Medical Policy Analyst (Part-Time - 32 hrs weekly)
$70.5k - $94.4kHorizon Blue Cross Blue Shield
- # Medical Policy Analyst (Part-Time - 32 hrs weekly)Applylocations: Newark, NJ - Remotetime type: Part timeposted on: Posted Todayjob requisition id: 2026-0303**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 solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the **3.5 million** people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.**About the Role**This position is responsible for the medical policy determination of claims/cases consistent with Plan Medical Policy to ensure appropriate and efficient utilization of benefits. Through analysis of medical records and claims, the individual will ensure compliance with clinical guidelines, medical policies, plan benefits and regulatory requirements.**What You'll Do*** Performs reviews of post service medical necessity and appealed claims for compliance with appropriate medical policy, plan benefit and correct/appropriate provide coding.* Prepares cases for Medical Director and or outside consultant review and response where appropriate.* Provides timely and accurate responses to inquiries and collaborating with the claim policy teams in relation to claims pending for medical review and appeal inquiries.* Communicates identified opportunities for development of or revisions to Horizon Medical Policies based on case review outcomes.* Manages assigned inventory, documenting production and following assignments through completion.* Stays abreast of mandates, policy and workflow changes impacting review process and outcomes.* Demonstrates knowledge and understanding of the laws regulations and policies that pertain to the organization’s business and conform to these laws, regulations and policies in carrying out the accountabilities of the job**What You Bring****Education/Experience****:*** High School Diploma/GED required* Requires a minimum of 3 years’ clinical nursing experience**Skills and Abilities****:*** Must have effective verbal and written communication skills and demonstrate the ability to work well within a team.* Must demonstrate professional and ethical business practices, adherence to company standards, and a commitment to personal and professional development.* Proven time management skills are necessary. Must demonstrate the ability to manage multiple priorities or tasks, deliver timely and accurate work products with a customer service focus, and respond with a sense of urgency as required.* Demonstrated ability to work in a production focused environment.* Proven ability to exercise sound judgment and strong problem-solving skills.* Proven ability to ask probing questions and obtain thorough and relevant information**Why Horizon?**At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‐driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you!**Salary Range:**$70,500 - $94,395This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:* 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. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.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 Horizon Blue Cross Blue Shield
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Medical Policy Analyst (Part-Time - 32 hrs weekly) in Brooklyn, NY vacancy
- ...Horizon Blue Cross Blue Shield of New Jersey is seeking a part-time Medical Policy Analyst (32 hrs weekly) in Newark, NJ, with remote options. The role focuses on medical policy determination, review of post-service medical necessity, and ensuring compliance with guidelines...Part timeMedicalRemote work
Horizon Blue Cross Blue Shield
Brooklyn, NY2 days ago $16.97 - $25.43 per hour
Medical Records Coordinator (Chesapeake Specialty Care)- Part-Time- 20-29 hrs. weekly Job Category : Office/Clerical/Admin. Requisition Number : MEDIC009833 Posted : August... ...applicable state regulations and organizational policy 4. Coordinate communication and delivery of...Part timeMedicalHourly payWork experience placementWork at office$22 per hour
...As our Community Brand Ambassador, you will spend just 5 hours a week walking local business corridors (like Washington St. in Hoboken... ...folders, and small introductory gifts to local businesses (medical offices, fitness spaces, daycares, and boutiques). Your only goal...Part timeMedicalHourly payCasual workWork at officeLocal areaFlexible hours$2,255 - $2,521 per week
...Brooklyn, NY Agency: Prime Time Healthcare Pay: $2,255 to $2,521 per week Shift Information: Rotating -... ...inside the body to diagnose or treat medical issues. Make a difference now in a... ...when working with us. You are part of the Prime Time Healthcare Team....Part timeMedicalFull timeContract workTemporary workSummer workImmediate startShift workRotating shiftTravelNurseSource
