Horizon Blue Cross Blue Shield of New Jersey- the state’s largest and oldest health insurer - is a subsidiary of Horizon Mutual Holdings, Inc., a not-for-profit mutual holding company. Together with its affiliates, Horizon provides a wide array of medical, dental, vision and prescription insurance products and services. As New Jersey’ health solutions leader, Horizon is transforming healthcare by working with doctors and hospitals to deliver innovative, patient-centered programs that improve quality and lower costs. It is headquartered in Newark, NJ with offices in Wall and Hopewell, NJ. Horizon serves 3.7 million members including more than 1 million who rely on Medicaid for their health coverage.
Open Positions
Quality Mgmt Specialist
Bachelor's degree, 5 years of professional business experience working in a healthcare environment, knowledge of project management methodology, healthcare management, and performance measurement and regulatory reporting
Strategic Initiatives Analyst I
Bachelor's degree required, 1-2 years experience with a top management consulting firm OR 2+ years experience conducting research and analyses in a business setting, designing actionable results
RN II - Primary Nurse Care
2+ years of clinical experience, strong understanding of case/care/disease management principles, and a valid NJ RN license
Special Investigations FEP Program Lead
5+ years’ experience in conducting fraud investigations, prior supervisory experience a plus, knowledge of the FEP Program, FEP SIU Tracking System (FSTS), health insurance operations, FEP claims processing, customer service systems, medical coding, Microsoft products, and MS Office applications
Self-Direction PPP Support Counselor (Field-Based - Passaic County)
High school diploma required, 3 years’ experience in health insurance industry or business related field required
RN I
Associate's or bachelor's degree in nursing, active NJ RN license, and 2+ years of clinical experience
Lead Business Auditor
High school diploma required, bachelor's degree preferred. 5+ years of audit experience required
RN I
Requires 2+ years of clinical experience, Bachelor degree preferred, and active NJ RN License
Self-Direction PPP Support Counselor (Field-Based - Essex County)
High school diploma, 3 years experience in health insurance, experience with MS Office and WFM solutions
RN I
2+ years of clinical experience and active unrestricted NJ RN License required
+43 More Jobs Available!
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