Dir, Technology Strategy & Governance
Newark, NJ
he Director of Technology Strategy, Architecture & Governance at Horizon BCBS, will play a key role in shaping the technology direction of our organization. This is a strategic leadershi...

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...

Infrastructure Analyst IV (Middleware Engineering)
Newark, NJ
This position is responsible for managing, monitoring, supporting, and participating in the development/enhancements of distributive system management platforms. Job Description Resolve...

Field Care Specialist III-Medicaid Care Case and Disease Management-Essex/Hudson
Newark, NJ
This field based position is accountable for the assessment and case management of members to ensure facilitation of health care services. Responsibilities Assist with implementation and...

RN, High Level Claim
Newark, NJ
This position is responsible for focusing stop loss risk management activities on the centralized stop loss team and coordinating risk oversight with care delivery related areas of the c...

Business Analyst III
Newark, NJ
Responsible for conducting research and root cause analysis for customers with the goal of recommending and implementing new processes and solutions to operational deficiencies. Resolves...

Clinical Analytics Analyst III-2
Newark, NJ
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 m...

Medical Economics Consultant
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...

RN II - Oncology
Wall, 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...

Manager, Clinical Analytics
Newark, NJ
The Manager of Clinical Analytics is a managerial position requiring excellent leadership, communication, and data analytics technical skills. The position is a key team member collabora...

Manager, Quality Audit & Coaching
Newark, NJ
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 busi...

Data Scientist II
Newark, NJ
Data Scientists are responsible for modeling complex business problems, discovering new business insights and finding opportunities through the use of algorithmic, statistical, data mini...

Business Analyst III - Underwriting/Actuarial
Newark, NJ
Responsible for conducting research and root cause analysis for customers with the goal of recommending and implementing new processes and solutions to operational deficiencies. Resolves...

IT Data Analyst III
Newark, NJ
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...