Operations Support Specialist II

Job not on LinkedIn

🔥 1 minute ago

🦌 Connecticut, New Jersey, +2 more states – Remote

🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🔔 Pennsylvania – Remote

💵 $63k - $84.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

👻 Ghost score 16%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Horizon Connect @ Wall BCBSNJ

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Provide guidance and support to more junior staff, including formal observations of junior coach performance and/or progress. • Assist internal team members and outsourced staff with error reviews, audit inquiries, and complex work assignments. • Participate in onboarding, competency identification, development plans, and talent management. • Identify trends, recommend process and workflow changes, assess deficiencies, and conduct one-on-one mentoring. • Escalate system and operations issues and assist with problem resolution. • Produce daily educational bulletins to enhance quality. • Collaborate with Training Quality and Operations to ensure effective learning experiences, post-training transitions, monitoring, and training alternatives. • Conduct cross-training at Horizon sites and remote vendor locations. • Represent Operations at cross-functional meetings and work groups. • Assist with modifying training resources and schedules in response to staffing issues and business needs. • Monitor provisions and recommend changes to SLAs to meet productivity and quality goals. • Conduct gap analyses and review data/metrics to determine training needs and solutions. • Partner with stakeholders to develop and deliver learning solutions for new products, upgraded systems, and business initiatives. • Collaborate with Instructional Design and Knowledge Management on learning solution design and implementation. • Test supported workflows and processes. • Assist with inventory management and other Training & Development activities as assigned.

🎯 Requirements

• High School Diploma/GED required. • 5 years experience in health insurance operations preferably in a related role. • Requires knowledge of current industry trends and Best Practices. • Requires healthcare industry knowledge. • Requires claims processing experience. • Strong PC skills. • Organizational, Multitasking, Analytical Thinking and strong Interpersonal and Presentation Skills. • Employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.

🏖️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement