Senior Managed Care Coordinator

100 Horizon Healthcare Services, Inc; Hopewell (NJ); Vor Ort; USD 50.000 - 67.000; Vollzeit

Benefits dieser Stelle

Health benefits

Retirement plans

Generous PTO

Incentive plans

Wellness programs

Tuition reimbursement

Zusammenfassung

Horizon Blue Cross Blue Shield of New Jersey is seeking a Clinical Operations liaison to support case management, enrollment inquiries, and provider coordination from its New Jersey office.

The role involves reviewing requests, coordinating with physicians and members, and guiding non-clinical staff. A high school diploma and 3–5 years of customer service are required, with benefits and growth opportunities included.

Qualifikationen

• High school diploma required; 3–5 years in customer service.
• Knowledge of health insurance operations is a plus.

Aufgaben

• Review service requests for completeness and collect data.
• Document and route cases for clinical review.
• Coordinate benefits and treatment with members and providers.
• Assist with onboarding and training of new Managed Care Coordinators I.
• Act as liaison with providers, members and Care Managers.

Kenntnisse

Analytical thinking

Interpersonal skills

Team player

Customer service orientation

Ausbildung

High School Diploma/GED

Jobbeschreibung

Horizon Blue Cross Blue Shield of New Jersey is seeking a Clinical Operations liaison to support case management, enrollment inquiries, and provider coordination from its New Jersey office.

The role involves reviewing requests, coordinating with physicians and members, and guiding non-clinical staff. A high school diploma and 3–5 years of customer service are required, with benefits and growth opportunities included.