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Horizon Blue Cross & Blue Shield

27 Job Openings at Horizon Blue Cross & Blue Shield

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Medical Policy Specialist I
Horizon Blue Cross Blue Shield of New Jersey $87K - $119K*
Virtual / Travel
Remote
Today
Shape medical policy initiatives as a critical resource across the enterprise, conducting research and analysis, collaborating with teams, and maintaining compliance with regulations to enhance healthcare delivery and outcomes.
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Medical Policy Specialist I
Horizon Blue Cross Blue Shield of New Jersey $87K - $119K*
Hopewell, NJ
In-Person
Today
Transform medical policy development by leveraging clinical expertise and ensuring effective implementation across the enterprise while collaborating with key stakeholders and maintaining regulatory compliance.
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Auditor III
Horizon Blue Cross Blue Shield of New Jersey $97K - $133K*
Newark, NJ
Hybrid
Today
Champion strategic audits and initiatives, ensuring quality execution, effective issue tracking, and comprehensive reporting. Build relationships and provide insights while leading a talented team in a dynamic business environment.
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RN I, PCA/MDC/DSNP (Field Based - Passaic County)
Horizon Blue Cross & Blue Shield $70K - $94K*
Hopewell, NJ
In-Person
3 days ago
Analyze patient needs, evaluate care efficiency, and coordinate services to ensure high-quality, cost-effective healthcare delivery across the continuum of care while collaborating with multidisciplinary teams for optimal outcomes.
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Care Specialist III (Field Based - Hudson County)
Horizon Blue Cross & Blue Shield $70K - $94K*
Hopewell, NJ
In-Person
3 days ago
Transform healthcare delivery by managing cases and facilitating services for members. Collaborate with medical teams, advocate for patient needs, and ensure high-quality care through effective resource management and documentation.

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