Horizon Blue Cross Blue Shield of New Jersey

Quality Management Specialist - SAS Coding Experience Required


Pay$96300.00 - $131565.00 / year
LocationHopewell/New Jersey
Employment typeFull-Time

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  • Job Description

      Req#: 2019-10365
      Employer Industry: Health Insurance

      Why Consider this Job Opportunity:
      - Salary up to $131,565
      - Comprehensive health benefits, including Medical, Dental, and Vision
      - Generous PTO and paid volunteer time off
      - Opportunities for career advancement and professional development, including tuition reimbursement
      - Collaborative and inclusive work environment that promotes employee success
      - Incentive plans and wellness programs to support employee well-being

      What to Expect (Job Responsibilities):
      - Develop and implement project initiatives and performance measures for the Quality Management department
      - Analyze complex data to identify success factors and improvement opportunities for strategic planning
      - Collaborate with internal and external stakeholders to enhance clinical and operational activities
      - Measure and report on performance goals related to Medicare STAR Program initiatives
      - Provide coaching to improve member experience and CAHPS performance for healthcare providers

      What is Required (Qualifications):
      - High School Diploma or GED required; Bachelor's degree preferred or relevant experience in lieu of degree
      - Minimum of five (5) years of professional business experience in a healthcare environment
      - Knowledge of project management methodology and healthcare management
      - Proficiency in PC and application software
      - Strong analytical, problem-solving, verbal, and written communication skills

      How to Stand Out (Preferred Qualifications):
      - Five (5) years of managed care experience
      - Experience in performance measurement and regulatory reporting
      - Demonstrated leadership and decision-making abilities
      - Excellent presentation skills

      #HealthInsurance #QualityManagement #CareerGrowth #CompetitiveBenefits #HealthcareProfessionals

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      Horizon BCBSNJ offers affordable New Jersey healthcare and health insurance for individuals, families and employers. Find cheap NJ health insurance quotes online from Horizon BCBSNJ website, an independent licensee of the BCBS Association.

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