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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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, Pennsylvania, Connecticut or DelawareJob Summary:The ASO Accountant I is ... and questions regarding Minimum Premium and Cost Plus billings, conducts research and resolves issues
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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improve clinical quality and increase cost efficiency and health care affordability. This position ... experience of Milliman's analytics tools such as MedInsight Health Cost Guidelines (HCG) Grouper, Milliman
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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diagnosis to outcome.Coordinates the delivery of high quality, cost-effective care supported by
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Horizon Blue Cross Blue Shield of New Jersey
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Hopewell, New Jersey
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quality, cost-effective care supported by clinical practice guidelines established by the plan addressing
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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issues related to cost, utilization and revenue for all products at Horizon BCBS. This role will be ... causes of medical cost trends.Responsibilities:Analyze the
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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diagnosis to outcome.Coordinates the delivery of high quality, cost-effective care supported by
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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leading edge understanding of developments, regulations, policies and procedures and cost containment
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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supporting sales of behavioral health care and cost solutions as well as client retention activities. In ... of BH solutions (unit cost, UM and patient care enhancement)Identify/create
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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diagnosis to outcome.Coordinates the delivery of high quality, cost-effective care supported by
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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customer and contain medical claims cost. This is accomplished through active involvement and leading of ... improvements. Identifies and implements cost saving/revenue generating opportunities.5. Serves as key liaison
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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improve clinical quality and increase cost efficiency and health care affordability. This position ... experience of Milliman's analytics tools such as MedInsight Health Cost Guidelines (HCG) Grouper, Milliman
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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improve clinical quality and increase cost efficiency and health care affordability. This position ... 's analytics tools such as MedInsight Health Cost Guidelines(HCG) Grouper, Milliman Advanced
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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resolved.Analyze contracts to identify and implement medical cost savings by introducing ... in health care cost data analysis and technical document writing.<font class
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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issues related to cost, utilization and revenue for all products at Horizon BCBS. This role will be ... causes of medical cost trends.Responsibilities:Analyze the
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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quality, cost-effective care supported by clinical practice guidelines established by the plan addressing
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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-cost modeling, negotiations and implementation associated with newly executed or renewals for ... contract terms.Evaluates potential special arrangements using unit cost modeling by
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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that improve clinical quality and increase cost efficiency and health care affordability. This position
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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inappropriate provider billing trends that can result in medical cost reduction and claim leakage.<li
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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professional and facility billing procedural (CPT/HCPCS) and diagnostic (ICD10) knowledge to support new cost
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Horizon Blue Cross Blue Shield of New Jersey
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Wall Township, New Jersey
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and reduce total cost of care. Responsible for directing clinical analytics activities in the areas ... value-based providers, quality and cost performance, APP payment, and shared savings payment forecasting
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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delivery of high quality, cost-effective care supported by clinical practice guidelines established by the
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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identifying, demonstrating and supporting sales of behavioral health care and cost solutions as well as client ... (unit cost, UM and patient care enhancement).Identify/create opportunities for upselling
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Horizon Blue Cross Blue Shield of New Jersey
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Hopewell, New Jersey
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cost ratio, investment, cash flow, billing or any business initiative as assigned by leadership.</p
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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appropriateness of care from diagnosis to outcome.Coordinates the delivery of high quality, cost
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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diagnosis to outcome.Coordinates the delivery of high quality, cost-effective care supported by
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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diagnosis to outcome.Coordinates the delivery of high quality, cost-effective care supported by
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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cost ratio, investment, cash flow, billing or any business initiative as assigned by leadership.</p
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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goals.Responsible for budgeting, cost containment and strategic planning of systemic
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Horizon Blue Cross Blue Shield of New Jersey
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Hopewell, New Jersey
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improvements in population health and overall
cost; health economic evaluation; external health partner ... medical and
cost performance as needed.Education/Experience:<ul
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Horizon Blue Cross Blue Shield of New Jersey
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Wall Township, New Jersey
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implementations are resolved.Analyze contracts to identify and implement medical cost savings by ... >Requires a minimum of 5 years' experience in health care cost data analysis and technical
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