Horizon Blue Cross Blue Shield of New Jersey

 
Displaying 1 - 15 of 92 Jobs.
 
Managed Care Coordinator II
Wall, NJ
This position supports the Clinical Operations functions and acts as a liaison between members, physicians, delegates, operational business members and member service coordinators. Respo...

LPN I
Wall, NJ
This position is responsible for performing LPN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care un...

Dir, Payment Model Evolution
Wall, NJ
Lead and drive the innovative transformation of Horizon's payment landscape to enable better affordability and quality of care while also contributing to improved member and provider exp...

RN II - Commercial Risk Adjust
Wall, NJ
This position will perform care management duties specifically targeting high risk members within commercially risk adjusted populations to enhance the deployment of commercial risk adju...

Auditor III
Newark, NJ
This position is an extended member of the departments leadership team and is responsible for the supervision and the execution of assigned audits and strategic initiatives. These respon...

RN I-Medicaid, Care, Case and Disease Management
Hopewell, NJ
This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Pe...

Managed Care Coordinator I
Hopewell, NJ
This position supports the Clinical Operations functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators Respon...

Managed Care Coordinator I
Hopewell, NJ
This position supports the Clinical Operations functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators Respon...

Clinical Pharmacist
Newark, NJ
This position is accountable for supporting Pharmacy clinical management. The responsibilities include assisting in formulary management, medication therapy management, utilization manag...

Administrative Assistant III
Newark, NJ
Under limited direction, this position is accountable for contributing to the efficiency of departmental operations through the performance of various administrative functions. This posi...

HR Shared Services Adm User
Newark, NJ
This position is responsible for resolution of escalated issues and audits of daily operations of the HR Shared Services Center. This position serves as back up to HR Shared Services Man...

Payment Admin Analyst
Newark, NJ
This position ensures excellent customer service by responding in a timely, accurate and thorough manner to general requests. In addition this position is accountable for assisting in th...

Behavioral Health Clinician-Medicaid- Care, Case and Disease Management
Hopewell, NJ
This position is responsible for performing behavioral health duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the contin...

Financial/Accounting Data Analyst Reporting
Hopewell, NJ
The Financial/Accounting Data Analyst Reporting will be assigned to the Finance department and will be responsible for Financial, Planning and Analysis and/or accounting responsibilities...

Operations Support Specialist I
Newark, NJ
Provide guidance and support including reviewing errors, and responding to audit inquiries for internal team members and outsourced staff. Conduct formal observations of business team me...