Adjustment Clerk jobs in Newark, NJ

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Job Summary:

• Develop communications, programs, presentations, and other material to support the educational initiatives of the risk adjustment department.

• Create programs and strategies to aid in the development of the risk adjustment department and advance enterprise wide knowledge of risk adjustment goals. (Programs are defined as cross-functional business initiatives to identify members with an HCC. i.e., chart pulling, provider education, IT enhancements, enrollment programs.)

• Develop roadmaps and strategies to achieve risk adjustment department goals. Analyze business needs and develop strategies, analysis, and reporting to support the risk adjustment department.

• Assist with developing and coordinating the risk adjustment education program, such as developing timelines, topics, and educational content; edit existing educational content as needed to fit target audiences.

• Develop surveys or other feedback measures, distribute and receive feedback, and maintain responses to provide risk adjustment leadership with updates on areas of improvement and program success.

• Collaborate across departments to understand business needs and gather information from key stakeholders; aggregate information and develop business-oriented creative content.

• Collaborate with the internal communications department to ensure content is in alignment with company standards and policies.

• Provide recommendations for improvement of presentations, programs, and other risk adjustment communications based on feedback and research of best-in-class processes.

• Assist with developing and maintaining executive presentations, updates, and status reports to support needs of risk adjustment department leadership.

• Maintain an understanding and knowledge of the risk adjustment process, including regulatory changes impacting the program.

Disclaimer:
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.

• High School Diploma/GED required.

• Requires a minimum of 2 years of experience in communication or health care field or relevant field.

• Project management skills.

• Expert PowerPoint skills.

• Strong Excel skills (Int.-Adv) strongly preferred.

• Proficiency in Microsoft Office tools.

• Strong communication and presentation skills.

• Ability to manage multiple projects through planning, organizing, and independently following logical priorities independently.

• Ability to understand communication objectives, develop a framework on how to create the communication, and produce the deliverable.

• Exhibit creative thinking.

• Excellent written and verbal communication.

• Ability to work and collaborate with various levels of the organization.

• Some travel may be required.

Salary Range:

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 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.