National Programs Analyst

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. This position is responsible for coordinating the implementation of various Association initiatives and projects to support the strategic and operations goals aligned to the IPP Scorecard.

Requirements

• Provide business requirements, create action plans, and implement new and updated workflows in response to Blue Cross Blue Shield Association audit findings, Association mandates, and enterprise projects.
• Monitor Association policies and procedures to ensure compliance and coordinate training when required.
• Resolve common, complex, and escalated issues directly impacting provider and member claims.
• Identify operational issues and initiate fixes to eliminate trends of untimely, inaccurate, non-compliant, or inconsistent claims adjudication.
• Partner with IT on the implementation of systemic solutions and perform user acceptance testing.
• Act as a liaison between internal divisions and the BCBSA and coordinate National Programs compliance activities.

Benefits

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