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HorizonBlue Cross Blue Shield New Jersey Jobs & Careers

13 jobs

Horizon-Blue Cross Blue Shield New Jersey
Job Summary: This position is responsible for ensuring the operations of the compliance with established protocols. Assists Director in establishing, interpreting and implementing new and existing company policies and procedures. Also responsible for analyzing utilization and performance trends and ensures quality health care is delivered in a timely, cost effective manner. Responsibilities: Di...
Horizon-Blue Cross Blue Shield New Jersey
Come join Horizon Blue Cross Blue Shield of New Jersey as we celebrate being ranked 3rd on the 2016 InformationWeek Elite 100. One of the industry's most prestigious awards, the InformationWeek Elite 100 corporate rankings spotlight the most accomplished business technology innovators. Job Summary: This position plays an active role managing the performance of technology components (e.g., hardwa...
Horizon-Blue Cross Blue Shield New Jersey
Job Summary: Top level technical expert in one or more highly specialized areas of System administration, Application administration and Database administration. Acts independently under general direction and takes complete ownership of assigned responsibilities. Responsibilities Setup Hadoop production clusters (Horton works v2.3 or above) with optimum configuration Deployments of Hadoop clus...
Horizon-Blue Cross Blue Shield New Jersey
Top level technical expert in Data Warehousing and Data Integration design and development. Provides technical leadership on complex data integration projects by creating technical solutions and leads development team for solution implementation. Recognized across the organization for applications environment expertise and sought as a resource for resolution of unique or complex application proble...
Horizon-Blue Cross Blue Shield New Jersey
Job Summary: This position is responsible for leading all aspects of quality management compliance for Horizon NJ Health (HNJH). This includes compliance auditing and reporting, and complaint resolution. Responsibilities: Directs staff to support quality improvement and initiatives specifically related to Quality Audit, State Complaints, Complaint Resolution, to ensure appropriate staffing and ...
Horizon-Blue Cross Blue Shield New Jersey
Data Reporting Analyst Job ID: LR022016-06797 Job Type:Full Time Location:Newark, NJ Job Summary: Responsible for producing reports from various sources to provide the department /division with actionable information or business intelligence. Working with marginal oversight, the incumbent is responsible for performing complex research, analysis, and reporting of network utilization, cost cont...
Horizon-Blue Cross Blue Shield New Jersey
Job Summary: This position is responsible for individual account sales, received from clients responding to promotional materials and phone inquiries. Informs and educates clients on select HZN products and services Ensures clients are informed of relevant legislative and regulatory issues and their associated impact Facilitates the enrollment process for new individual sales. Ensures applica...
Horizon-Blue Cross Blue Shield New Jersey
Job Summary: This position will be the overall business owner for Horizons Stop Loss business. This will include Profit and Loss responsibility, business strategy, relationships, contracts and results of any business partners, operational aspects, pricing and underwriting relationship with actuarial support, and partnership with Sales/account Management regarding marketing and sales strategy and ...
Horizon-Blue Cross Blue Shield New Jersey
The Senior Compensation Analyst (Compensation Analyst III) will be focusing on the design, development, and maintenance aspects of critical compensation plans including but not limited to: Sales Incentives and Long-Term Incentives (LTI). As a senior-level position within the Compensation group, the candidate will be responsible for the design and administration of current compensation plans, as we...
Horizon-Blue Cross Blue Shield New Jersey
Job Summary: This Marketing Manager will partner in the design, development and implementation of product and market segment strategies, manage new product introductions with key segments and develop marketing programs targeted to individuals and businesses to achieve sales and profit goals. They will be responsible for refining our value proposition, managing the overall content strategy, and de...
Horizon-Blue Cross Blue Shield New Jersey
Provider & Claims Audit Analyst II Horizon Blue Cross Blue Shield Job ID: LR022016-06807 Location: Ewing, NJ Job Summary: Responsible for planning, executing, and reporting provider and financial claim audits, for the Government Program divisionof Horizon Blue Cross Blue Shield, as necessary to comply with the NJ Medicaid contract. The incumbent in this role will act as a SME in developing th...
Horizon-Blue Cross Blue Shield New Jersey
Job Summary: The Manager, Financial Reporting will report to the Director of Accounting and Financial reporting for the government programs division of Horizon BC/BS. This position is responsible for overseeing the recording and analysis of financial transactions, reports and records relative to accounting and finance functions including verifying the accuracy of journals and other accounting rec...
Horizon-Blue Cross Blue Shield New Jersey
Job Summary: This position will be accountable for performing various analytical functions, project coordination and workflow administration for critical Divisional initiatives and product implementations. They will be expected to make recommendations in order to increase efficiencies of the overall project management and product implementation processes. This position requires an understanding a...