Brooklyn, NY1 day ago- ...Department in Putnam, CT . In this part-time, day-shift role, you’ll have the... ...: Putnam, CT — On-site Hours: 32-40 hours per week Shift: Days Registered Nurse Benefits... ...of practice guidelines and policies. Collaborates with medical staff and appropriate departments...Part timeMedicalTemporary workLocal areaFlexible hoursShift workDay shift
- ...Nurse- Ambulatory Pediatrics (24 hrs./wk. Part-Time Benefits) Rotating Shift-Dearborn Henry Ford Medical Center - Ford Road, located in... ...or ACLS per Henry Ford Health policy. Certification will be required... ..., the health system now has 32,000 employees and remains home...Part timeMedicalRotating shiftWeekend work
- ...Services (UHS) in Johnson City, NY is seeking a compassionate Medical-Surgical Telemetry RN to join a patient-focused care... ...team, and document care in the EMR. This part-time role offers a 36-hour weekly schedule and a sign-on incentive up to $25,000 for experienced...Part timeMedicalRelocation package
$34 - $41 per hour
...Partners internship offers hands-on research in innovation policy with a focus on long-duration energy storage and U.S. battery manufacturing policy. This part-time, fully remote internship runs 8-16 hours per week for one academic semester, with possible renewal. Hourly...Part timeRemote jobHourly pay16 hoursInternship- ...Finance & Policy Administrator (Insurance) We are seeking a detail-oriented and reliable... ...financial records. Assist in preparing daily/weekly/monthly financial reports. Support... ...Validate KYC documents, proposal forms, and medical reports. Ensure compliance with IRDAI guidelines...Medical
Assertive Insurance Services LLC
Brooklyn, NY1 day ago - ...issues with innovative policies and programs and getting... ...opening for a Policy Analyst . Reporting to the Director... .... ~ Generous Paid Time Off and Holidays. ~... ...benefits package including Medical, Dental and Vision. ~... .... Monday-Friday 35 Hours Per WeekMedicalWork experience placementWork at officeLocal areaMonday to FridayFlexible hours
Public Health Solutions
Long Island City, NY5 days ago - ...issues with innovative policies and programs and getting... ...and social service for timely and effective public... ...The Senior Policy Analyst will work under the direction... ...benefits package including Medical, Dental and Vision.... ...Friday Possibility of hybrid work 35 Hours Per WeekMedicalTemporary workWork at officeLocal areaMonday to FridayFlexible hours
Public Health Solutions
Long Island City, NY2 days ago $44 - $47 per hour
...Health | Bel Air, MD Employment Type: Part-Time/32 Hourly Range: $44.00 - $47.00 At Community... ...Home Health of Maryland , part of the Medical Services of America family, we believe... ...Ensure all care provided aligns with agency policies, clinical guidelines, and physician...Part timeMedicalHourly pay- Allina Health, a Minnesota-based not-for-profit health system, seeks an RN for Mercy 2 East Medical & Surgical in Coon Rapids. The role features day/evening shifts, 32 hours per week, and a union contract with the MNA Mercy RN group. Tiered experience requirements apply,...MedicalContract workDay shiftAfternoon shift
$28 - $32 per hour
...Non-Exempt) Full Time/Part Time: Full Time... ...standards Follow company policies and help create a... ...minimum number of weekly shifts/hours Full Time: 30-40 hrs/week Be... ...Here $28.00 - $32.00/hr. The actual... ...disabilities or other medical conditions. Sephora...Part timeMedicalHourly payFull timeFlexible hoursShift workNight shiftWeekend workSephora
Jersey City, NJ5 days ago$120k - $130k
Nurse Practitioner - Part-Time (4 Days/Week) Veteran Medical Evaluations | No Treatment | No Call Looking for meaningful work without the stress of traditional clinical care? Join The IMA Group and support our nation’s veterans by performing evaluation-only medical assessments...Part timeMedicalLocal areaFlexible hoursWeekend work- ...Practitioner - Veteran Disability Evaluations Panama City, FL | Part-Time | 2 Days/Week | 8:00 AM-4:30 PM Burned out on patient panels, not on... ...the people who served. What You'll Do Conduct thorough medical histories and focused physical exams Review records, diagnostics...Part timeMedicalLocal areaFlexible hours2 days per week
$36 - $57.54 per hour
Registered Nurse, Ambulatory Surgery, Part -Time (40 hours bi-weekly) Job Category : Nursing Requisition Number : REGIS001519 Posted : August 19,... ...position is Part -Time (40 hours bi-weekly). Northwestern Medical Center’s mission is to provide exceptional health care to...Part timeMedicalWork at officeShift work$80 - $110 per hour
...(Spanish/English) — Disability Evaluations Manhattan, NY | Part-Time, 1 Day/Week | $80-$110/Hour Put your clinical expertise to work — without... ...federal agencies and delivers professional and objective medical and psychological examinations as well as ancillary services...Part timeMedicalLocal areaFlexible hours1 day per week$80 - $90 per hour
