Home Genius Exteriors has experienced rapid growth, expanding from $3M to $200M in just five years. We are a dynamic company aiming to be nationwide by 2030, and we are looking for passionate and driven individuals to join our team and grow...
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: The Director, MLTSS Operations will be responsible for the oversight and management of the Managed Long Term Care Program. This...
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: The role is a technical lead that requires deep knowledge, skills, and experience in designing and carrying out clinical analyt...
Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Edison, NJ. Thriveworks is a clinician-founded national private practice group with locations in 48 states. Our mission is to...
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: Oversight of Quality Data Compilation, Review and Analysis process for Quality Management including data for HEDIS and Medicare...
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: This position is responsible for supporting the Quality Management department with improvements through project planning, devel...
This position contributes to Quality Improvement efforts through the research, analysis, design, programming, implementation and coordination of accurate and timely reporting. The incumbent will partner with multiple customers across the En...
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: This role will facilitate and lead negotiations with Horizons network of provider partners of over 32,000 professionals, 1,500 ...
Responsible for conducting file audits for all areas of clinical operations. These audits review daily business practice compliance to regulatory compliance relative to NCQA, URAC and CMS. Responsibilities: Conduct quarterly file audits...
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well ...