Clinical Care Associate
Hopewell, NJ
This position is accountable for assisting and extending support to the MLTSS RN/MLTSS Care Specialist working in the field. This position supports members based in the Community, Group...

Mgr, Regulatory Compliance
Newark, NJ
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 th...

Workforce Mgmt Analyst
Hopewell, NJ; Newark, NJ
Responsible for all workforce functions including budgeting, capacity planning, forecasting, scheduling and real time monitoring. Own and manage creation of leveryday tactical workload f...

Medical Economics Consultant-7
Newark, NJ
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 pr...

Clinical Risk Adjustment Management RN
Newark, NJ
This position will perform care management duties specifically targeting high risk members within Medicare Advantage/Commercial risk adjusted populations to enhance the deployment of ris...

Analytics Analyst II (Government Programs)
Hopewell, NJ
The Analytics Analyst II will partner with multiple customers across the Enterprise to provide more complex resolutions to analytics/data problems (i.e. descriptive statics, T testing, e...

Risk Adjustment Operations Coordinator
Newark, NJ
This position is accountable for the development and execution of on going risk adjustment educational communications for the enterprise. The Program Communication Specialist will partic...

Medical Economics Analyst
Newark, NJ
The position is primarily responsible for driving and producing various financial reporting and analytical activities that support Healthcare Management's P&L evaluation on routine basis...

ASO Accountant I
Newark, NJ
The ASO Accountant I is responsible for the preparation, analysis, and completion of Minimum Premium and Self Insured invoices. This also includes compiling claims and traditional bills...

RN II, Primary Nurse Care
Wall, NJ; Hopewell, NJ; Newark, NJ
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 tran...

HEDIS Quality Auditor II RN
Newark, NJ; Wall, NJ; Hopewell, NJ
Responsible for conducting file audits for all areas of clinical operations. These audits review daily business practice compliance to regulatory compliance relative to NCQA, URAC and CM...

Group Underwriter II
Newark, NJ
This position provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 51+ markets. This position will support Rating...

Sales Exec I - Telephone Sales
Newark, NJ
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 produ...

HNS Implementation Manager
Newark, NJ
This position is responsible for leading execution and implementation activities for specific projects within HNS. This role will facilitate the development, coordination, communication,...

Field RN II-Medicaid-Care, Case and Disease Management- Essex/Hudson NJ Counties
Newark, NJ
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. Pe...