quality. The Administrator gathers, interprets, an...
The Billing Assistant is responsible for a variety of billing as assigned individually by the accounts receivable manager. This includes Early Childhood billing, Medicare/Medicare HMO’s, Blue Cross, IHA, Univera, Medicaid/Medicaid HMO’s, Contract & Private Patient billing. Additional responsibilities include cash posting, claims processing all related functions to specific billing. Requirements ...
The Storage Engineer works to provide a stable, 24/7/365, storage network for business applications and offers technical leadership to facilitate the practical and economical use of available technology. The incumbent will also perform activities related to maintaining the corporate storage system and various interrelated systems with the intention of fostering the most effective, efficient and r...
Level I Responsible for ensuring that all areas of the Division are in compliance with local, state and federal regulations contractual agreements and Association mandates. Collaborates with Operational business areas to identify and improve processes that are not compliant and implement new regulations. Level II In addition to level I responsibilities, the second level will handle more comple...
The Quality Test Engineer interfaces, as needed, with Quality Test Leads, Project Management, Application Development staff, Release Management, and appropriate Business personnel and management. This position is accountable for validation of systems and applications prior to production release in accordance to schedule and budget requirements with the highest degree of accuracy and quality. This ...
Under the direction of Health Informatics leadership, the Informatics Analyst has the responsibility for the extraction and development of complex reports and/or analysis with summaries and recommendations on findings. Monitors and measures health care trends, outcomes and business processes using data mining techniques, statistical techniques, (i.e., control charting) and additional business inte...
Under the general direction of the Manager of Behavioral Health Network Development, this position is responsible for recruitment, and retention of providers to promote evidence-based practices and for proposing, maintaining and valuing pricing methodology and price levels such that the behavioral health networks are “right priced” and incentives are created for providers to change/maintain behavi...
DescriptionThe Billing Assistant is responsible for a variety of billing as assigned individually by the accounts receivable manager. This includes Early Childhood billing, Medicare/Medicare HMO’s, Blue Cross, IHA, Univera, Medicaid/Medicaid HMO’s, Contract & Private Patient billing. Additional responsibilities include cash posting, claims processing all related functions to specific billing.Requi...
In accordance with audit criteria and guidelines established by the Centers for Medicare & Medicaid Services, BlueCross BlueShield Association, Health Plan and/or State or Federal mandates, the incumbent performs quality assurance audits and analysis of Enrollment and Billing transaction activities to ensure their conformance with specified contract benefits, regulations, company and departmental ...
Under the general direction of the Assigned Management, this position provides operational business, analytical, and technical support for multiple functions within the department relating to the production of regulatory documents for Health Plan. Essential Responsibilities/Accountabilities • Performs testing and inventory management for all documents and data produced by the department. • Analyze...
This position supports the Director of Marketing and Brand Communications, Product Development, Marketing and Sales divisions in the execution of Health Plan strategies, goals and objectives. The Manager develops strategic digital marketing plans and media strategies supporting all lines of business: Business-to-Consumer, Business-to-Business and Brand. Media management includes oversight of media...
Under the direction of the Manager of Digital Strategy and Insights, the Digital Usability Analyst supports the Health Plan’s digital strategic initiatives and business goals by moderating/evaluating feedback from a broad range of demographics, gathering actionable data from a wide variety of research methods, facilitating usability study setups, supporting generation of new methodologies and assi...
This position supports the workflow of the Medical Services division. Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization Management, Behavioral Health or Member Care Management. This position acts as a resource for staff regarding members’ specific contract benefits, consistent with products,...
Under the supervision of Manager of Member Care Management Programs, this position supports the establishment and maintenance of population preventative care management interventions. This position coordinates all mailing campaigns and Interactive Voice Recognition (IVR) campaigns as they relate to MCM preventative health programs. In addition, supports the overall processes that drive population ...