Self-Direction PPP Support Counselor Lead (Northern NJ 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. The role mentors, trains, and guides 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 delivers 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. What You’ll Do Perform PPP Support Counselor duties in accordance with established guidelines while training and mentoring new counselors for independent work. Serve as a PPP subject‑matter expert, offering technical assistance, knowledge‑sharing, and remediation support to peers. 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. What You Bring – Education / Experience High School Diploma/ GED required. LPN or healthcare background preferred. Relevant professional experience in budgeting or finance preferred. Minimum of 5 years’ experience in the health insurance industry or a professional business‑related field required. At least 3 years’ experience with financial counseling for the Personal Preference program. Experience with MS Office and other WFM solutions highly preferred. Knowledge Knowledge of healthcare industry preferred. Strong analytical and interpersonal skills; team player. Proficiency in MS Word, MS Excel, and MS PowerPoint. Skills and Abilities Strong analytical skills with emphasis on forecasting. Effective communication and presentation skills required for a lead/trainer position. Ability to work independently and resolve problems through interaction with multiple departments and personnel. Highly organized with emphasis on accuracy and timeliness of the PPP Support Counselor role. Compensation and Benefits Salary Range: $79,100 - $105,945. Comprehensive health benefits (medical, dental, vision). Retirement plans. Generous PTO and paid volunteer time off. Incentive plans and wellness programs. Tuition reimbursement. Equal Opportunity Employer 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