Top 868 Policy analyst Jobs in Morristown, Nj

Medical Policy Analyst
Horizon Blue Cross Blue Shield of New Jersey —Newark, NJ
- $70,500 - $94,395 a year
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
8d
BCBA-Board Certified Behavior Analyst at ESCNJ
The Educational Services Commission of New Jersey —Piscataway, NJ
- From $75,000 a year
- Multiple hires
- Background check
- Experience working with individuals with developmental disabilities
- Management
- Health insurance
- Dental insurance
Quick Apply
Board Certified Behavior Analyst (BCBA)- Somerset, NJ
Everas Community Services Inc —Somerset, NJ
- $75,000 - $85,000 a year
- Part-time
- CPR Certification
- Management
- Writing skills
- Paid training
- Health insurance
Quick Apply
Board Certified Behavior Analyst
Applied ABC —Jersey City, NJ
- $100,000 - $110,000 a year
- 8 hour shift
- Mid-level
- Clinic
- Driver's License
- Continuing education credits
- Health insurance
Quick Apply
Senior Analyst, Disbursements
Daiichi Sankyo, Inc. —Basking Ridge, NJ
- $83,360 - $125,040 a year
- Mid-level
- Office
- Bachelor's degree
Board Certified Behavior Analyst
Pillar Care Continuum —Livingston, NJ
- $95,000 - $100,000 a year
- Full-time
- School experience
- Data analysis skills
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Pediatric Certified Occupational Therapy Assistant (COTA)
Sensory Kids & Social Minds —Jersey City, NJ
- $50,000 - $65,000 a year
- Full-time
- Background check
- Outpatient experience
- Clinic
- Health insurance
- Dental insurance
Quick Apply
Senior Manager, Customer Data Solutions
Next Level Performance —New Brunswick, NJ
- $110,000 - $140,000 a year
- Part-time
- Hybrid work
- Azure
- HIPAA
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Auditor I
Formosa Plastics Corporation, USA —Livingston, NJ
- $56,921.00 - $74,149.75 a year
- Full-time
- Microsoft Excel
- English
- Office
- Paid holidays
- Disability insurance
Registered Behavior Technician (RBT)
ARC Morris —Morris County, NJ
- $28 - $30 an hour
- Weekends as needed
- Background check
- Up to 50% travel
- Writing skills
- Paid training
- 403(b) matching
Quick Apply
Registered Behavior Technician (RBT) – Parlin New Jersey, 08859
Go Grow —Parlin, NJ
- $25 - $30 an hour
- Part-time
- Background check
- Data analysis skills
- HIPAA
- Paid training
- Mileage reimbursement
Quick Apply
10d
In-Home Based BCBA
Proud Moments —Morristown, NJ
- $80 - $95 an hour
- Part-time
- Mid-level
- Analysis skills
- Project management
- Continuing education credits
- Health insurance
9d
Registered Behavior Technician (RBT) – Wayne 07470
Go Grow —Wayne, NJ
- $22 - $28 an hour
- Part-time
- Background check
- Data analysis skills
- HIPAA
- Paid training
- Mileage reimbursement
Quick Apply
5d
Experienced BCBA
Confidential —Bergen County, NJ
- $100,000 - $130,000 a year
- Part-time
- Experience working with individuals with disabilities
- Mid-level
- Experience working with children
Quick Apply
Direct Support Professional (Community Based)
ANCHOR BEHAVIORAL SOLUTIONS LLC —Bayonne, NJ
- $18.00 - $21.70 an hour
- Full-time
- Background check
- Clean driving record
- Pass drug screening
- Commuter assistance
- Dental insurance
Quick Apply
10d
Intermodal Chassis and Container Inspector
Aspect Associates, LLC —Jersey City, NJ
- $55,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
- Health savings account
- Health insurance
Quick Apply
Registered Behavior Technician (RBT) – Kenilworth NJ 07033
Go Grow —Kenilworth, NJ
- $22 - $28 an hour
- Part-time
- Background check
- Data analysis skills
- HIPAA
- Paid training
- Mileage reimbursement
Quick Apply
3d
Direct Support Professional (Community Based)
ANCHOR BEHAVIORAL SOLUTIONS LLC —Chatham, NJ
- $18.00 - $21.70 an hour
- Full-time
- Background check
- Clean driving record
- Pass drug screening
- Commuter assistance
- Dental insurance
Quick Apply
Direct Support Professional (Part Time)
ANCHOR BEHAVIORAL SOLUTIONS LLC —Ridgefield Park, NJ
- $18.00 - $21.70 an hour
- Part-time
- Background check
- Clean driving record
- Pass drug screening
- Commuter assistance
- Dental insurance
Quick Apply
10d
In-Home Based BCBA
Proud Moments —Fair Lawn, NJ
- $80 - $95 an hour
- Part-time
- Mid-level
- Analysis skills
- Project management
- Continuing education credits
- Health insurance
9d

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Medical Policy Analyst

Horizon Blue Cross Blue Shield of New Jersey -
Newark, NJ

Apply Now

Job Details

Full-time
$70,500 - $94,395 a year
8 days ago

Benefits

Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
Volunteer time off
Retirement plan

Qualifications

Professional ethics
High school diploma or GED
Patient care
Cross-functional communication

Full Job Description

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 - $94,395

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

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.

Apply Now

Refine Your Search

policy analyst jobs in morristown, nj

Medical Policy Analyst

BCBA-Board Certified Behavior Analyst at ESCNJ

Board Certified Behavior Analyst (BCBA)- Somerset, NJ

Board Certified Behavior Analyst

Senior Analyst, Disbursements

Board Certified Behavior Analyst

Pediatric Certified Occupational Therapy Assistant (COTA)

Senior Manager, Customer Data Solutions

Auditor I

Registered Behavior Technician (RBT)

Registered Behavior Technician (RBT) – Parlin New Jersey, 08859

In-Home Based BCBA

Registered Behavior Technician (RBT) – Wayne 07470

Experienced BCBA

Direct Support Professional (Community Based)

Intermodal Chassis and Container Inspector

Registered Behavior Technician (RBT) – Kenilworth NJ 07033

Direct Support Professional (Community Based)

Direct Support Professional (Part Time)

In-Home Based BCBA

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