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18 horizon nj health jobs in West Trenton, NJ

Administrative Appeals Analyst

Horizon Blue Cross Blue Shield of NJ Ewing, NJ

** * Performs and assess root cause(s) of appeal, conducts thorough research of issue(s), determines required course of action and final… Beyond.com

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Business Systems Analyst V

Horizon Blue Cross Blue Shield of NJ Ewing, NJ

A key proponent to our success is our Business Solutions Group. We are looking for a Business Systems… Beyond.com

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Business Systems Analyst IV

Horizon Blue Cross Blue Shield of NJ Ewing, NJ

** A key proponent to our success is our Business Solutions Group. We are looking for a… Beyond.com

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MLTSS Manager, RN/

Horizon Blue Cross Blue Shield of NJ Trenton, NJ

** * Directs managed long term support and services staff to ensure overall client satisfaction and appropriate level of service delivery… Beyond.com

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Healthcare Management Implementation Manager

Horizon Blue Cross Blue Shield of NJ Ewing, NJ

** * Provides oversight for strategic projects supporting the Health Affairs/HNJH Clinical Operations agenda to ensure that they are effectively… Beyond.com

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Health Data Analyst II

Horizon Blue Cross Blue Shield of NJ Trenton, NJ

** * Analyzes reporting needs, available data and various methods of data retrieval to develop systems that are responsive to the needs of the… Beyond.com

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Managed Care Coordinator I

Horizon Blue Cross Blue Shield of NJ Trenton, NJ

** * Performs review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of… Beyond.com

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Appeals Resolution Analyst

Horizon Blue Cross Blue Shield of NJ Trenton, NJ

** * Input and update basic demographic customer and clinical data for all utilization management programs and Continued Stay Review identifying… Beyond.com

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Manager, Medicare External Audits & Reporting

Horizon Blue Cross Blue Shield of NJ Trenton, NJ

** * Ensures that Standard Operating Policies and Procedures (SOPs) and tools are… Beyond.com

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Medicare Regulatory Affairs Manager

Horizon Blue Cross Blue Shield of NJ Trenton, NJ

** * Acts as the Plan liaison with the Centers for Medicare & Medicaid Services and the Division of Medical Assistance and Health Services (DMAHS… Beyond.com

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Ancillary Contracting Specialist

Horizon Blue Cross Blue Shield of NJ Ewing, NJ

** * Develop and maintaining good relationships with providers by addressing their concerns and questions. * Responding to the providers… Beyond.com

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Manager, MLTSS Network Services

Horizon Blue Cross Blue Shield of NJ Trenton, NJ

** This position is responsible for the development, contracting, training and ongoing management of a statewide, comprehensive and accessible… Beyond.com

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Salesforce.com Administrator

Horizon Blue Cross Blue Shield of NJ Mount Laurel, NJ

** * Performs Business Requirements Gathering process, including the creation of deliverables * Conducts detailed research * Performs analysis… Beyond.com

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Administrative Appeals Analyst

Horizon Blue Cross Blue Shield of New Jersey 100+ Reviews Ewing, NJ

• Performs and assess root cause(s) of appeal, conducts thorough research of issue(s), determines required course of action and final disposition… Horizon Blue Cross Blue Shield of New Jersey

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Appeals Resolution Analyst

Horizon Blue Cross Blue Shield of New Jersey 100+ Reviews Trenton, NJ

• Input and update basic demographic customer and clinical data for all utilization management programs and Continued Stay Review identifying… Horizon Blue Cross Blue Shield of New Jersey

  • Overview
  • Reviews
  • Salaries
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