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Appeals Analyst I: Health Insurance Claims & Compliance

Horizon Blue Cross Blue Shield of New Jersey

Horizon Blue Cross Blue Shield of New Jersey is seeking an experienced Analyst to manage end-to-end complaint and appeal cases, conducting investigations and preparing clear determinations for leadership and external regulators. The incumbent collaborates with various internal and external stakeholders to resolve cases in a timely, accurate manner. The role supports Medicaid and Medicare compliance, including awareness of impacts to STARS performance, and prepares comprehensive case files for #J-18808-Ljbffr Horizon Blue Cross Blue Shield of New Jersey

Vacancy posted 4 days ago
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