Medical Policy Analyst

Horizon Blue Cross Blue Shield of New Jersey empowers its members to achieve their best health by providing innovative and inclusive services. This role is responsible for medical policy determination, research, and analysis to ensure appropriate utilization of benefits. The successful candidate will work in a team environment, manage inventory, and stay up-to-date with laws, regulations, and policies. Horizon offers a comprehensive compensation and benefits package, including comprehensive health benefits, retirement plans, and generous paid time off.

Requirements

• High School Diploma/GED required
• Bachelor degree preferred or relevant experience in lieu of degree
• Requires a minimum of 2 years clinical experience
• Requires 3 years experience in the health care delivery system/industry
• Active Unrestricted RN License Required; NJ License Preferred
• Certified Professional Coder credentials preferred

Benefits

• Comprehensive health benefits
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement