Horizon-blue Cross Blue Shield New Jersey jobs - Basking Ridge, NJ
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| May 25 | MEDICAL DIRECTOR | Horizon Blue Cross Blue Shield of New Jersey | Newark, NJ |
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Innovations, a Horizon Blue Cross Blue Shield of New Jersey company, is ... Medical Home (PCMH) Program across New Jersey. Responsibilities include:... more |
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| May 18 | Infrastructure Analyst (Sharepoint Administrator) | Horizon Blue Cross Blue Shield of New Jersey | Newark, NJ |
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The SharePoint Administrator will be part of IT infrastructure services and responsible for planning and executing the extraction and migration of select content from multiple... more |
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| May 15 | Business Analyst II | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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Resolves issues and improves operational performance on a cross-functional/departmental basis. This is an intermediate level position and may require guidance. Job Qualifications... more |
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| May 14 | Quality Auditor II - RN | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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and coordinates project tasks, assembles cross-functional teams within the organization, assigns individual responsibilities and sets timeframes for assigned projects. 5. Ensures... more |
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| May 14 | Managed Care Coordinator I | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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Job Summary This position supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Opera tional Business... more |
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| May 14 | Reporting Analyst III | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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5. Manages the design and development of new reporting processes and assigns and trains staff to maintain processing once implemented. 6. Serves as technical resource for the... more |
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| May 14 | Pharmacy Benefit Specialist | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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as liaison between Horizon Blue Cross Blue Shield of New Jersey account management areas and the PBM vendor to resolve various benefit and service issues. 2. Manages the PBM... more |
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| May 14 | Sales Executive I | Horizon Blue Cross Blue Shield of New Jersey | Newark, NJ |
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EOEAA MFDV At Horizon Blue Cross Blue Shield of New Jersey the collaboration ... health care HORIZON Blue Cross Blue Shield of New Jersey Making Healthcare Work... more |
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| May 03 | Programmer/Analyst II (C#, .Net Developer) | Horizon Blue Cross Blue Shield of New Jersey | Newark, NJ |
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applications are being utilized 6 Tests new and revised programs to ensure proper functionality and to ensure output is complete accurate and in conformance with program... more |
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| Mar 21 | Medical Utilization Analyst | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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Job Summary This position is accountable for the detection, investigation, resolution and prevention of utilization abuse and mismanagement of BCBS benefits by providers and... more |
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| Jan 23 | Medical Cost Initiative Manager | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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skills with a demonstrated ability to lead cross-divisional work teams - Must ... MCR claim drivers 4. Lead and oversee cross departmental and cross divisional... more |
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| Jan 19 | Credentialing/Recredentialing Coordinator II | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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and re-credentialing review process for new and current providers, performing updates to physician, institution, and ancillary provider credentialing files. Responsibilities: -... more |
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| Jan 19 | Auditor III | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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Job Summary This position is a lead auditor who is responsible for the supervision and execution of audit work programs. Plans, executes and reports on complex audits within... more |
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| Jan 19 | Business Analyst III | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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Resolve issues and improve operational performance on a cross-functional/departmental basi ... - May coach/mentor less experienced staff, assist in on-boarding of new staff and/or distr... more |
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| Dec 30 | Segmentation Analyst | Horizon-blue Cross Blue Shield New Jersey | Newark, NJ |
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based on segmentation results. 3. Identify new products and services to capitalize on ... analysis required to identify and select new market, customer and or/ product... more |
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| Dec 29 | Disab/WC Nurse CM II | Horizon Blue Cross Blue Shield of New Jersey | Newark, NJ |
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registrations Requires a current New Jersey RN License Prefers case management certification. Knowledge Requires understanding of case management philosophy and process. Requires... more |
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| Oct 27 | Mgr, COB Governance | Horizon BlueCross BlueShield | Newark, NJ |
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with Horizon Blue Cross Blue Shield of New Jersey. 2. Requires extensive knowledge ... payer claims systems, preferably with Horizon Blue Cross Blue Shield of New Jersey. more |
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| Oct 26 | Senior Manager, Business/IT Solutions | Horizon BlueCross BlueShield | Newark, NJ |
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Horizon Healthcare Innovations (HHI), a Horizon Blue Cross Blue Shield of New Jersey company, has a singular mission to change and improve the health care system. Our goal is to... more |
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| Oct 26 | RN - Population Care Coordinator | Horizon BlueCross BlueShield | Newark, NJ |
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Horizon Healthcare Innovations (HHI), a Horizon Blue Cross Blue Shield of New Jersey company, has a singular mission to change and improve the health care system. Our goal is to... more |
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| Oct 26 | Manager, Product Development | Horizon BlueCross BlueShield | Newark, NJ |
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Horizon Healthcare Innovations (HHI), a Horizon Blue Cross Blue Shield of New Jersey ... Required experience includes 10+ years of new product development/product management in a... more |
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| Oct 25 | Project Business Analyst | Horizon BlueCross BlueShield | Newark, NJ |
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a subsidiary of Horizon Blue Cross Blue Shield of New Jersey. Responsibilities ... throughout the state. HORIZON Blue Cross Blue Shield of New Jersey Making... more |
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| Oct 25 | Project Manager | Horizon BlueCross BlueShield | Newark, NJ |
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a subsidiary of Horizon Blue Cross Blue Shield of New Jersey. Responsibilities ... throughout the state. HORIZON Blue Cross Blue Shield of New Jersey Making... more |
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| Oct 25 | Physician Contracting Specialist | Horizon BlueCross BlueShield | Newark, NJ |
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associated with Horizon Blue Cross Blue Shield of New Jersey's Health Care Management Provider Strategy and Network Development. Directs the forecasting, monitoring, financial... more |
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| Oct 25 | Call Center Service Associate | Horizon BlueCross BlueShield | Newark, NJ |
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Center Representatives - Horizon, New Jersey?s largest healthcare provider is ... EOE/AA M/F/D/V. Horizon Blue Cross Blue Shield of New Jersey Making... more |
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| Oct 25 | Project Planner Scheduler | Horizon BlueCross BlueShield | Newark, NJ |
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Innovations, a subsidiary of Horizon Blue Cross Blue Shield of New Jersey. ... throughout the state. HORIZON Blue Cross Blue Shield of New Jersey Making... more |
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