Horizon BlueCross BlueShield - Newark, NJ
- Associates Degree with 3-5 years health insurance experience specific to SIU or Audit/Quality operations. - May consider individual with health insurance SIU related experience. Work experience: - Minimum 4 years experience in health insurance Additional licensing, certificatio...
Horizon BlueCross BlueShield - Newark, NJ
This position is responsible for Consumer Field Sales, Consumer and Commercial Inside Sales activity of Horizon BCBSNJ and / or its subsidiaries products and services that contribute to the overall profitability of the company. This position develops new prospects and establishes...
Horizon BlueCross BlueShield - Newark, NJ
Job Summary Responsible for meeting with client representative or groups, writing and presenting communication materials and managing projects through the production process. Manages critical Enterprise projects as assigned. The Writer is also critical in maintaining, printgin an...
Horizon BlueCross BlueShield - USA
Job Summary This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or patients and is responsible for supporting and assisting in the coordination of Pharmacy Services activities including claim utilization ...
Horizon BlueCross BlueShield - Newark, NJ
- Applicable work experience in lieu of Paralegal certification will be considered. Knowledge - Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes. - Sh...
RN - Population Care Coordinator
Horizon BlueCross BlueShield - Newark, NJ
Horizon Healthcare Innovations (HHI), a Horizon Blue Cross Blue Shield of New Jersey company, has a singular mission – to change and improve the health care system. Our goal is to provide better quality, greater access and more affordable health care to communities throughout the...
Horizon BlueCross BlueShield - Trenton, NJ
Job Summary This position is a top level technical contributor that is accountable for formulating systems scope and objectives relative Horizon NJ Health¿s business plan. Provides technical guidance concerning the business implications of the application of various systems. Prov...
Horizon BlueCross BlueShield - Newark, NJ
Job Summary This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Performs and finalizes multiple per diem, bill verification, DRG Validation (util...
Horizon BlueCross BlueShield - Newark, NJ
A Rewarding Career is on your Horizon! Business Systems Analyst - Horizon, New Jersey's largest healthcare provider is looking for Business Analysts in our Newark, NJ location. This is a technical/analytical position within the Consumer-Driven Health Plan (CDH) team. This positio...
Horizon BlueCross BlueShield - Newark, NJ
The information above is intended to describe the general nature of the work being performed by each incumbent assigned to this position. This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent. Responsi...
Senior Manager, Business/IT Solutions
Horizon BlueCross BlueShield - Newark, NJ
Horizon Healthcare Innovations (HHI), a Horizon Blue Cross Blue Shield of New Jersey company, has a singular mission – to change and improve the health care system. Our goal is to provide better quality, greater access and more affordable health care to communities throughout the...
Horizon BlueCross BlueShield - Newark, NJ
Are you someone who can manage multiply priorities and deadlines and enjoys planning & organizing? Do you work well in a cross functional team environment and have a strong analytical and problem solving ability? If so, come explore this great opportunity with Horizon Healthcare ...
Senior Database Administrator (DB2) – Newark, NJ
Horizon BlueCross BlueShield - Newark, NJ
Are you someone who has extensive experience in DB2 databases running on AIX platform? Do you enjoy mentoring and training? If so come explore this great opportunity with Horizon Blue Cross Blue Shield of NJ, the state’s largest health insurance company. Responsibilities include:...
Horizon BlueCross BlueShield - Newark, NJ
- Screen inquiries and memos for referral to appropriate areas within the division or company or organize such material for the director to expedite resolution - Provide the director and/or other staff members with complete and timely background information on all telephone calls...
Horizon BlueCross BlueShield - Newark, NJ
A Rewarding Career is on your Horizon! Customer Service/Call Center Representatives - Horizon, New Jersey's largest healthcare provider is looking for Customer Service professionals in its Newark, Wall and Mount Laurel, NJ offices to handle customer inquiries on benefit policies,...
Horizon BlueCross BlueShield - Newark, NJ
Job Summary The position is responsible for leading a specific clinical care team in a hands-on manner to provide exceptional service to the customer and contain medial claims cost. This is accomplished through active involvement and leading of the day-to-day operations of a clin...
Horizon BlueCross BlueShield - Newark, NJ
If so, come explore this great opportunity with Horizon Healthcare Innovations, a subsidiary of . Responsibilities include: Defining, planning, tracking and managing projects Determining project goals and clear priorities Managing and communicating a clear vision of the project’s...
Horizon BlueCross BlueShield - Newark, NJ
Horizon Healthcare Innovations (HHI), a Horizon Blue Cross Blue Shield of New Jersey company, has a singular mission – to change and improve the health care system. Our goal is to provide better quality, greater access and more affordable health care to communities throughout the...
Business Systems Analyst (Electronic Data Interchange)
Horizon BlueCross BlueShield - Newark, NJ
Are you someone who has extensive Electronic Data Interchange experience? Are you a self starter with exceptional follow up skills? If so come explore this great opportunity with Horizon Blue Cross Blue Shield of NJ, the state’s largest health insurance company. Responsibilities ...
Business Systems Analyst – Newark, NJ
Horizon BlueCross BlueShield - Newark, NJ
Are you someone who has extensive Business Requirement gathering experience? Are you someone who has the ability to multi-task? If so come explore this great opportunity with Horizon Blue Cross Blue Shield of NJ, the state’s largest health insurance company. Responsibilities incl...