Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.
Under general supervision conducts research and root cause analysis for customers with the goal of recommending and implementing new processes and solutions. Resolves issues and improves operational performance on a cross-functional/departmental basis. This is an intermediate level position and may require guidance.Responsibilities:
- Understanding business requirements and translating them into testable UAT scenarios.
- Creating detailed test plans, scenarios, and scripts to validate system functionality.
- Performing tests to ensure the product meets requirements and identifies any defects or inconsistencies.
- Monitoring UAT progress, eliminating obstacles, and providing recommendations for system improvements.
- Providing accurate and timely status reports to project stakeholders.
- Reviewing test evidence and approving deployment to production.
- Maintaining a central repository of UAT documents, scripts, and materials.
- Recommend solutions based on data analysis to increase quality and/or improve existing processes.
- Prepare materials for internal and external audit activities; may review audit findings/reports for accuracy and completeness.
- Perform other relevant tasks as assigned by management.
Education:
- Bachelor's degree preferred or relevant work experience
- Minimum of four (4) years' experience in an operational role, or analytical role.
Knowledge:
- Knowledge of Healthcare industry required
- Knowledge of Healthcare claims processing in FACETS is required.
- Knowledge of Project Management methodologies
- May require working knowledge of Enrollment, provider contracting and Horizon operating model.
- May require knowledge of ETL/SQL.
- Strong Computer Skills-Microsoft Office products to include (Access, Word, Excel, PowerPoint, Project, Visio, etc.).
- Team Player, Strong Analytical and Interpersonal Skills.
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Salary Range:
$69,500 - $93,030This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement
Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.
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What We Do
Horizon Blue Cross Blue Shield of New Jersey- the state’s largest and oldest health insurer - is a subsidiary of Horizon Mutual Holdings, Inc., a not-for-profit mutual holding company. Together with its affiliates, Horizon provides a wide array of medical, dental, vision and prescription insurance products and services. As New Jersey’ health solutions leader, Horizon is transforming healthcare by working with doctors and hospitals to deliver innovative, patient-centered programs that improve quality and lower costs. It is headquartered in Newark, NJ with offices in Wall and Hopewell, NJ. Horizon serves 3.7 million members including more than 1 million who rely on Medicaid for their health coverage.
