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 analyzing, understanding, and translating business needs into executive reports and/or business/technical documents with minimal supervision.
What You'll Do
Performs business requirements gathering process, including the creation of deliverables
Conducts detailed research
Performs analysis necessary to identify viable solution alternatives
Creates technical documents, high-level solution design, and project timelines
Stress tests solution results prior to production
May perform testing including User Acceptance Testing (UAT)
Participates in the complete system development life cycle
Oversees Special Investigations financial data tables mapping documents and maintenance
Engages with IT and/or Analytics surrounding data table issues and/or space planning
What You Bring
Education/Experience:
Minimum high school diploma or GED
Bachelor's Degree preferred.
4-6 years of related IT work experience preferably in the health insurance industry
Has played a key role in major company initiatives and demonstrated some leadership experience.
Development experience required in one or more of the following applications: Snowflake, SQL, Power BI, or Python.
Tableau Developer preferred.
Experience data domain knowledge, which includes, but not limited to:
1. Claims, provider, member data domain and their relationship
2. Understanding of key elements, data relationship(s), business rules, and analytic process
Knowledge:
Requires knowledge of system development life cycle and implementation methodologies
Experienced in using tool and methodologies (e.g. SIPOC) to identify process and operational efficiencies in business current and future state models
Demonstrates proficiency in structured query languages or analysis techniques
Demonstrates ability to apply structure to a loosely defined problem
Demonstrates understanding of core business functions
Skills:
Requires ability to multitask and handle multiple projects simultaneously
Requires excellent verbal and written communication skills
Requires strong PC skills
Requires excellent organizational skills
Prefer working knowledge of programming, development, and technical architecture
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:
$87,300 - $119,070
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.