Self-Direction PPP Support Counselor Lead (Bergen, Essex & Hudson Counties)

About the Role The Self Direction Personal Preference Program (PPP) Support Counselor Lead provides advanced program expertise while continuing to perform core PPP Support Counselor functions. This role mentors, trains, and precepts new and existing staff, serving as a subject matter expert across all PPP workflows, including initial and quarterly in-person member visits. The Lead supports operational functions such as budgeting, scheduling, forecasting, capacity monitoring, and safety, and provides strategic guidance on cash management plans. Additionally, the role consults complex cases, supports quality assurance efforts, and promotes regulatory compliance, consistency, and continuous improvement across the program. Responsibilities Perform PPP Support Counselor duties in accordance with established guidelines while supporting the preparation of new and existing counselors for independent work through training, mentoring, and hands‑on guidance. Serve as a PPP subject matter expert, offering technical assistance, knowledge-sharing, and remediation support to peers as needed. Provide expertise on organizational and Fiscal Intermediary (FI) vendor medical management systems. Act as a regional triage resource for PPP‑related complaints, grievances, and appeals, ensuring appropriate routing, documentation, and follow‑up in alignment with policy. Travel within the state as needed to support training initiatives, staff development, and case coverage. Adhere to and support protocols related to PPP Support Counselor retraining and continuous quality improvement. Prepare and present mentee progress updates to leadership, highlighting outcomes, skill development, and opportunities for further improvement. Complete special projects and other duties as assigned by management to support program operations and quality outcomes. Qualifications High School Diploma/GED—required. LPN or healthcare background—preferred. Equivalent and relevant professional experience in budgeting or finance—preferred. Minimum of 5 years’ experience in the health insurance industry or professional business‑related field—required. Minimum of 3 years’ experience with financial counseling for the Personal Preference program—required. Experience with MS Office and other WFM solutions—highly preferred. Knowledge of healthcare industry—preferred. Team player, strong analytical and interpersonal skills. Proficient in MS Word, MS Excel, and MS PowerPoint. Skills and Abilities Strong analytical skills with emphasis on forecasting. Effective communication and presentation skills, as needed in a lead/trainer position. Ability to work independently and resolve problems through interaction with multiple departments and personnel. Strong knowledge of the PPP Support Counselor role and the ability to be highly organized with an emphasis on accuracy and timeliness. Salary Range and Benefits Salary Range: $79,100 - $105,945 Comprehensive health benefits (Medical/Dental/Vision) Retirement plans Generous PTO Incentive plans Wellness programs Paid volunteer time off Tuition reimbursement Disclaimer Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. Equal Opportunity Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process. #J-18808-Ljbffr 100 Horizon Healthcare Services, Inc