Blue Cross & Blue Shield jobs in Newark, NJ - 4 jobs

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. Manages, mentors, and provides daily oversight of the various application developers, business systems analysts, testers, and scrum masters in the units for which they are responsible. Accountable for the technical aspects of the applications they support along with day-to-day operations ensuring system availability and performance as aligned to Horizon SLAs. Oversees and ensures software engineering lifecycle discipline (Agile/Waterfall) within the team. They serve as a technical expert and people leader, ensuring alignment with enterprise architecture principles while driving best practices in software development Responsibilities: * Manages the day-to-day operations of a technology team with a focus on the maintenance and software engineering and development of application systems. * Drives adoption and adherence to Horizon software development life cycle methodology (waterfall/Agile/Kanban) ensuring quality artifact production. * Assigns, monitors, and reviews progress and accuracy of work. * Ensures adherence to policies, plans, standards, objectives, budgets, staffing allocations and best practices in application development. * Manages and tracks team-level project details and serves as the technical subject matter expert, providing leadership during periods of transition. This includes managing technical risks, dependencies, and ensuring timely resolution of critical issues. * Manages relations, day to day expectations, time reporting accuracy, and adherence to contract SLAs of vendor partners within the team. * Oversees the design, development, and deployment of scalable and resilient applications that support a product focused on achieving distinct business outcomes. * Provide hands-on technical guidance, code reviews, and oversight to maintain high coding standards * Facilitate cross-team collaboration, where needed, to integrate applications and ensure seamless data flow * Provides staff management oversight including hiring, promoting, or making recommendations for staff. Conducts performance reviews and assessments, manages performance, engages in skills assessment, and promotes professional development of staff. Education/Experience: * Bachelor Degree required or 12 years equivalent work experience * 5 years - Experience with information technology concepts, application development and/or enterprise system maintenance methodology, terminology, and standards required * 5 years - Systems maintenance and/or programming experience required * 3 years - Expert working knowledge of at least one programming language and/or one enterprise system in use at Horizon BCBS * Product Management experience preferred Additional Licensing, Certifications, Registrations * N/A Knowledge: * Knowledge of information technology concepts, methodology, terminology, and standards. * Subject Matter Expertise (SME) in one or more enterprise IT systems * Knowledge and experience in Agile/Scrum and/or waterfall lifecycle methodologies Skills, and Abilities: * Proven Skill to develop and/or maintain an enterprise IT system * Strong interpersonal and organizational skills * Microsoft Office and email skills are required * Adaptive to high pace and changing environment. * Must be able to communicate effectively with both technical and non-technical co-workers. * Must be willing to adjust schedule to plan and perform maintenance and upgrades outside of business hours and be part of an on-call rotation. Travel (If Applicable) * None Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Salary Range: $123,000 - $167,895 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: 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 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. Are you seeking an Actuarial Internship in the healthcare industry where you will work while gaining that provides invaluable experience? If yes, then Horizon Blue Cross Blue Shield of New Jersey has an exciting opportunity for you to join our Actuary Team as an Actuarial Intern in our Newark, NJ facility! Responsibilities: * Working with other members of the Actuary/Analytics team to complete various tasks related to existing initiatives. * Working with data sets to map structures and identify correlations between elements. * Identifying and acquiring additional data sets which enhance the relevance and accuracy of existing data sets. * Perform actuarial tasks which are of a mathematical and quantitative nature. Tasks will vary based on work assignment and may involve reserve calculations, pricing analysis, experience analysis and studies, financial projections, and other actuarial/financial calculations. * Provide technical and analytical support for the actuarial department. * The selected individual will perform work under general supervision and must be familiar with standard actuarial concepts, practices, and procedures. Education/Experience: * Pursuing an undergraduate degree in Actuarial Science, Mathematics, Statistics or Economics * A high degree of skill in mathematics and statistics * Affinity for learning how to use as well as develop technical tools for working with data sets * Willingness to discover new opportunities for leveraging data to deliver new business insights or improve key decision-making processes * Intermediate or Advanced Excel skills * Working knowledge of VBA or SQL * Experience with SAS highly preferred * Must have at least one actuarial exam completed * Excellent verbal and written communication skills, including the ability to communicate with internal and external customers. Location: Newark Office (Hybrid, 1-2 days/week in the office) Schedule: 8am-5pm (9 hour work day with lunch) Duration: 11 week program (June - August 2026) This is a pipeline requisition for the 2026 Internship Program, not currently an open position. Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware 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. 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 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. 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. This is a one-year, structured post-graduate education and training program in our Commercial and Medicare Line of Business. The goal of the position is to provide advanced knowledge and skills regarding drug therapy and pharmaceutical services in a managed care environment. Responsibilities: * Clinical program incorporation into an on-line claims processor. * Pharmacy case management. * Development of therapeutic class reviews and drug monographs. * Formulary development. * Disease state management. * Development of clinical policies. * Prior authorization process. * Drug utilization review. * Outcomes research. * Unique focus on government programs. * Professional skills development and business administration. * Research project. * Attendance to at least one national conference. * Assist with Pharm.D. student oversight. Education/Experience: * Requires a bachelor's of science degree in pharmacy from an accredited college or university. * Requires a Pharm D from an accredited college or university. * Letter of Intent * Curriculum Vitae * Three Letters of Recommendation Additional licensing, certifications, registrations: * Active Unrestricted Pharmacist License Required Only If Making UM Decisions; NJ License Preferred. Knowledge: * Requires knowledge of a spreadsheet software package. * Requires knowledge of a database software package. * Requires project management knowledge. * Requires knowledge of internet clinical information databases. Skills and Abilities: * Requires the ability to utilize a personal computer and applicable software. * Requires the ability to think analytically. * Requires excellent verbal and written communication skills. * Requires strong organizational skills. * Requires the ability to analyze medical literature, i.e. clinical trials This is a pipeline requisition for the 2026 Pharmacy Residency Program, not currently an open position. Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Salary Range: $43,900 - $58,800 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: 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.