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Horizon Blue Cross Blue Shield of New Jersey
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Hopewell, New Jersey
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services. Leads meetings with senior business leaders to ensure a data- driven, consultative analytics ... development and production of healthcare and related analytics in a highly consultative manner. Provide data
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Horizon Blue Cross Blue Shield of New Jersey
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Wall Township, New Jersey
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analytics. The position is a key team member collaborating in a multi-disciplinary business environment with ... complex clinical analytics projects involving multiple data resources and teams to inform business
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Horizon Blue Cross Blue Shield of New Jersey
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Wall Township, New Jersey
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, align all business needs and analytics processes, leverage cross-functional skills, and co-develop ... . Translates business questions and needs into analytics technical requirements including data analytics design
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Horizon Blue Cross Blue Shield of New Jersey
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Wall Township, New Jersey
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, align all business needs and analytics processes, leverage cross-functional skills, and co-develop ... . Translates business questions and needs into analytics technical requirements including data analytics design
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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complex clinical analytics projects involving multiple data resources and teams to inform business ... departmental needs. Translates business questions and needs into analytics technical requirements including
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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analytics. The position is a key team member collaborating in a multi-disciplinary business environment with ... . Translates business questions and needs into analytics technical requirements including data analytics design
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Horizon Blue Cross Blue Shield of New Jersey
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Wall Township, New Jersey
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analytics. The position is a key team member collaborating in a multi-disciplinary business environment with ... complex clinical analytics projects involving multiple data resources and teams to inform business
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Horizon Blue Cross Blue Shield of New Jersey
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Wall Township, New Jersey
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analytics. The position is a key team member collaborating in a multi-disciplinary business environment with ... complex clinical analytics projects involving multiple data resources and teams to inform business
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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analytics. The position is a key team member collaborating in a multi-disciplinary business environment with ... complex clinical analytics projects involving multiple data resources and teams to inform business
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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analytics. The position is a key team member collaborating in a multi-disciplinary business environment with ... . Translates business questions and needs into analytics technical requirements including data analytics design
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Horizon Blue Cross Blue Shield of New Jersey
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Hopewell, New Jersey
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recommendation with customer, and determine business-focused deliverables following the consultative analytics ... with multiple customers across the Enterprise to provide more complex resolutions to analytics/data
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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projects and service initiatives. Align resources to the business teams and vendor partners to support ... data analysis from speech analytics, audit findings, and/or AHT outlier reports.May develop
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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to ensure compliance with Medicaid, Medicare, and Commercial business policies and procedures ... >Collaborates with senior leaders and business owners to identify such billing trends and develop
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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Consultant provides support and consultation to the Medical Economics team through analyzing key business ... >Provide data driven analytics to various teams including, Medical Management, Network
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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initiatives.Manages BH professional unit cost reporting and coordination with analytics and ... minimum of five (5) years business experience in contract development and negotiation.</ul
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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that it is leveraged. Responsible for working with the business and establishing solution portfolios aligned to the business objectives and establishing core solution architecture assets to be utilized by
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Horizon Blue Cross Blue Shield of New Jersey
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Wall Township, New Jersey
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activities-Contribute to program improvement by designing and implementing business process and system ... external audits as needed.-Produce recurring and ad-hoc reports for business stakeholders for risk
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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Analytics, Business, and IT organizations.Serve as liaison with Data Governance to ensure ... to business, security, and IT stakeholders.Manage, develop, and train staff; develop
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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file audits for all areas of clinical operations. These audits review daily business practice ... >Conduct quarterly file audits for all lines of business against business Process Flows to determine
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Horizon Blue Cross Blue Shield of New Jersey
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Hopewell, New Jersey
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management, commercial business unit, government programs, IT, legal and HR. This position is accountable ... activities.Anticipate the process, plan the calendar and execute pro-actively.Business
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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Horizon's strategic and business objectivesThe role will work directly with the Manager on fee-for-service ... providers, including value based programs for all of Horizons medical lines of business including Commercial
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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Horizon BCBSNJ employees must live in New Jersey, New York, Pennsyl
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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quarterly) for all areas of MLTSS/DSNP care management operations, which review daily business practice ... activities, under the direction of the MLTSS/DSNP Manager, and communicates internally, with the MLTSS/DSNP
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Horizon Blue Cross Blue Shield of New Jersey
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Troy Hills, New Jersey
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Business members and Member Service CoordinatorsResponsibilities:<p
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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service related issues to identify root cause of issues; identify and communicate business needs ... , Monarch, etc.)Translate business requirements and assist IT with the development of technical
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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business objectives. The role develops strong relationships with internal matrix partners that support the ... contract compliance, developing and executing strategic plans in partnership with business units, leading
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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of issues; identify and communicate business needs assessments as necessary.Develop forecasting tools using current technology/systems (Access, Excel, Monarch, etc.)Translate business
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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Access.Addendum for Market Business Unit and Government Programs Operations:Prefer
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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. This position serves as back-up to HR Shared Services Manager and will maintain confidential employee ... >Requires 3 - 5 years of applicable business experience, preferably in Human Resources.</li
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Horizon Blue Cross Blue Shield of New Jersey
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Hopewell, New Jersey
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health insurance industry or professional business related field requiredExperience with MS ... working hours) as dictated by business needs.Ability to organize home visit caseload to ensure
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