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jobs from Blue Cross and Blue Shield Association
- 652 jobs from Blue Cross and Blue Shield Association
Senior Nurse Coding Analyst (HCC/Risk Adjustment) - Hybrid
Philadelphia, PENNSYLVANIA, us
Experience in coding guideline and policy implementation
* Knowledge of ICD-9 / ICD-10 diagnosis and procedure codes, CPT codes, Revenue codes, and HC..
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Posted 1 month ago
Clinical Account Manager, High-Cost Claimants
NEW
Hempstead, NEW YORK, us
Ability to resolve numerous and undefined issues requiring detailed information gathering, analysis, and investigation to understand the problem; diff..
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Posted 2 days ago
Auditor, Payment Integrity (Remote - PA, NJ, and DE)
NEW
Philadelphia, PENNSYLVANIA, us
Strong written and verbal communication skills for reporting and presenting audit findings Proficiency in Microsoft Office applications, including Ex..
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Posted 3 days ago
Quality Business Analyst
Philadelphia, PENNSYLVANIA, us
Design and execute test plans for new or modified processes, ensuring changes function as intended and comply with policies and regulations. Superior ..
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Posted 2 weeks ago
Senior Auditor, Payment Integrity (Remote - PA, NJ, and DE)
NEW
Philadelphia, PENNSYLVANIA, us
We are seeking a Senior Payment Integrity Auditor to lead the most complex and high-risk audit assignments, ensuring claim payment accuracy and compli..
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Posted 3 days ago
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Manager Financial Reporting
NEW
Newark, NJ, US
Overview Join to apply for the Manager Financial Reporting role at Horizon Blue Cross Blue Shield of New Jersey. Base pay range $121,200.00/yr - $165,..
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Posted 11 hours ago
Sr Director Rebate Invoice and Audit - Synergie Medication Collective
NEW
Newark, NEW JERSEY, us
Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to s..
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Posted 5 days ago
Managed Care Coordinator I
NEW
Newark, NJ, 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 so..
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Posted 4 days ago
Auditor, Payment Integrity (Remote - PA, NJ, and DE)
NEW
Philadelphia, PENNSYLVANIA, us
Conduct audits of claims submitted to Independence Blue Cross (IBX) to ensure accuracy of provider payments and charges. It requires a Certified Pharm..
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Posted 1 day ago
Territory Sales Manager
NEW
Denville, NJ, US
Territory Sales Manager Base pay range: $90,000.00/yr – $105,000.00/yr. Build your future with BlueLinx as a Territory Sales Manager! Are you a sales ..
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Posted 11 hours ago
Hybrid WMS Solution Architect — Blue Yonder & SAP EWM
NEW
New Brunswick, NJ, US
A leading global consumer goods company seeks a Solution Engineer to architect and optimize warehouse automation solutions. You will integrate various..
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Posted 5 days ago
Associate Medical Director DME
NEW
all cities, NJ, US
Internal Reference Number R1048061 Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come an..
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Posted 5 days ago
Professional Resident (Medicaid)
Hopewell, NEW JERSEY, us
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. Horizon Blue Cross Blue Shield of New Jersey is an Equ..
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Posted 3 months ago
Customer Experience Project Manager - Cross-Functional Lead
NEW
Princeton, NEW JERSEY, us
Candidates should have at least three years of relevant experience, excellent communication skills, and the ability to collaborate effectively across ..
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Posted 1 day ago
Self-Direction PPP Support Counselor (Hudson County)
NEW
Hopewell, NEW JERSEY, us
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. Horizon Blue Cross Blue Shield of New Jersey is an Equ..
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Posted 3 days ago
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