Healthcare Policy Analyst — Claims & Compliance
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey is seeking a role focused on medical policy determination of claims and cases. The candidate analyzes medical records and claims to ensure adherence to clinical guidelines, policies, and regulatory requirements. The position involves reviewing post-service medical necessity, preparing cases for director or external review, and collaborating with policy teams to address inquiries. #J-18808-Ljbffr Horizon Blue Cross Blue Shield of New Jersey
Vacancy posted 2 days ago
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