Newark, New Jersey, United States · Hybrid
$110k–$150k/yr
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, a…
Skills: Business Systems Analysis, Requirements Elicitation, SDLC, SQL, Process Modeling
New Jersey, United States · Remote OK
$93k–$140k/yr
Must reside in the state(s) specified above. This position is only open to residents in the state(s) specified above unless stated otherwise on this job posting. Job-Specific Responsibilities and Preferred Qualifications…
Skills: Sales Leadership, B2B Sales, Consultative Selling, Team Coaching, Talent Evaluation
Warren Township, New Jersey, United States · Hybrid
$122k–$167k/yr
Welcome to Haleon. We’re a purpose-driven, world-class consumer company putting everyday health in the hands of millions. In just three years since our launch, we’ve grown, evolved and are now entering an exciting new ch…
Skills: Consumer Insights, Market Research, Brand Strategy, Competitive Analysis, Data Synthesis
Jersey City, New Jersey, United States · On-site
$70k–$95k/yr
Overview Interstate Waste Services is the most progressive and innovative provider of solid waste and recycling services in the greater New York, New Jersey and Connecticut markets with a rail-served landfill in Ohio. IW…
Skills: Dispatching, Route Optimization, DOT Compliance, Employee Coaching, Safety Management
Cranbury, New Jersey, United States · On-site
$70k–$105k/yr
Join Amazon’s mission to become Earth’s safest place to work! At Amazon, we’ve set the ambitious goal to become the benchmark of safety excellence across all industries in which we operate. We're seeking a dedicated Work…
Skills: Safety Leadership, Risk Assessment, Data Analysis, Incident Trend Analysis, Compliance Auditing
Rahway, New Jersey, United States · Hybrid
$129k–$203k/yr
Job Description The Global Safety & Environment (GSE) organization is committed to protecting people, communities, and the environment while enabling the delivery of medicines and vaccines worldwide. This role, reporting…
Skills: Environmental Remediation, Decommissioning & Decontamination, Environmental Liability Management, Portfolio & Project Management, Due Diligence
East Hanover, New Jersey, United States · Hybrid
$140k–$193k/yr
Job Description Are You Ready to Make It Happen at Mondelēz International? Join our Mission to Lead the Future of Snacking. Make It With Pride. Working in close partnership with the Head of Marketing, you will be the ste…
Skills: Brand Equity Management, Portfolio Strategy, P&L Management, Consumer Insights, Integrated Marketing Campaigns
Short Hills, New Jersey, United States · On-site
$17/hr–$27/hr
Coach is a global fashion house founded in New York in 1941. Inspired by the vision of Creative Director Stuart Vevers and the inclusive and courageous spirit of our hometown, we make beautiful things, crafted to last—fo…
Skills: Leadership, Sales Management, Customer Experience, Team Development, KPI Analysis
Boston, Massachusetts, United States · On-site
$169k–$343k/yr
Position Overview Job Description Summary At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We wo…
Skills: Alignment, Decision Making, Critical Thinking, Effective Communications, Financial Analysis
Jersey City, New Jersey, United States · Hybrid
$109k–$201k/yr
Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, t…
Skills: Data Governance, Risk Management, Stakeholder Management, Change Management, Issue Management
Trenton, New Jersey, United States · Hybrid
$88k–$102k/yr
General Summary: Are you passionate about creating learning experiences that truly make an impact? In this role, you won't simply deliver prebuilt training—you'll design, develop, and bring innovative learning solutions …
Skills: Instructional Design, Adult Learning Principles, Corporate Training, Project Management, Microsoft Office Suite
Edison, New Jersey, United States · On-site
$41/hr–$56/hr
Why Join Sunrise Senior Living At Sunrise Senior Living, we believe meaningful work starts with purpose. Our team members are passionate about making a positive difference in the lives of residents every day. At Sunrise …
Skills: Active RN License, Clinical Judgment, Regulatory Knowledge, Communication Skills, Leadership Skills
Cambridge, Massachusetts, United States · On-site
$237k–$439k/yr
Job Description Summary This role can be located in East Hanover, NJ or Cambridge, MA. Job Description The Insights & Analytics (I&A) team is dedicated to enabling improved decision making at Novartis by leveraging data …
