Responsible for collaborating with multiple stakeholders in large scale vendor selection, implementation and on-going compliance and management of performance against goals as defined in contract. Responsibilities. Collaborate with senior management and subject matter experts on business case development for vendor utilization, including business need and performance criteria. Creates, negotiates and incorporates contract and contract amendments....
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. Job Summary. This position is accountable for providing support to the field based Care Managers (RN II and Care Specialist III). In addition, Clinical Care Associates serve as the first point of contact for our members looking for service and/or provider information as well as members or providers requesting authorizations and denials of services. ...
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. Job Summary. Horizon’s Cloud Architect is responsible for the management and maintenance of Horizon’s cloud computing system. This position is responsible for developing cloud strategies, evaluating cloud applications and hardware, and organizing cloud systems to meet the operational needs of the organization. This role will closely work with Enterp...
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. Job Summary. This position is a lead IT auditor. Responsible for the supervision and execution of IT audit work programs. Plans and executes audits on complex IT processes and systems within established time frames and budgeted hours. Develops IT audit scope and work programs. Oversees work of senior and staff auditors and may execute IT audit testi...
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. Job Summary. This field based position is responsible for performing assessments of members using established guidelines to ensure appropriate level of care and develop a member centric plan of care. Responsibilities. Assesses member's clinical need against established guidelines and/or standards to ensure that the services provided are medically ap...
