Are you a business? Hire blue cross blue shield candidates in Newark, NJ
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 ...
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...
ADDENDUM FOR QUALITY AUDIT MEASUREMENT TEAM ANALYSTS. ADDENDUM FOR MEDICAL POLICY TEAM ANALYSTS. ...
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. ...
The ASO Accountant I is responsible for the preparation, analysis, and completion of Minimum Premium and Self Insured invoices. ...
Provide guidance to junior infrastructure analysts and follows guidance and direction from Lead and senior. Extensive engineering and implementation (hands on) experience in managing RedHat OpenShift (OCP) or related Kubernetes / Container platforms. ...
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...
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 support clinical performance analytics, development, and reportin...
This position will report to the Mgr, Risk Adjustment Operations who oversees the programs and content. ...
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. ...
Lead the implementation and integration of IAM solutions (such as PING Identity, PING Access, IBM Security Access Manager and Advanced Access Control, Directory Services). Integrate IAM systems with applications for access lifecycle management, provisioning, identity authentication, and developin...
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. Tableau visualizations) for customers across the enterprise. ...
Must be proficient and possess advanced skills in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes. This position is responsible for developing programs that enhance and support the Corpora...
Coordinates transition of member from RAM RN to care management RN based qualification for CM program and member commitment to participation. This position is responsible for performing RN duties for members in Medicare Advantage/Commercial risk adjusted products, using established guidelines to ...
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. This position is responsible for implementing various initiatives that cross department lines in support of HCM's strategic goals and will interface with all levels of management to ensure that all o...
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