
2 - 10 employees
⚕️ Healthcare Insurance
🏥 Healthcare
Healthcare Insurance • Healthcare
Horizon Connect @ Wall BCBSNJ is a LinkedIn presence or local program/office associated with Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Based on the name and context, it appears to be connected to Horizon BCBSNJ’s health insurance operations and local outreach or member/provider engagement in the Wall, NJ area. Publicly available information provided is limited and mostly LinkedIn site chrome rather than a company profile, so this description is conservative and based on the affiliation indicated by the name.
🕒 July 21
🦌 Connecticut, New Jersey, +2 more states – Remote
💵 $70.5k - $94.4k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
💸 Financial Planning and Analysis (FP&A)
👻 Ghost score 33%
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2 - 10 employees
⚕️ Healthcare Insurance
🏥 Healthcare
Healthcare Insurance • Healthcare
Horizon Connect @ Wall BCBSNJ is a LinkedIn presence or local program/office associated with Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Based on the name and context, it appears to be connected to Horizon BCBSNJ’s health insurance operations and local outreach or member/provider engagement in the Wall, NJ area. Publicly available information provided is limited and mostly LinkedIn site chrome rather than a company profile, so this description is conservative and based on the affiliation indicated by the name.
• Assess incoming data from risk adjustment vendors and calculate financial penalties based on contractual performance. • Support vendor contract negotiations through cost analysis, ROI estimation, and budget forecasting. • Perform credit/reimbursement true-up analyses at project finalization. • Develop approaches and improvements to validate, collect, and organize vendor data using VBA. • Provide complete and accurate information for vendor audits. • Respond to ad-hoc requests from business stakeholders. • Serve as a subject matter expert on vendor analytics, costs, quantities, services, contract terms, timelines, deliverables, SLAs, and penalties. • Review and validate invoice submissions for alignment with contractual agreements. • Assess the quality, timeliness, and completion of incoming vendor data. • Assist with contract negotiation, analyze contractual requirements, identify deficiencies, and recommend changes. • Provide detailed analysis for purchase order requests and addendums.
• High School Diploma/GED required. • Bachelor degree in Accounting, Finance, Mathematics, Statistics, Economics, Actuarial Science or other analytical field preferred or relevant experience in lieu of degree. • Minimum of 4 years’ experience in accounting. • CPA preferred. • Knowledge of accounting entries/accruals/month-end close process. • Experience working in Excel. • Experience with Enterprise Resource Planning (ERP) systems (Workday). • Experience with Billing/Purchasing/Procurement. • Medicare, Medicaid, or commercial risk adjustment experience is a plus. • Experience programming in SAS/SQL a plus. • Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.
• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement
Apply Now🕒 July 21
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🟢 Junior
🟡 Mid-level
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⏰ Full Time
🟠 Senior
💸 Financial Planning and Analysis (FP&A)