
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.
🔥 50 minutes ago
🦌 Connecticut, New Jersey, +2 more states – Remote
đź’µ $97.8k - $133.5k / year
⏰ Full Time
đźź Senior
đź”´ Lead
đź’ť Customer Support
đź‘» Ghost score 16%
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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.
• Provide subject matter support to account management teams in underwriting, ancillary products, benefit design, and market-specific dynamics. • Serve as subject matter expert for billing operations, ensuring accurate billing administration and timely resolution of billing inquiries and discrepancies. • Maintain accurate and updated billing master roster. • Develop and maintain monthly, quarterly, and annual forecasts, identifying trends, variances, risks, and opportunities impacting financial performance. • Support plan design implementations and translate State legislation into business requirements. • Act as business lead for vendor integrations serving State members. • Serve as liaison for account management and other organizational support areas impacting client management. • Manage database of individual stakeholders within the market and their connections. • Assist in developing strategic business plans to retain and grow within the SHBP Plan. • Train newly hired staff on the unique SHBP Market.
• Prefers Bachelors degree from an accredited college or university. • Requires a minimum of 10 years of experience in group health. • Experience managing in a fast paced, performance driven environment necessary. • Knowledge of complex billing operations preferred. • Must be proficient in the use of personal computers and supporting software in a Windows based environment. • Knowledge of health insurance plans, health care delivery systems, and claim operations. • Knowledge and understanding of pricing and underwriting principals. • 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
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