The Identity and Access Management (IAM) Engineer will collaborate cross functionally with Security Architects, Senior Infrastructure Analysts, and Senior Application Developers to provide a stable WAM environment by applying new and best practices in Identity and Access Management and Customer IAM technologies to support business applications. This position will be respo

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 transition to the continuum of care and developing a member centric plan of care. Primary Nurses will outreach to high risk members and will work to engage members in preventative care opportu

The Cyber Security Analyst II supports a 24/7/365 Security Operations Center (SOC) and provides 2nd Tier analysis and response to security events. Actively prepares for, and hunts for, malicious internal and external threats as a part of our cyber incident response program in the Security Operations Center (SOC). CSA II will analyze malware, emerging threats and emerging

Responsible for managing multiple aspects of the Enterprise medical costs structure including both on system and off system medical costs and directly lead efforts across the Enterprise to provide and present meaningful medical cost trend analysis to drive opportunities and decision making. Collaborate with multiple Commercial and Government Program business partners, inc

Provide excellent service to customers through the resolution of basic customer inquiries received by phone or though written correspondence. Responsibilities Receive customer inquiries via phone, fax, mail, e mail, etc. If necessary, probe for additional helpful information (i.e. member ID, claim number, name, etc.) in order to effectively handle inquiry. Review computer

This position is accountable for the conservation of existing accounts and selling additional product lines where appropriate and profitable for the SHBP, Public, and Jumbo markets. This position as it functions in the Labor market will be accountable for servicing of existing accounts as well as selling new business. Manages contract renewals and ensures services are pro

The role is a technical lead that requires deep knowledge, skills, and experience in designing and carrying out clinical analytics. The position is a key team member collaborating in a multi disciplinary business environment with colleagues across the enterprise to lead clinical performance analytics, development, and reporting that deliver actionable clinical insights to

Reporting directly to an Audit Manager, responsibilities include developing the scope of audits, programs or initiatives, executing testing and reporting in a quality manner, and the identification as well as tracking of issues to closure. Responsibilities Executes assigned planning, data gathering, analysis and testing tasks independently and in the timeframe established

Job Summary Data analysts are experts with strong understanding of data structures and analysis. They are responsible for ensuring requirements around the accuracy, quality, completeness, and timeliness of data are captured and understood. They work hand in hand with Data Modelers, Data Developers, Data Stewards and Business SMEs to ensure the customers data needs are acc

This position is responsible for individual account sales, received from clients responding to promotional materials and phone inquiries. Informs and educates clients on select HZN products and services Ensures clients are informed of relevant legislative and regulatory issues and their associated impact Facilitates the enrollment process for new individual sales. Ensures

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 management as assigned by management. Serves as mentor/trainer to new RN's and other staff as needed. Subject matter expert for the various projects and com

Responsible for the creation and execution of quality audit and coaching plans for new hires, existing employees, enterprise projects and service initiatives. Align resources to the business teams and vendor partners to support daily functions, nesting, and identification of trends, gap analysis and remediation. Monitor team performance against enterprise and divisional g

This position is responsible for developing programs that enhance and support the Corporate Social Responsibility team's vision, strategic planning, financial management and funding operations that support the overall objectives of Horizon Blue Cross Blue Shield of New Jersey. This positon will oversee the Horizon Cares programs, Horizon's internal platform of benefits th

The Analytics Analyst III will partner with multiple customers to provide more complex resolutions to analytics/data problems (i.e. linear models, pattern analysis, directional modeling, etc.) that require a more detailed and deeper study of situational factors, gathering information from several sources, and providing reporting analysis deliverables (i.e. tables, visual

This position is accountable for the development and execution of on going risk adjustment educational communications for the enterprise. The Program Communication Specialist will participate in drafting and producing materials, scheduling, attending and hosting project meetings in support of risk adjustment education and communication. This position will work to broaden