Pharmacy Specialist I
Wall, NJ
This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or members. They are accountable for supporting and assist...

Inpatient Hospital Auditor II
Wall, NJ
This position is responsible for being the lead on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit tre...

Clinical Pharmacist
Wall, NJ
This position is accountable for supporting Pharmacy clinical management. The responsibilities include assisting in formulary management, medication therapy management, utilization manag...

Managed Care Coordinator I
Hopewell, NJ
This position supports the Clinical Operations functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators Respon...

Behavioral Health Clinician
Wall, NJ
This position is responsible for performing behavioral health duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the contin...

MLTSS Field Care Specialist III- Ocean County, NJ-$5K New Hire Sign On Bonus!
Wall, NJ
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...

Administrative Assistant II
Newark, NJ
This position reports to a director and is accountable for contributing to the efficiency of departmental operations through the performance of various administrative functions. Responsi...

Supervisor, Clinical Operations - Behavioral Health
Hopewell, NJ
The position is responsible for leading a specific clinical care team in a hands on manner to provide exceptional service to the customer and contain medical claims cost. This is accompl...

Mgr, Enterprise Applications
Hopewell, NJ; Newark, NJ
In partnership with business customers, creates technology and digital strategy for a single business application (software) product ensuring integration with Horizon's overall strategic...

HNS Implementation Manager
Newark, NJ
This position is responsible for leading execution and implementation activities for specific projects within HNS. This role will facilitate the development, coordination, communication,...

Cyber Security Analyst II
Newark, NJ
The Cyber Security Analyst II supports a 24/7/365 Security Operations Center (SOC) and provides 2nd Tier analysis and response to security events. Actively prepares for, and hunts for, m...

Account Manager III
Newark, NJ
This position is accountable for the conservation of existing accounts and selling additional product lines where appropriate and profitable for the SHBP, Public, and Jumbo markets. This...

Mgr., Clinical Analytics-2
Newark, NJ
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 collabora...

Community Affairs Analyst
Newark, NJ
This position is responsible for developing programs that enhance and support the Corporate Social Responsibility team's vision, strategic planning, financial management and funding oper...

Analytics Analyst III/ANA15-1
Newark, NJ
The Analytics Analyst III will partner with multiple customers to provide more complex resolutions to analytics/data problems (i.e. linear models, pattern analysis, directional modeling,...