...Language Pathologist - Disability Evaluations Endicott, NY | Part-Time | 1 Day Per Week | $80-$90/hr The IMA Group is seeking a Speech-Language... ...comprehensive speech and language evaluations Review medical, educational, and developmental records Document clinical...Part timeMedicalHourly payPrivate practiceLocal areaFlexible hours1 day per week$23.23 - $32.82 per hour
...centered around first time right for every... ...customer journey. Take part in additional... ...YesHOURS: HL3 (34-40 hrs/wk)Open Availability... ...range is $23.23 - $32.82At IKEA, taking care... ...parental leave (up to 16 weeks) KinderCare tuition... ...and vision plans Medical and Rxplans (must work...Part timeMedicalPermanent employmentFull timeNight shift$35 per hour
Remote (U.S.) / Contract, Part-Time (6-10 hrs/week) The Company At Springboard, we’re on a mission to bridge the world’s skills gap, offering transformative online education in data science, UI/UX design, machine learning, and coding. Our courses may be tech-enabled,...Part timeRemote jobContract workTraineeship10 hours per week$2,350 per week
...Discipline: Therapy Duration: 13 weeks Employment Type: Travel When... ...has been around for a long time and have a vast network of connections... ...per week, open to full and part time options Caseloads vary... ...Comprehensive benefits package including medical, dental, vision, and a 401(K)...Part timeMedicalHourly payPermanent employmentFull timeLocumSeasonal workShift work- ...compensation 100% Paid for malpractice 32 days of paid time off per year! 1.6 months off per year! Extensive benefits package: health/medical, life/dental, vision, etc. Retirement including... ...a year Scheduled hours: 35 hours per week Clinic Hours: Monday - Friday 8:00 a.m....MedicalMonday to FridayFlexible hoursShift workWeekend workWeekday work
NEJM
Brooklyn, NY2 days ago $93.17 - $119.18 per hour
## Clinical RN II, Emergency Department, Part-Time, (24 Hour Week), Variable ShiftApplylocations: Greenbrae, CAtime type: Part timeposted on: Posted... ...is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care...Part timeMedicalLocal areaShift work$7.5k
...1032260**Pay Range:**$32.00 - $48.00A successful... ...o Schedule: Full Time, Days, 36 hrs/wk, 7am-7pm o Facility... ...Description Scheduled Weekly Hours:36Throughout communities... ...coverage includes medical, prescription, dental... ...coverage for full-time and part-time colleagues.* Paid...Part timeMedicalFull timeTemporary workFlexible hours- ...MaineGeneral Medical Center in Augusta seeks an Endoscopy Technician (CNA) to support patients and procedural workflows in the Endoscopy Unit. This part-time role (32 hours/week) covers day shifts (0730–1600) in the Alfond Center for Health. Responsibilities include assisting...Part timeMedicalDay shift
MaineGeneral Medical Center
Brooklyn, NY3 days ago - Lactation Consultant RN Part-time - 16 hours/week Bring your passion to Texas Health so we are Better + Together Work location: Texas Health Ft. Worth, 1300 Pennsylvania Avenue, Fort Worth, TX 76104 The Women’s Center at Texas Health Ft. Worth, a MAGNET , and Texas 10-Step...Part time16 hours
$90k - $180k
...100K Sign-On Bonus | 4 Day Work Week Join a compassionate, progressive... ...work-life balance with full-time or part-time options A caseload that supports medical autonomy while offering mentorship... ...EMPLOYER. Company Policy Forbids Discrimination Because of...Part timeMedicalFull timeLocal areaRelocation packageFlexible hoursGreenwood Veterinary Care
Brooklyn, NY7 days ago$7.5k
...Schedule: Nights, 36 hrs/wk, 7P-7A o... ...: $15,000 for full-time night shift Compensation... ...requiredScheduled Weekly Hours:36Throughout... ...budgeted to work at least 32 hours per pay... ...coverage includes medical, prescription, dental... ...for full-time and part-time colleagues.* Paid...Part timeMedicalFull timeTemporary workRelocation packageSleeping nightsFlexible hoursNight shift$7.5k
...Green Bay, WItime type: Part timeposted on: Posted... ...Nursing • Schedule: Part-time: 24 hrs/wk -Night Shift (7p-7a)... ...DescriptionScheduled Weekly Hours:24Throughout communities... ...to work at least 32 hours per pay period are... ...coverage includes medical, prescription, dental and...Part timeMedicalFull timeTemporary workFlexible hoursNight shiftWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Policy Analyst (Part-Time - 32 hrs weekly). Be the first to apply!
Related searches
- health policy analyst Brooklyn, NY
- research and policy analyst Brooklyn, NY
- policy analyst Brooklyn, NY
- policy officer Brooklyn, NY
- government policy advisor Brooklyn, NY
- policy advisor Brooklyn, NY
- billing specialist medical Brooklyn, NY
- medical scribe part time Brooklyn, NY
- med surg medical surgical rn registered nurse Brooklyn, NY
- medical inspector Brooklyn, NY