Horizon Blue Cross Blue Shield of New Jersey

 
Displaying 1 - 15 of 77 Jobs.
 
Pharmacy Specialist I
Wall, NJ
This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or members. They are accountable for supporting and assist...

Inpatient Hospital Auditor II
Wall, NJ
This position is responsible for being the lead on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit tre...

Clinical Pharmacist
Wall, NJ
This position is accountable for supporting Pharmacy clinical management. The responsibilities include assisting in formulary management, medication therapy management, utilization manag...

Administrative Assistant II
Newark, NJ
This position supports HR Leadership and is accountable for contributing to the efficiency of departmental operations through the performance of various administrative functions. Respons...

Managed Care Coordinator I
Hopewell, NJ
This position supports the Clinical Operations functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators Respon...

Behavioral Health Clinician
Wall, NJ
This position is responsible for performing behavioral health duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the contin...

Supervisor, Clinical Operations - Behavioral Health
Hopewell, NJ
The position is responsible for leading a specific clinical care team in a hands on manner to provide exceptional service to the customer and contain medical claims cost. This is accompl...

Mgr, Enterprise Applications
Hopewell, NJ; Newark, NJ
In partnership with business customers, creates technology and digital strategy for a single business application (software) product ensuring integration with Horizon's overall strategic...

Managed Care Coordinator I
Hopewell, NJ
This position supports the Clinical Operations functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators Respon...

HNS Implementation Manager
Newark, NJ
This position is responsible for leading execution and implementation activities for specific projects within HNS. This role will facilitate the development, coordination, communication,...

RN II, Primary Nurse Care
Wall, NJ
This position is responsible for performing RN duties for the Primary Nurse population using established guidelines to ensure appropriate level of care, as well as, planning for the tran...

MLTSS Field RN II-Ocean County-$5K New Hire Sign On Bonus!
Wall, NJ
This field based position is responsible for performing assessments of members using established guidelines to ensure appropriate level of care and develop a member centric plan of care....

MLTSS Field RN I-Union County, NJ-$5K New Hire Sign On Bonus!
Newark, NJ
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...

DSNP Care Manager-Gloucester County, NJ- $5K New Hire Sign On Bonus!
Hopewell, NJ
This field based position is accountable for the assessment and case management of Dual Special Needs members using established guidelines to ensure appropriate level of care as well as...

Mgr, Service Ops
Newark, NJ
Responsible for the general operational oversight of multiple disciplines/units to ensure enterprise and divisional performance goals are achieved. Job Responsibilities Direct staff to e...