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Medical Economics Consultant-3
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Horizon Blue Cross Blue Shield
Newark, NJ
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Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania,
...
Details
Summary
About the job:
Connecticut or Delaware Job Summary: The Medical Economics Consultant provides support and consultation to the Medical Economics team through analyzing key business issues related to cost, utilization and revenue for all products at Horizon BCBS. This role will be responsible for the design and development of reports to monitor product performance and identify the root causes of medical cost trends. Responsibilities: - Analyze the financial performance of all Horizon BCBS products, including Commercial, Medicare, and...
Location:
Newark, NJ
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
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Rn Ii
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Horizon Blue Cross Blue Shield
Hopewell, NJ
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Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania,
...
Details
Summary
About the job:
Connecticut or Delaware 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 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 committees as needed. Responsibilities: - Assesses patient's clinical need against established guidelines and/or...
Location:
Hopewell, NJ
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Associate's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
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None Specified
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Blue Cross Blue Shield Of South Carolina
Columbia, SC
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Summary Description Position Purpose: The Developer III will perform all
...
Details
Summary
About the job:
phases of applications systems analysis and design. Analyze systems specifications and develop applications to support information systems processes. Prepare detailed specifications from which complex programs will be written. Design, code, test, debug, document and maintain these programs. Formulates scope and objectives through research to develop or modify complex systems. What You'll Do: - Ensure team members understand the business requirements that drive the analysis and design of quality technical solutions,...
Location:
Columbia, SC
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Cisco Certified Technician
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
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Project Consultant - Medicare Advantage Servicing Admin
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Blue Cross Blue Shield of Michigan
Detroit, MI
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External Description Str : Accountable for and manages the development,
...
Details
Summary
About the job:
implementation and ongoing maintenance of project(s) with moderate to complex scope and deliverables. Project scope is at least two years planning to implementation and may impact one or more business unit/function. Project scope typically impacts one or more of the following: process, system, function, product and/or service. This position will oversee the CIRA outbound call center and monitor the performance metrics. - Develop detailed project plans and schedules, identify goals, objectives, risks and resource...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Information Technology Project Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Project Management Professional
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
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RN II - Braven Medicare Advantage
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Horizon Blue Cross Blue Shield
Wall, NJ
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Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania,
...
Details
Summary
About the job:
Connecticut or Delaware 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 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 committees as needed. Responsibilities: - Assesses patient's clinical need against established guidelines and/or...
Location:
Wall, NJ
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Associate's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
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Sr Actuarial Analyst I
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Blue Cross Blue Shield of Michigan
Located in Ohio
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Job Ref: 300001244366047 Employer: Blue Cross Blue Shield of Michigan
...
Details
Summary
About the job:
Sector: Health Insurance Qualifications: Part Qualified Actuary Job Type: Full Time Salary and Benefits: Competitive Remote: No Location Country: United States State/Province/County: Michigan - MI City: Detroit Post Code: 48226 Map: ( Show on map ) Description Job Description Responsible for performing moderately complex calculations, analysis and actuarial research used for actuarial analysis with limited direct supervisory review. Actuarial analysis can include but not limited to valuations, financial reporting and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Fellow of the Society of Actuaries
Workkeys
Applied Math
7
Graphic Literacy
6
Workplace Documents
7
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Systems Analyst III - Mainframe Programmer
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Blue Cross Blue Shield of Michigan
Detroit, MI
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External Description Str : Blue Cross Blue Shield of Michigan (BCBSM) is
...
Details
Summary
About the job:
hiring for a Systems Analyst III - Mainframe Programmer to join our Integration and Imaging Systems area. The Systems Analyst III - Mainframe Programmer is under general IT supervision and makes modifications to complex applications and will create detailed specifications. Will lead and assist in program design understanding and translation to allow changes and deployment for the maintenance of programs. Demonstrate effective communication skills to interpret needs of clients though design documentation and work very...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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Mgr, Regulatory Compliance
Quick view
Horizon Blue Cross Blue Shield Of New Jersey
Newark, NJ
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Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania,
...
Details
Summary
About the job:
Connecticut or Delaware Job Summary: The Mgr, Regulatory Compliance is responsible for the daily oversight and management of compliance activities across the assigned Horizon Line of Business (LOB). This position ensures that the Enterprise operates in compliance with applicable federal and state laws and regulations. The Manager will advise and influence business leaders across functional areas and implements compliance risk management practices. This position is responsible for the execution of the compliance workplan...
Location:
Newark, NJ
Job Type:
Full-Time
Permanent
Occupation:
Compliance Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
6
apply
Detailed Job Information
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RN II-Interdisciplinary Team Lead-MLTSS
Quick view
Horizon Blue Cross Blue Shield
Newark, NJ
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Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania,
...
Details
Summary
About the job:
Connecticut or Delaware 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 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 committees as needed. Responsibilities: - Assesses patient's clinical need against established guidelines and/or...
Location:
Newark, NJ
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Associate's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
See less
RN II-Interdisciplinary Team Lead-MLTSS
Quick view
Horizon Blue Cross Blue Shield
Hopewell, NJ
Actions
Apply
Save to My Profile
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Report this job
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania,
...
Details
Summary
About the job:
Connecticut or Delaware 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 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 committees as needed. Responsibilities: - Assesses patient's clinical need against established guidelines and/or...
Location:
Hopewell, NJ
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Associate's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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