Horizon Blue Cross Blue Shield of New Jersey | Diversity Employer

RN I, Commercial Risk Adjust

Hopewell, New Jersey

Horizon Blue Cross Blue Shield of New Jersey

This position will perform care management duties specifically targeting high-risk members within Medicare Advantage/Commercial risk adjusted populations to enhance the deployment of risk adjustment tactics. This position will work closely ...

3d

Remote

RN I

Parsippany-Troy Hills, New Jersey

Horizon Blue Cross Blue Shield of New Jersey

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. Performs duties and types of care management as assigned...

3d

Remote

RN II - Oncology

Hopewell, New Jersey

Horizon Blue Cross Blue Shield of New Jersey

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary:This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as ...

4d

Pharmacy Resident

Newark, New Jersey

Horizon Blue Cross Blue Shield of New Jersey

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary:This is a one-year, structured post-graduate education and training program in our Commercial and Medicare Line of Business. The g...

4d

Remote

RN II - Oncology

Parsippany-Troy Hills, New Jersey

Horizon Blue Cross Blue Shield of New Jersey

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary:This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as ...

4d

Mgr, RealEst & Facilities

Newark, New Jersey

Horizon Blue Cross Blue Shield of New Jersey

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary:Responsible for the day-to-day operational management of facility engineering, maintenance, capital project planning and expense t...

4d

Remote

Quality Improvement Data Analyst

Parsippany-Troy Hills, New Jersey

Horizon Blue Cross Blue Shield of New Jersey

This position contributes to Quality Improvement efforts through the research, analysis, design, programming, implementation and coordination of accurate and timely reporting. The incumbent will partner with multiple customers across the En...

6d

Remote

Quality Improvement Data Analyst

Hopewell, New Jersey

Horizon Blue Cross Blue Shield of New Jersey

This position contributes to Quality Improvement efforts through the research, analysis, design, programming, implementation and coordination of accurate and timely reporting. The incumbent will partner with multiple customers across the En...

6d

Risk Adjustment Data Analyst III

Newark, New Jersey

Horizon Blue Cross Blue Shield of New Jersey

The Risk Adjustment Data Analyst III is a seasoned analyst responsible for playing an active role in submission, monitoring and contributing to the end to end Risk Adjustment Data Submission and Validation within key regulator guidelines fo...

6d

Remote

Outpatient Hosp Field Audit I

Parsippany-Troy Hills, New Jersey

Horizon Blue Cross Blue Shield of New Jersey

This position responsible for performing third party, outpatient APC & bill verification (CPT 4 coding experience required), credit balance and Ambulatory Surgery Center facility audits and provides guidance and instruction on payment and a...

6d