Horizon Blue Cross Blue Shield of New Jersey

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5 jobs
Horizon Blue Cross Blue Shield of New Jersey
yesterday

Business Process Engineer Sr. Process Design Specialist II

RemoteNorth AmericaSenior
United States

Senior process improvement specialist at Horizon BCBSNJ leading complex, cross-functional Lean Six Sigma initiatives to reduce cost and complexity. Drives data-driven analyses (including value-stream mapping and Minitab-based statistical work), builds ROI business cases, mentors Green/Black Belt candidates, and partners with division leaders to deliver sustainable operational and financial results

minitab process-improvement six-sigma visio
109 600 – 149 625 $
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Horizon Blue Cross Blue Shield of New Jersey
yesterday

Appeals Resolution Analyst II / RN

RemoteNorth America
United States

Registered Nurse handling Utilization Management medical appeals for a major BCBS health insurer, reviewing clinical necessity and medical records, coordinating with medical directors and external review organizations, and ensuring compliance with NCQA, URAC, and NJ/Federal regulations.

79 100 – 105 945 $
Horizon Blue Cross Blue Shield of New Jersey
yesterday

Actuarial Analyst II (Stop Loss)

RemoteNorth AmericaMiddle
United States

Mid-level actuarial analyst pricing, reserving, and forecasting for Stop Loss (Specific and Aggregate) and Level Funded health products at a major NJ-based health insurer. Core work uses Excel, SQL/SAS, and Tableau/Power BI for trend, pricing, and underwriting analyses.

powerbi sas sql statistics tableau
79 100 – 105 945 $
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Horizon Blue Cross Blue Shield of New Jersey
2 weeks ago

Application Developer

North AmericaFull-time
United States

Specialist, Application Developer II Location: Newark, NJ - Hybrid Time Type: Full time Job Description Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years…

agile analytics aws azure confluence +14 skills
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Horizon Blue Cross Blue Shield of New Jersey
2 weeks ago

Cybersecurity Threat & Vulnerability Analyst (Remote)

RemoteNorth AmericaFull-time
United States

Cybersecurity Threat & Vulnerability Analyst Location: Newark, NJ - Remote Time Type: Full time Job Description Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For…

cybersecurity linux macos nessus regulatory-compliance +4 skills
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