Blue cross blue shield jobs in Newark, New Jersey (NJ) State

Job Description Summary: The Analytics Analyst III will partner with multiple customers to provide more complex resolutions to analytics/data problems (i. The incumbent will also confirm understanding of recommendation with customer, and determine deliverables, based upon customer's requirements ...

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.This field based position is responsible for performing assessments for PCA and MDC services using established guidelines and assessments to ensure appropriate level of care and services are authoriz...

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.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.Performs duties ...

... pharmacies. * Coordinates transition of member from RAM RN to care management RN based ... or pharmacy visits. * Assesses member's clinical need against established guidelines and/or ...

SQL experience HIGHLY preferred which includes writing and analyzing SQL queries. * Experience with backend/frontend technologies preferred (JAVA, J2EE, UNIX, EJB, JavaScript, CSS, etc.) Knowledge

Research, recommend, monitor, develop and implement procedures; systemic or other revisions to ... Participate in client member and employee training to ensure practical understanding of pharmacy ...

Acts as the analytic lead for complex clinical analytics projects involving multiple data resources ... Requires a minimum of 7 years of experience in Data Analytics, Informatics, Medical Economics or ...

Elevate your career at our vibrant dental practice, where you'll deliver top-notch oral care to our ... Medical and Prescription Coverage administered by Blue Cross Blue Shield * Access to the Nation ...

Active Unrestricted NJ RN License Required Knowledge: * Proficiency in the use of personal ... This is a field based position, daily local travel is required. Horizon Blue Cross Blue Shield of ...

Ensures analysts document work appropriately, including SAS coding comments and use of analytic ... Symmetry Suite of Services (Impact Intelligence, ImpactPro, ETG, ERG, PEG, EBM, PRG, etc

Informs and educates clients on select HZN products and services * Ensures clients are informed of relevant legislative and regulatory issues and their associated impact * Facilitates the enrollment ...

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware ... Licensed RN or SW preferred Requires an active NJ Drivers License Knowledge: * Requires basic ...

Accountable for independent and group learnings to ensure understanding of pharmacy services procedures and workflows. * Assist in the day-to-day business functions of the pharmacy department as well ...

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. Perform drilldown analysis into claims trend to identify actionable items focusing on cost and utilization measures across member and provider demographics and cost categories. ...

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. Conduct ad hoc file audits against business process flows when new business practices are set in pla...

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. ...

This position is responsible for leading execution and implementation activities for specific projects within HNS. Provides leadership and direction for change management initiatives, project management, and program implementation on behalf of HNS Department Leadership. Assists with the communica...

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. The position is a key team member collaborating in a multi-disciplinary business environment with colleagues across the enterprise to lead clinical performance analytics, development, and reporting t...

May require knowledge of Horizon Blue Cross Blue Shields products and services. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. Resolves issues and improves operational performance on a cross-functional/departmental basis. Experience with Stepwise...

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. ...

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. The position is a key team member collaborating in a multi-disciplinary business environment with colleagues across the enterprise to lead clinical performance analytics, development, and reporting t...

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. Requires a successful track record in leading cross functional teams in large, multifaceted initiatives across an organization. Responsible for managing multiple aspects of the Enterprise medical cos...

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. Tableau visualizations) for customers across the enterprise. ...

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. ...