The Policy Support Specialist is responsible for reviewing medical policies, preparing clinical review cases, and resolving clinical claims issues. This role includes researching medical records, coordinating clinical review processes, adjusting claims, and handling inquiries to ensure accurate claim processing and service requests.

The Analytics Analyst III is responsible for leading complex analytics projects, analyzing healthcare data, and providing actionable insights to stakeholders. Key responsibilities include managing data preparation, creating impactful reports, recommending advanced analytic models, and fostering continuous improvement in healthcare analytics.

The Assistant General Counsel provides legal counsel on corporate issues related to behavioral health products, handles legal inquiries, and prepares summaries of legal matters. The role supports transactional and contract needs and liaises with internal and external stakeholders, while also serving on committees as required.

The Accounting Analyst II is responsible for performing financial analysis, monitoring accounts receivable data, ensuring compliance with billing specifications, and preparing reconciliations. This role involves collaboration with internal and external auditors and requires problem-solving and analytical skills.

The Actuarial Analyst III role involves performing trend analysis, actuarial pricing, and data analysis for financial reporting. Responsibilities include leading analytical studies, developing strategies for cost trend insights, supporting corporate business plans, and mentoring less-experienced staff.

The Data Entry Specialist is responsible for reviewing, scanning, indexing medical bills, and entering data while providing administrative support to various departments. Additional duties include managing communications like mail and assisting customer service as needed.

The Actuarial Analyst II will focus on risk adjustment analysis, data mining, and the development of mathematical models to assess risks and project revenue. Responsibilities include trend analysis, collaboration with various departments, gap analysis, and presenting findings to management. The role requires strong analytical skills and knowledge in Medicare regulations.

The Director of Infrastructure Architecture manages strategic planning, design, and implementation of technology services, focusing on infrastructure and cloud solutions. The role involves leading teams, ensuring alignment with business requirements, and developing roadmaps for technology evolution.

The Mgr, IVR Product Management oversees the strategic direction and performance of IVR platforms. This role involves defining business requirements, enhancing customer interactions, and collaborating with cross-functional teams to implement improvements and optimize IVR experiences. Responsibilities include data analysis, modernizing IVR with technology, and ensuring compliance with regulations.

The Cloud Architect at Horizon Blue Cross Blue Shield is responsible for managing and maintaining cloud systems, developing strategies, and ensuring efficient data transfer and storage. The role involves troubleshooting technical issues, vetting cloud providers, and providing guidance to teams on cloud data access, while adhering to industry standards and security practices.

The Senior Network Administrator is responsible for managing and maintaining network infrastructure, ensuring security and performance. Duties include evaluating network systems, configuring hardware and software, troubleshooting issues, and collaborating on projects. Additional responsibilities involve enforcing security protocols, performing capacity planning, and documenting processes. This role requires strong analytical skills and 10+ years of IT experience, with a focus on Cisco systems and cloud networking.

The HEDIS Quality Auditor II is responsible for conducting file audits to ensure compliance with regulatory standards. The role involves analyzing audit outcomes, documenting results, maintaining databases, and generating reports for management. The auditor also works on ad hoc audits and provides process improvement recommendations.

The HR Generalist II acts as a strategic partner to leadership, providing support and guidance on HR initiatives, employee relations, and compliance. This role focuses on fostering a high-performance culture through talent management, employee development, and effective communication with stakeholders.

The Treasury Analyst III manages cash activities, ensuring liquidity and compliance with Treasury guidelines. Responsibilities include analyzing cash requirements, preparing cash positioning dashboards, maintaining banking operations, and improving departmental processes. The role involves collaboration with business partners and oversight of daily cash operations.

The Enterprise Architect will develop architectural deliverables that define relationships among functions, data, and technology, while leading teams and advising management on technical research. The role involves analyzing systems integration, developing IT strategies, managing technology audits, and ensuring IT designs meet business needs within the healthcare sector.

The Actuarial Analyst II is responsible for performing risk adjustment analytical studies, conducting trend and gap analysis, quantifying and projecting risk scores, and developing data-driven solutions to improve quality of care. The role requires collaboration with various teams, presenting results to leadership, and performing complex actuarial analyses.

The Manager, Strategic Initiatives II oversees multiple strategy projects for Horizon's leadership team, providing thought leadership, project charters, and actionable recommendations. The role involves leading discussions with senior clients, conducting research and analytics, and mentoring team members to ensure project success.

The Manager of Audit Readiness at Horizon Blue Cross Blue Shield oversees federal audit processes and ensures compliance with CMS standards. Responsibilities include managing a team, preparing reports, and leading mock audits to uphold organizational readiness for audits. The role requires collaboration with various stakeholders to rectify audit findings and maintain a comprehensive audit playbook.

As a Provider Tech Support Analyst II, you will support Network Data Management, managing provider data files, resolving data errors, conducting analysis, and preparing specifications for system enhancements. You will produce departmental reports, represent the department in committees, and handle sensitive projects with attention to detail.

The Audit III (Audit Lead) position is responsible for supervising and executing audits and strategic initiatives at Horizon Blue Cross Blue Shield. This includes developing audit scopes, reporting on internal control effectiveness, and building relationships with management to provide value-added recommendations. The role requires a strong understanding of risk management and the insurance industry.