Search the 19 jobs at Horizon Blue Cross Blue Shield of New Jersey

The Paralegal I provides legal support for litigation at Horizon BCBSNJ, including maintaining legal documents, conducting research, coordinating document collections, and assisting attorneys with case management. Responsibilities also include drafting correspondence, handling subpoenas, and ensuring compliance with relevant legislation.

Lead the design, implementation, and monitoring of HEDIS member and provider interventions, oversee key initiatives, analyze data, interact with stakeholders, and support strategic planning of HEDIS activities in a healthcare setting.

The Risk Adjustment Data Analyst III is responsible for overseeing risk adjustment data submission and validation, performing analysis and reporting for risk score calculations and audits, developing predictive models, coaching junior analysts, and conducting data collection and validation. The role also involves producing reports and managing policy documentation related to risk adjustment processes.

The Financial/Accounting Analyst II will be responsible for financial planning and analysis, accounting activities, and reporting. They will work with various divisions and leadership teams to support budgeting, forecasting, and general ledger closing activities. Responsibilities also include handling special projects, conducting financial analysis, ensuring compliance, and preparing managerial reports.

The Enterprise Architect is responsible for developing and maintaining enterprise architecture deliverables, guiding IT strategy, integrating solutions across organizational systems, monitoring performance, and providing technical leadership while ensuring compliance with architecture principles.

The Sr. Data Capture Operator is responsible for high-speed scanning of documents, ensuring proper processing procedures, and maintaining equipment in a production environment. The role involves resolving technical issues and performing related tasks as required.

The Systems Auditor III oversees and executes IT audit work programs, plans audits on complex IT processes, documents audit results, identifies control issues, and provides feedback on auditor performance. The role involves coordinating with management, external auditing firms, and training less-experienced auditors, while ensuring audit compliance and recommending improvements.

The Auditor III role involves supervising and executing audits, developing and documenting control issues, preparing reports on internal controls, and building relationships with management. It requires quality oversight of audit tasks and guidance for staff, alongside developing expertise in business risks and industry practices.

The Analytics Analyst III is responsible for providing complex resolutions to analytics and data problems, managing data preparation, analysis, and interpretation to deliver actionable insights and recommendations to various senior stakeholders. This role involves developing advanced analytic models, performing data mining, and fostering continuous improvement through performance data analysis and consultation.

The Manager of Operations Solution Group leads a team to enhance operational efficiencies and improve service delivery. Responsibilities include managing business cases for initiatives, developing operational solutions, ensuring workflow integrations, and maintaining standardized business protocols across the Service Division, particularly regarding call center operations and major initiative implementations.

The Sr. Director of Growth & Retention at NovaWell is responsible for achieving strategic financial goals, securing revenues, and managing customer success. This role includes developing sales strategies, overseeing contract negotiations, and ensuring effective marketing and communications. The position also entails maintaining relationships with high-level clients and decision-makers while managing an account management team.

The Analytics Analyst II will provide complex resolutions to analytics problems by gathering data, delivering reporting/analysis, and collaborating with customers. They will produce and present actionable insights and ensure compliance with data integrity and reporting standards.

The Enterprise Architect leads the development of enterprise solution architecture, ensuring alignment with business objectives and governance of project outcomes. Responsibilities include defining solution portfolios, developing road maps, harmonizing systems with architecture, and guiding teams through solution design and implementation.

The Provider Resolution Analyst I is responsible for coordinating the resolution of claims issues through research and analysis across various operational areas. The role involves investigating complex claim issues, performing root cause analysis, and collaborating with internal departments to resolve disputes while ensuring compliance with Medicaid regulations.

The Market Strategy Analyst is responsible for analyzing market trends and competitive forces, utilizing Salesforce for strategic and marketing planning. The role involves conducting large-scale analysis, interpreting market dynamics, maintaining a market intelligence database, producing reports, and collaborating with internal teams to support marketing strategies.

The Account Manager II is responsible for acquiring new business and managing existing accounts in Medicare Advantage, including renewing contracts, planning negotiations, and selling additional products. The role also involves ensuring proper account installation, conducting workshops, and keeping clients informed about relevant regulatory issues.

The Marketing and Communications Manager at NovaWell is responsible for creating and executing the marketing strategy, overseeing brand governance, managing communications initiatives, and partnering with various teams and vendors. The role includes tracking performance metrics, ensuring compliance, and maintaining high standards in marketing materials to enhance NovaWell's presence in the market.

The Corporate Development and Venture Investment Analyst II will aid in investments and initiatives for a $100 million fund, responsible for due diligence, financial modeling, industry research, and portfolio management. The role involves developing executive materials and analyzing M&A activity within the healthcare sector while managing project processes and ensuring effective implementation.

The Segmentation Analyst is responsible for analyzing market share and segmentation to support marketing campaigns and business performance. They will leverage data sources to identify target audiences and optimize marketing strategies across multiple channels. Additional responsibilities include developing predictive models and translating data into strategic reports for business leadership.