Horizon Blue Cross jobs - Trenton, NJ

Viewing 1 - 10 of 42 jobs

• Managed Care Coordinator I (Part-Time)

  Horizon Blue Cross - Mount Laurel, NJ

  Job Summary: This position supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Performs review of...

  4 days ago from ProDivNet.com

• Marketing Retention Specialist Analyst

  Horizon Blue Cross Blue Shield - Trenton, NJ

  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...

  14 days ago from Job.com

• Care Specialist II

  Horizon Blue Cross Blue Shield of New Jersey - Trenton, NJ

  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.

  10 days ago from Job.com

• Trainer III - RN

  Horizon Blue Cross Blue Shield of Nj - Mount Laurel, NJ

  observations/feedback, informal training sessions and cross-training plans. Provides input and feedback to the Lead Classroom Instructor to assist with performance appraisals and development plans for training staff. Traveling domestic and...

  12 days ago from Job.com

• Informatics Analyst I

  Horizon Blue Cross Blue Shield - Ewing, NJ

  Job Summary: This an entry level position within the Informatics job family. The candidate will meet with clients (majority of which will be internal, but could be external as well) to define customer data and analysis needs and determine...

  29 days ago from Job.com

• Manager, Network Relations

  Horizon Blue Cross Blue Shield Nj - Trenton, NJ

  Represent Network Management in cross-department/divisional initiatives ... in a relationship management capacity. For Horizon Healthcare Management: Provider Relations experience...

  16 days ago from Horizon Blue Cross Blue Shield NJ

• Medical Director I

  Horizon Blue Cross Blue Shield of New Jersey - Trenton, NJ

  Job Summary: This position is accountable for providing day-to-day guidance, support and medical leadership for utilization management activities and decisions. This position is responsible for supporting the Chief Medical Director in all...

  8 days ago from HEALTHeCAREERS Network

• Pharmacy Specialist I

  Horizon Blue Cross - Trenton, NJ

  Job Summary: This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or patients and is responsible for supporting and assisting in the coordination of Pharmacy...

  14 days ago from Monster

• Manager, Reimbursement & Pricing

  Horizon Blue Cross Blue Shield of New Jersey - West Trenton, NJ

  Job Summary: This position is responsible for developing, maintaining and managing the pricing functions to support Horizons' initiatives in the areas of financial modeling, analysis forecasting and development of provider reimbursement.

  1 day ago from LinkedIn Corporation

• MLTSS Manager, RN/SW

  Horizon Blue Cross - Trenton, NJ

  MLTSS Manager Job Summary: This position is responsible for ensuring the operations and compliance with established protocols. Assists Managed Long Term Support and Services Director in establishing, interpreting and implementing new and...

  14 days ago from Monster