Remote Jobs at Horizon Connect @ Wall BCBSNJ
Find your next remote opportunity · 9 Open Positions
Business Analyst I
Business Analyst I supporting Horizon’s healthcare operations through reporting, forecasting, root cause analysis, and UAT. Developing data-driven process improvements for New Jersey’s health solutions leader.
Manager, Risk Adjustment Operations
Risk Adjustment Operations Manager leading analytics, reporting, and process alignment for Horizon Blue Cross Blue Shield of New Jersey. Managing staff and enterprise initiatives across health plan operations.
Manager, Risk Adjustment Vendor & Performance Management
Risk adjustment vendor manager optimizing analytics, KPIs, contracts, and performance for Horizon Blue Cross Blue Shield of New Jersey. Leading enterprise vendor strategy across Commercial, Medicare, and Medicaid programs.
RN II, Commercial Risk Adjustment
RN managing high-risk members and commercial risk adjustment care for Horizon Blue Cross Blue Shield of New Jersey. Coordinating outreach, wellness visits, utilization management, and individualized care plans.
Inpatient Hospital Auditor II
Inpatient hospital auditor reviewing billing, coding, DRG validation, and improper payments for Horizon BCBSNJ. Developing audit protocols and tracking hospital audit trends.
Care Manager I, Specialty Programs
Care Manager coordinating specialty-population care and transitions for Horizon Blue Cross Blue Shield of New Jersey. Implementing cost-effective interventions and monitoring member outcomes.
Medical Economics Analyst
Medical Economics Analyst analyzing healthcare costs, P&L performance, and value-based programs for Horizon BCBSNJ. Developing financial reports, models, and cost-reduction initiatives.
Account Consultant
Account Consultant supporting health insurance clients, brokers, and employer groups for Horizon Blue Cross Blue Shield of New Jersey. Managing service issues, implementations, renewals, and account administration.
Key Client Support Specialist
Key Client Support Specialist supporting Horizon BCBSNJ health insurance account teams and SHBP stakeholder relationships. Managing billing operations, forecasts, plan implementations, and vendor integrations.
No more jobs available.