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other purchases via eligible business vendors according to Horizons policies and processes Gather information and prepare reports as requested Obtain information, status reports, or answers on various business matters, inquiries or...
Job Summary: The Marketing Retention Specialist provides analytical support to the Manager of Retention on member disenrollment data (including drivers) for key membership demographics. Activities will include data collection, trending and...
cooperation, understanding and effective participation in Horizon BCBSNJ products. Assist Management, Finance and ... to assist providers with their daily interactions with Horizon BCBSNJ. Work closely with Medical Leadership and...
Job Summary This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care...
Job Summary: This position is accountable for the management of high risk level cases identified through the care management program to ensure effective implementation of interventions, and to ensure efficient utilization of benefits.
Resolves issues and improves operational performance on a cross-functional/departmental basis. This is an intermediate level position and may require guidance. Responsibilities: Investigate service related issues to identify root cause of...
Job Summary: The Marketing Retention Specialist provides analytical support to the Manager of Retention on member disenrollment data (including drivers) for key membership demographics. Activities will include data collection, trending and...
an analyst position in the Informatics department to turn Horizon's data into business knowledge. Provide meaningful analytic output that meet the needs of internal and external customers in the areas of Actuarial, Account Reporting,...
Job Overview: The position is responsible for the preparation of the companys quarterly MCR By County/ Fee For Service Trend reports, identification and reporting of medical cost drivers and outliers, and evaluation of medical cost...
Job Summary: This position is accountable for the management of high risk level cases identified through the care management program to ensure effective implementation of interventions, and to ensure efficient utilization of benefits.
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