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Horizon Blue Cross Blue Shield of New Jersey Careers 43 Jobs in New Jersey

  • Mgr., Clinical Analytics-2

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... complex clinical analytics projects involving multiple data resources and teams to inform business ... departmental needs. Translates business questions and needs into analytics technical requirements including ...
  • Clinical Analytics Analyst III-2

    Horizon Blue Cross Blue Shield of New Jersey - Wall Township, New Jersey
    ... analytics. The position is a key team member collaborating in a multi-disciplinary business environment with ... complex clinical analytics projects involving multiple data resources and teams to inform business ...
  • Clinical Analytics Analyst III-2

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... analytics. The position is a key team member collaborating in a multi-disciplinary business environment with ... complex clinical analytics projects involving multiple data resources and teams to inform business ...
  • Clinical Analytics Analyst III-1

    Horizon Blue Cross Blue Shield of New Jersey - Wall Township, New Jersey
    ... analytics. The position is a key team member collaborating in a multi-disciplinary business environment with ... complex clinical analytics projects involving multiple data resources and teams to inform business ...
  • Clinical Analyst Analyst III

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... analytics. The position is a key team member collaborating in a multi-disciplinary business environment with ... . Translates business questions and needs into analytics technical requirements including data analytics design ...
  • Analytics Analyst III/ANA15-1

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... , Pennsylvania, Connecticut or DelawareJob Summary:The Analytics Analyst III will partner with multiple customers to provide more complex resolutions to analytics/data problems (i ...
  • Analytics Analyst III - Integrated System of Care

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... , Pennsylvania, Connecticut or DelawareJob Summary:The Analytics Analyst III will partner with multiple customers to provide more complex resolutions to analytics/data problems (i ...
  • Manager, Quality Audit & Coaching

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... projects and service initiatives. Align resources to the business teams and vendor partners to support ... data analysis from speech analytics, audit findings, and/or AHT outlier reports.May develop ...
  • Mgr, Medical Cost Mgmt

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... Government Program business partners, including both clinical and financial, to drive the Medical Cost Trend Committee with the goal of identifying emerging business trends and the development of medical cost action ...
  • IT Data Analyst III

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... , Data Stewards and Business SMEs to ensure the customers data needs are accurately captured, understood ... role in Data Governance Domain Workgroups as domain SMEPartners with BSG and business to ...
  • Financial/Accounting Analyst II

    Horizon Blue Cross Blue Shield of New Jersey - Hopewell, New Jersey
    ... management, commercial business unit, government programs, IT, legal and HR. This position is accountable ... activities.Anticipate the process, plan the calendar and execute pro-actively.Business ...
  • IT Data Analyst II

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... . They work hand in hand with Data Modelers, Data Developers, Data Stewards and Business SMEs to ensure ... review sessions with business users and other team membersDirecting and reviewing the work of ...
  • RN II - Commercial Risk Adjust

    Horizon Blue Cross Blue Shield of New Jersey - Wall Township, New Jersey
    ... with the Risk Adjustment Management (RAM) function, including the RAM Manager & RAM Business Analysts ... >Works closely with RAM Business Analyst and Manager to engage at-risk members in commercially risk ...
  • RN II - Clinical Risk Adjustment Management

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... >Works closely with RAM Business Analyst and Manager to identify at risk members for </span ... closely with the Care Management and Risk Adjustment Management (RAM) teams, including the RAM Manager ...
  • RN I-Medicaid, Care, Case and Disease Management

    Horizon Blue Cross Blue Shield of New Jersey - Troy Hills, New Jersey
    ... Regulatory and Accrediting body standards. Requirements may vary based on department's business needs.</span ...
  • Call Center Service Associate-1

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... Horizon BCBSNJ employees must live in New Jersey, New York, Pennsyl ...
  • Managed Care Coordinator II

    Horizon Blue Cross Blue Shield of New Jersey - Wall Township, New Jersey
    ... business members and member service coordinators. Responsible for providing leadership and guidance to non ...
  • Field RN II-Medicaid-Care, Case and Disease Management- Essex/Hudson NJ Counties

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... Horizon BCBSNJ employees must live in New Jersey, New York, Pennsyl ...
  • Provider Strategy Coordinator-NovaWell

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... .Interface with Market Business Units on new product implementations and projects; i.e ... Action Plans to improve Office Manager satisfaction scores.Develop responses to RFIs and RFPs ...
  • Medicare Program Analyst

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... state laws, regulations, and standards relevant to a Horizon Lines of Business (LOB). This position ... dashboards, and execute the annual Compliance workplan. This position will work with business to ensure ...
  • Reporting Analyst III

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... >Must be proficient in Access.Addendum for Market Business Unit and Government Programs ...
  • Clinical Pharmacist

    Horizon Blue Cross Blue Shield of New Jersey - Wall Township, New Jersey
    ... management, and evaluates business needs for data analysis.Support the Drug Utilization ... .Must demonstrate professional and ethical business practices, adherence to company ...
  • Group Underwriter II

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... Horizon BCBSNJ employees must live in New Jersey, New York, Pennsyl ...
  • MLTSS Field RN I-Middlesex County, NJ- $5K New Hire Sign On Bonus!

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... Horizon BCBSNJ employees must live in New Jersey, New York, Pennsyl ...
  • Inpatient Hospital Auditor II

    Horizon Blue Cross Blue Shield of New Jersey - Wall Township, New Jersey
    ... >Reviews and updates audit processes with manager for purposes of keeping up with new innovations in ... manager.Demonstrates knowledge, understanding and conforms to laws, regulations and ...
  • HNS Implementation Manager

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... business and clinical initiatives. The incumbent will act as a liaison between the department and other ... >High School Diploma/GED required.Bachelor degree in business, finance ...
  • Managed Care Coordinator I

    Horizon Blue Cross Blue Shield of New Jersey - Troy Hills, New Jersey
    ... Business members and Member Service CoordinatorsResponsibilities:<p ...
  • Cyber Security Analyst II

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... analyze malware, emerging threats and emerging risks. The role will report to the Manager, Cyber Security ... escalating to other business areas as necessary and providing potential resolution or areas of improvement ...
  • Community Affairs Analyst

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... business units in the coordination and implementation of Corporate Social Responsibly activities. Includes ... and Community Engagement Council to achieve business goals and positively impact communities statewide ...
  • Business Analyst III - Underwriting/Actuarial

    Horizon Blue Cross Blue Shield of New Jersey - Newark, New Jersey
    ... of issues; identify and communicate business needs assessments as necessary.Develop forecasting tools using current technology/systems (Access, Excel, Monarch, etc.)Translate business ...
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