Skills: Data Analytics, Cross-Functional Collaboration, Go-to-Market Strategies, Launch Strategy, People Management
Newark, New Jersey, United States · On-site
$60k–$60k/yr
Salary - $65,000/yr + Quarterly Bonuses Benefits: Paid: Health, Dental, Life, LTD, STD Paid: Vacation, Federal Holidays, 2 Personal days, 5 Sick days Other benefits: 401K, Meals, Uniform, Shoes yearly credit. Position Su…
Skills: Supervisory Experience, Guest Relations, Complaint Handling, Communication Skills, Leadership Ability
Bellmawr, New Jersey, United States · Remote OK
$23/hr–$34/hr
Make your mark at Comcast -- a Fortune 30 global media and technology company. From the connectivity and platforms we provide, to the content and experiences we create, we reach hundreds of millions of customers, viewers…
Skills: Collaboration, Detail-Oriented, Inventory Management, People Management, Process Streamlining
Louisville, Kentucky, United States · On-site
$97k–$139k/yr
Before you apply to a job, select your language preference from the options available at the top right of this page. Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, …
Skills: Advanced Mathematical Analysis, Data Modeling, SQL, C#, Object-Oriented Programming
Red Bank, New Jersey, United States · Hybrid
$200k–$225k/yr
This is your opportunity to join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjuste…
Skills: Ocean Marine Cargo Underwriting, Portfolio Management, Risk Analysis, Broker Relationship Management, Pricing
Rahway, New Jersey, United States · On-site
$129k–$203k/yr
Job Description Our Company is a global biopharmaceutical leader with a diverse portfolio of prescription medicines, oncology, vaccines, and animal health products. We are driven by our purpose to develop and deliver inn…
Skills: Accountability, Business Processes, Change Management, Collaborative Communications, Community Management
Ho-Ho-Kus, New Jersey, United States · Hybrid
USA Head of Marketing — LOVE CORN Location: Ho-Ho-Kus, NJ (Mon - Thur in office) Reports to: Co-Founder & CEO Role Overview LOVE CORN is building the next breakout snack category - Premium Crunchy Corn. Today, LOVE CORN …
Skills: Brand Positioning, Performance Marketing, Digital Strategy, CRM, Influencer Marketing
New Jersey, United States · On-site
Overview Regional Director of Operations Thrive Physical Therapy Partners is seeking a Regional Director of Operations to support and grow a portfolio of outpatient therapy practices across our partner network. This is n…
Skills: Healthcare Operations Leadership, Multi-site Management, P&L Management, Financial Acumen, Clinical Coaching
Newark, New Jersey, United States • Hybrid
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Lead the analysis and translation of complex business needs into technical requirements for Blue Card and BCBSA initiatives. Coordinate cross-functional teams to ensure technical solutions align with business goals and oversee the full lifecycle from design to production validation.
Requires a bachelor's degree or equivalent experience and at least 8 years of IT experience, preferably in health insurance. Must possess strong leadership skills, expertise in SDLC, and proficiency in analysis techniques like SIPOC and SQL.
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.
Serve as the primary Business Systems Analyst for Blue Card, BlueCard Modernization (BCM), National Program Releases (NPR), Inter-Plan Teleprocessing System (ITS), Blue2, BlueCard Portal, RTM, and related BCBSA initiatives.
Leads and owns the analysis of complex issues/projects.
Coordinates the documentation of business needs including understanding and documenting business process flow documents.
Transitions the requirements and user stories to designers/developers and ensures a clear and complete understanding of the requirements.
Oversees the creation of technical documents, high level solution designs, development, testing and implementation of system specifications, when required. Acts as Subject Matter Expert in systems and technologies and recommends best practices for delivering business solutions.
Analyze BCBSA, NASCO, and Horizon requirements to identify business, operational, and technical impacts across Host and Home claims processing environments
Manages the process for identifying stakeholders and ensuring requirements across the project portfolio align to the enterprise and business unit strategy.
