Horizon Blue Cross Blue Shield of New Jersey

 
Displaying 1 - 15 of 75 Jobs.
 
Administrative Assistant II - Human Resources
Newark, NJ
This position supports HR leadership and is accountable for contributing to the efficiency of departmental operations through the performance of various administrative functions. Respons...

RN I-Medicaid, Care, Case and Disease Management-GEMS Maternity Program
Hopewell, NJ
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. Pe...

MLTSS Field RN II-Ocean County, NJ
Wall, NJ
This field based position is responsible for performing assessments of members using established guidelines to ensure appropriate level of care and develop a member centric plan of care....

DSNP Clinical Care Lead
Hopewell, NJ
This position is accountable for providing guidance and support to the Dual Special Needs Program (DSNP) Clinical Care Coordinators who perform outreach, and ongoing member contact as we...

Clinical Analytics Analyst III-2
Wall, NJ
The role is a technical lead that requires deep knowledge, skills, and experience in designing and carrying out clinical analytics. The position is a key team member collaborating in a m...

Pharmacy Specialist I
Wall, NJ
This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or members. They are accountable for supporting and assist...

Inpatient Hospital Auditor II
Wall, NJ
This position is responsible for being the lead on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit tre...

Clinical Pharmacist
Wall, NJ
This position is accountable for supporting Pharmacy clinical management. The responsibilities include assisting in formulary management, medication therapy management, utilization manag...

Administrative Assistant II
Newark, NJ
This position supports HR Leadership and is accountable for contributing to the efficiency of departmental operations through the performance of various administrative functions. Respons...

Managed Care Coordinator I
Hopewell, NJ
This position supports the Clinical Operations functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators Respon...

Behavioral Health Clinician
Wall, NJ
This position is responsible for performing behavioral health duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the contin...

Supervisor, Clinical Operations - Behavioral Health
Hopewell, NJ
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 medical claims cost. This is accompl...

Mgr, Enterprise Applications
Hopewell, NJ; Newark, NJ
In partnership with business customers, creates technology and digital strategy for a single business application (software) product ensuring integration with Horizon's overall strategic...

Managed Care Coordinator I
Hopewell, NJ
This position supports the Clinical Operations functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators Respon...

HNS Implementation Manager
Newark, NJ
This position is responsible for leading execution and implementation activities for specific projects within HNS. This role will facilitate the development, coordination, communication,...