Horizon Blue Cross Blue Shield of New Jersey

 
Displaying 46 - 60 of 64 Jobs.
 
RN II
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...

Clinical Risk Adjustment Management RN
Newark, NJ
This position will perform care management duties specifically targeting high risk members within Medicare Advantage/Commercial risk adjusted populations to enhance the deployment of ris...

Risk Adjustment Operations Coordinator
Newark, NJ
This position is accountable for the development and execution of on going risk adjustment educational communications for the enterprise. The Program Communication Specialist will partic...

ASO Accountant I
Newark, NJ
The ASO Accountant I is responsible for the preparation, analysis, and completion of Minimum Premium and Self Insured invoices. This also includes compiling claims and traditional bills...

RN II, Primary Nurse Care
Wall, NJ; Hopewell, NJ; Newark, NJ
This position is responsible for performing RN duties for the Primary Nurse population using established guidelines to ensure appropriate level of care, as well as, planning for the tran...

Group Underwriter II
Newark, NJ
This position provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 51+ markets. This position will support Rating...

Sales Exec I - Telephone Sales
Newark, NJ
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 produ...

Field RN II-Medicaid-Care, Case and Disease Management- Essex/Hudson NJ Counties
Newark, 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...

RN II - Primary Nurse Care
Wall, NJ; Hopewell, NJ; Newark, NJ
This position is responsible for performing RN duties for the Primary Nurse population using established guidelines to ensure appropriate level of care, as well as, planning for the tran...

Infrastructure Analyst IV (Middleware Engineering)
Newark, NJ
This position is responsible for managing, monitoring, supporting, and participating in the development/enhancements of distributive system management platforms. Job Description Resolve...

Field Care Specialist III-Medicaid Care Case and Disease Management-Essex/Hudson
Newark, NJ
This field based position is accountable for the assessment and case management of members to ensure facilitation of health care services. Responsibilities Assist with implementation and...

RN, High Level Claim
Newark, NJ
This position is responsible for focusing stop loss risk management activities on the centralized stop loss team and coordinating risk oversight with care delivery related areas of the c...

Business Analyst III
Newark, NJ
Responsible for conducting research and root cause analysis for customers with the goal of recommending and implementing new processes and solutions to operational deficiencies. Resolves...

Clinical Analytics Analyst III-2
Newark, NJ
The role is a technical lead that requires deep knowledge, skills, and experience in designing and carrying out clinical analytics. The position is a key team member collaborating in a m...

Provider Strategy Coordinator-NovaWell
Newark, NJ
This position is responsible for implementing various initiatives that cross department lines in support of HCM's strategic goals and will interface with all levels of management to ensu...