Mgr, Medical Economics
Horizon Blue Cross Blue Shield of New Jersey · Hopewell, Virginia, US
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 solution...
Job description
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 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role: Provides support and consultation to the Health and Network Solutions (HNS) through analyzing key business issues related to cost, utilization and revenue for all products at Horizon BCBS. Design and develop reports to monitor and identify the root causes of Medical and Provider cost trends. Collaborate with cross functional teams to identify opportunities to help bend the medical cost curve. Identify opportunities to reduce manual processes and interventions and develop systemic solutions to drive efficiency. What You'll Do:...