Horizon Blue Cross Blue Shield of New Jersey

HQ
Newark
Total Offices: 5
4,974 Total Employees
Year Founded: 1932

Horizon Blue Cross Blue Shield of New Jersey Benefits Overview

Compensation + Benefits

Offers 401(K)

Offers life insurance

Offers supplemental life insurance

Offers accidental death & dismemberment insurance

Offers disability insurance

Offers charitable contribution matching

Offers occupational accident insurance

Offers retiree health & medical

Provides adoption assistance

Provides family medical leave

Provides fertility benefits

Offers childcare benefits

Offers generous parental leave

Offers dental insurance

Offers health insurance

Offers mental health benefits

Offers dependent care

Offers Flexible Spending Account (FSA)

Offers vision insurance

Offers Health Savings Account (HSA)

Offers healthcare on-site

Offers performance bonuses

Offers employee discounts

Company Culture

Provides commuter benefits

Offers legal assistance

Provides a mobile phone discount

Utilizes a flexible work schedule

Offers a remote work program

Offers diversity-based Employee Resource Groups

Work-Life Balance + Wellbeing

Offers company-sponsored outings

Offers gym membership

Offers an Employee Assistance Program (EAP)

Offers generous PTO

Provides paid holidays

Provides bereavement leave

Offers unpaid extended leave

Offers paid volunteer time

Provides paid sick days

Provides military leave

Career Growth + Development

Provides customized development tracks

Job training & conferences

Provides tuition assistance

2 Days AgoSaved
In-Office or Remote
Hopewell, NJ, USA
Healthtech • Insurance
Provides oncology case management and utilization review for health plan members. Assesses medical necessity, coordinates care across providers and settings, advocates for members, monitors outcomes, manages resources, documents services, and supports quality improvement. The role also mentors staff, participates in committees and projects, supports medical management system testing, and educates members about benefits, claims, and care coordination using compassionate communication and motivational interviewing.
3 Days AgoSaved
In-Office or Remote
Newark, NJ, USA
Healthtech • Insurance
Reviews and audits medical records, claims, and coding for Special Investigations Unit cases. Conducts low-level fraud investigations, gathers documentation, analyzes sensitive materials, resolves pended claims, handles hotline allegations and subpoenas, and coordinates with Blue Cross plans, law enforcement, providers, members, and internal stakeholders. Ensures compliance with CPT, HCPCS, ICD-9/10, CMS, and medical coding guidelines while meeting service-level requirements.
3 Days AgoSaved
In-Office or Remote
Newark, NJ, USA
Healthtech • Insurance
Leads complex, cross-functional programs from planning through implementation, managing budgets exceeding $5 million, resources, risks, vendors, quality, and deliverables. Oversees project management staff, develops integrated plans, tracks financial performance, ensures compliance with EPMO standards, and reports progress to executives and steering committees. Recruits, develops, and evaluates teams of 3–10 project professionals while promoting effective project management practices across a matrixed organization.