Manages the appropriate use of various analysis techniques to requirements and the organization, including the synthesis of large amounts of information provided by stakeholders, to identify opportunity for improvements.
Manages a diverse set of stakeholders and integrated complex current state structures to effectively optimize the future state process; understanding organizational culture, structure and impact on the business capabilities.
Lead requirement elicitation, impact assessments, and solution design discussions with business stakeholders, NASCO, BCBSA, and internal technology teams
Coordinate and facilitate reviews of BRDs, CSRs, TRDs, user stories, and functional requirements to ensure alignment with enterprise standards and BCBSA Mandates.
Partner with NASCO, BCBSA, and cross-functional teams to evaluate release enhancements, regulatory changes, and modernization initiatives impacting Blue Card operations.
Provide subject matter expertise for Host/Home claim processing, Inter-Plan Programs, ITS, Blue2, Real-Time Messaging (RTM), and BlueCard Modernization initiatives.
Develop and manage traceability from requirements through testing, implementation, and post-production validation.
Support SIT, UAT, Model Office, and production validation activities by creating test scenarios, reviewing test cases, coordinating defect resolution, and obtaining business sign-off.
Lead cross-functional impact assessments involving Claims, Operations, Provider Services, Middleware, Data Management, Analytics, Payment Integrity, Process Automation, and external vendor teams.
Monitor and manage production issues, defects, and enhancement requests, ensuring timely resolution and stakeholder communication.
Represent Horizon in NASCO, BCBSA, Blue Card user groups, Workgroups, certification activities, and release readiness reviews.
Develop executive summaries, status reporting, risk assessments, and stakeholder communications for BCBSA initiatives.
Mentor junior analysts and provide guidance on Blue Card business processes, requirements management, testing strategies, and production support best practices.
Education/Experience:
Bachelor’s degree required or 12 years of relevant experience in lieu of degree.
At least 8+ years of related information technology work experience, preferably in the health insurance industry.
Demonstrated experience in a key lead role in major company initiatives and demonstrated leadership experience.
Expertise leading Production Support activities including Issue resolution and bug fixing, application monitoring and dashboard tracking, Incident management and troubleshooting, Process improvements and Automation.
Requires knowledge of system development life cycle and implementation methodologies.
Requires working knowledge in structured query languages or analysis techniques.
Demonstrates a basic ability to apply structure to a loosely defined problem.
Demonstrates a basic understanding of core business functions.
Prefers knowledge of Healthcare industry.
Requires strong interpersonal skills including the ability to collaborate with and lead teams.
Requires skillful project execution experience and knowledge in a lead role.
Requires ability to multitask and handle multiple projects simultaneously while supporting others.
Requires excellent verbal and written communication skills along with skill at building rapport, active listening, and reading the underlying dynamics of the group and presenting to internal and external leadership.
Requires fundamental critical thinking and problem-solving skills with the ability to mentor lower level BSAs on critical thinking and problem solving.
Requires strong PC skills including MS Office Suite and Visio.
Requires working knowledge of programming, development, and technical architecture with knowledge of specific technologies in scope of primarily supported applications.
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!
This 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
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.
Horizon BCBSNJ is an independent licensee of the Blue Cross Blue Shield Association.
Horizon Blue Cross Blue Shield of New Jersey- the state’s largest and oldest health insurer - is a subsidiary of Horizon Mutual Holdings, Inc., a not-for-profit mutual holding company. Together with its affiliates, Horizon provides a wide array of medical, dental, vision and prescription insurance products and services. As New Jersey’ health solutions leader, Horizon is transforming healthcare by working with doctors and hospitals to deliver innovative, patient-centered programs that improve quality and lower costs. It is headquartered in Newark, NJ with offices in Wall and Hopewell, NJ. Horizon serves 3.7 million members including more than 1 million who rely on Medicaid for their health coverage.
Offices: 3 Penn Plaza East, Newark, NJ 07105, US · 1427 Wyckoff Road, Wall, NJ 07727, US · 250 Century Parkway, Mt. Laurel, NJ 08054, US · 1700 American Boulevard, Princeton Place, Pennington, NJ 08534, US
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