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Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 m...

Job Description
Develops medical/dental and reimbursement policies for coverage guidance of new drugs, technology, medical/dental procedures and clinical codes. Initiates the process for internal and external review of corporate medical/dental and reimbursement policies to meet all compliance regulations. Responds to internal and external inquiries regarding policies, benefit application and re...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 m...

Job Description
Healthy Blue Care Together is Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve children and families through the Children and Families Specialty Plan (CFSP).
This individual will serve as the primary contact for a regional grouping of County Division of Social Services (DSS) offices, including County Directors of Social Services and...

Job Description
Healthy Blue Care Together is Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve children and families through the Children and Families Specialty Plan (CFSP).
This individual will serve as the primary contact for a regional grouping of County Division of Social Services (DSS) offices, including County Directors of Social Services and...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 m...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 m...

Driverge Vehicle Innovations is the country's leading builder of commercial shuttles, wheelchair accessible vans, transporters, and small busses. We provide innovative solutions for clients across North America. Recognized as industry experts, we provide vehicle conversions for Healthcare Companies, Fleet Management, Government Agencies, and many other markets. The Business Development Speciali...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 m...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 m...

Clinical Applications Specialist, Women's Health Ultrasound (NV)
* Territory: Primarily Nevada with occasional travel elsewhere
* Travel: This position requires up to 75% travel which may include some weekends
Who We Are
Samsung HME America (Healthcare and Medical Equipment) is Samsung's U.S. medical imaging organization, delivering advanced diagnostic solutions across Ultrasound, Digit...

Clinical Applications Specialist, Ultrasound Radiology (Texas)
* Territory: Primarily Texas with occasional travel elsewhere
* Travel: This position requires up to 75% travel which may include some weekends
Who We Are
Samsung HME America (Healthcare and Medical Equipment) is Samsung's U.S. medical imaging organization, delivering advanced diagnostic solutions across Ultrasound, Digital ...

Clinical Applications Specialist, Women's Health Ultrasound (NYC/Long Island/Westchester)
* Territory: Primarily New York with occasional travel elsewhere
* Travel: This position requires up to 75% travel which may include some weekends
Who We Are
Samsung HME America (Healthcare and Medical Equipment) is Samsung's U.S. medical imaging organization, delivering advanced diagnostic solutio...

Job Description
Responsible for the development, maintenance, and ongoing improvement of the IT controls framework, including documentation, risk management, training, and associated processes. Provides oversight of the audit process within IT and the process for tracking open audit findings, test exceptions, and systemic issues. Ensures continuous improvement by working closely with representa...

Job Description
We are seeking a motivated Actuarial Analyst to join our Medicare Pricing Team. In this role, you will apply your mathematical and statistical knowledge to support activities such as rating, valuation, healthcare economics, and financial forecasting. Guided by experienced actuaries, you will contribute to health programs and offer actuarial support across departments, including ...

Job Description
As an Actuarial Analyst, you'll use actuarial analysis to support pricing, valuation, forecasting, and healthcare economics. You'll work with a team of actuaries to support health programs and provide technical insights to partners across Network Management, Underwriting, Sales and Marketing, Finance, and Healthcare.
This role focuses on Commercial core reserving, including esti...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hyb...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 m...

Job Description
This role is responsible for providing advanced analytical and modeling expertise supporting value-based care performance measurement and population risk normalization. The Sr. Population Risk Performance Analyst applies population risk models to attributed member populations to ensure accurate, consistent, and defensible financial and quality performance measurement across valu...

AllOne Health is in the business of care; and service is what matters most.
As a leader in workplace behavioral health, we've proven that a company's success is directly linked to the health and well-being of their employees.
By joining our team, you will make a difference in the lives of our clients and their communities. The meaningful work that we do includes counseling, providing work-life ...