The Manager of Clinical Analytics is a managerial position requiring excellent leadership, communication, and data analytics technical skills. The position is a key team member collaborating in a multi disciplinary business environment with colleagues across the enterprise to support clinical performance analytics, development, and reporting that deliver actionable clinic

The Medical Economics Consultant provides support and consultation to the Medical Economics team through analyzing key business issues related to cost, utilization and revenue for all products at Horizon BCBS. This role will be responsible for the design and development of reports to monitor product performance and identify the root causes of medical cost trends. Responsi

This role is responsible for working collaboratively with members of the Quality & Health Equity Team and HNS to implement, monitor and evaluate Horizon clinical opportunities to develop enterprise and community health initiatives. These initiatives will be aimed at addressing Health Disparities and advancing awareness and education about social determinants of health to

This position provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 51+ markets. This position will support Rating & Underwriting services for Stop Loss products. Develops and issues proposal rates for group size 51+ and experience rated proposals. Develops and issues experience rated renewals for grou

This position will perform care management duties specifically targeting high risk members within Medicare Advantage/Commercial risk adjusted populations to enhance the deployment of risk adjustment tactics. This position will work closely with the Care Management and Risk Adjustment Management (RAM) teams, including the RAM Manager & RAM Business Analysts to assess the h

The Analytics Analyst II will partner with multiple customers across the Enterprise to provide more complex resolutions to analytics/data problems (i.e. descriptive statics, T testing, etc.) which require a study of situational factors, gathering information from several sources, and will provide reporting/analytic deliverables (i.e. tables, graphs, recommendations, etc.)

The L&D Learning Consultant III is responsible for the development and delivery of curriculum with a focus on leadership. The L & D Learning consultant plays a crucial role in the design and the delivery of Horizon's Talent And Development Division's Leadership programming. Design, develop and deliver HR leadership programs to a variety of levels using multiple instructio

The ASO Accountant I is responsible for the preparation, analysis, and completion of Minimum Premium and Self Insured invoices. This also includes compiling claims and traditional bills on a daily, weekly and monthly basis. The role is responsible for managing high dollar accounts and high priority Groups. Job Responsibilities Maintain accurate accounting sub ledgers for

This field based position is responsible for performing assessments for PCA and MDC services using established guidelines and assessments to ensure appropriate level of care and services are authorized. Responsibilities Assesses patient's clinical need against established guidelines and/or standards to ensure that the services provided are medically appropriate to members

The Paralegal I provides legal support to the in house legal team at Horizon. The Paralegal I researches and analyzes law, investigates facts, conduct sand coordinates document collections, and prepares and maintains legal documents for review, approval, and use. The incumbent communicates with various internal and external contacts (including outside counsel), prepares b

he Director of Technology Strategy, Architecture & Governance at Horizon BCBS, will play a key role in shaping the technology direction of our organization. This is a strategic leadership position combines technical expertise and innovative problem solving skills and considered as a thought leader within the organization on Technology strategy & architecture. This positio

This position has oversight for the analysis and translation of business needs into business/technical requirements. Leads teams and other resources to ensure alignment of technical solutions with business requirements for complex issues (quantity and magnitude). Acts as a representative of IT to the Enterprise regarding Enterprise Initiatives. Leads and owns the analysis

This field based position is accountable for the assessment and case management of members to ensure facilitation of health care services. Responsibilities Assist with implementation and facilitation of services to members in the program. Collaborates with member/family, physician and all members of the healthcare team, internal and external to this organization. Coordina

This position is responsible for focusing stop loss risk management activities on the centralized stop loss team and coordinating risk oversight with care delivery related areas of the company. Assures care is coordinated across the company and throughout the care delivery system for high risk members of groups with stop loss coverage underwritten by the company. Uses est

Job Description Summary The Application Security Analyst II will partner with developers to conduct application security assessments. The individual will work closely with technical teams and analyze potential security impacts and pitfalls associated with threats and vulnerabilities to applications and systems. Candidate will advise developers, business owners and technic