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Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.The Nurse Investigator II is responsible for performing highly complex healthcare fraud investigations including but not limited to, complex surgical operations, inpatient hospital coding including d...
The Privacy Associate is responsible for performing a variety of privacy compliance activities to ensure the proper use, collection and storage of data through the organization, the application of privacy by design principles to mitigate privacy risk and maintenance of the organization’s complian...
The Risk Adjustment Data Analyst III is a seasoned analyst responsible for playing an active role in submission, monitoring and contributing to the end to end Risk Adjustment Data Submission and Validation within key regulator guidelines for acceptable data submission. The analyst will also be re...
Responsible for the creation and execution of quality audit and coaching plans for new hires, existing employees, enterprise projects and service initiatives. ...
Requires minimum of three (3) years of experience in Salesforce Marketing Cloud or Data Cloud. Experience with marketing automation tools and Salesforce suite of products. ...
The Financial/Accounting Analyst II will be assigned to the Corporate Finance department and will be responsible for Financial, Planning and Analysis and/or accounting responsibilities. Preparation, analysis and reporting of various financial activities, which may include: monthly, quarterly, and...
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. Horizon BCBSNJ seeks a professionally curious, motivated, and creative social media intern who shares our data-driven, audience-first mindset and has a commitment to use social media to impact the h...
Oversee day-to-day execution of engineering efforts across infrastructure, security, and product development to meet business needs. * Actively engage in the execution of engineering efforts ...
Understands the client structure and culture and demonstrates the ability to apply this knowledge in business and retention planning for the client as it pertains to behavioral health services. Provides in-person and virtual trainings as needed for clients, client partners (EAP’s etc. Behavioral ...
The Financial/Accounting Analyst II will be assigned to the Corporate Finance department and will be responsible for Financial, Planning and Analysis and/or accounting responsibilities. Preparation, analysis and reporting of various financial activities and general ledger closing activities. Vari...
Assists with the implementation of HR programs within division(s) to assure their success. Promotes the role of Human Resources to division(s) by communicating and supporting HR initiatives/objectives in a timely and effective manner. Ensures the effective and efficient communication of divisiona...
Prefers knowledge of data analysis. ...
They work hand in hand with Data Modelers, Data Developers, Data Stewards and Business SMEs to ensure the customers data needs are accurately captured, understood and delivered. The Data Analyst II takes a lead role on projects to develop the plan for data analysis and design and ensure the quali...
Investigate service related issues to identify root cause of issues; identify and communicate business needs assessments as necessary. Translate business requirements and assist IT with the development of technical specifications. Develop solutions based on data analysis to increase business effi...
A Senior Network Administrator will play a crucial role in managing and maintaining the organization's network infrastructure. Evaluate, implement, and manage the organization's local area networks (LANs), wide area networks (WANs), and other network systems. Collaborate on cloud networking withi...
Lead, facilitate workshops with Executives and Senior Leaders in the organization to develop strategic roadmap and investment portfolio to realize business and IT strategy Identify emerging technologies, trends and industry best practices to proactively advance capabilities. Identify, communicate...
This position is responsible for analyzing, understanding and translating business needs into business/technical requirements with minimal supervision. Support the translation of business requirements into the estimation and business case development process Experienced in using tool and methodol...
Prefer knowledge of ITS/Blue card process. * Prefer knowledge in Microsoft products (Word, Excel, and Access). * Requires ability to be deposed during litigation involving Special Investigation cases
We are a Woman Owned Agency providing clinicians with Health Insurance through Blue Cross Blue Shield, along with Dental and Vision coverage, plus $500 referral bonuses! We're seeking committed ...
