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Horizon Innovations Jobs (NOW HIRING)

Horizon Health Care Inc

Managed Care Coordinator I

$44K - $59K/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 ...

Horizon Health Care Inc

DSNP RN I, PCA/MDC

Hopewell, NJ · On-site

$70K - $94K/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 ...

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How much do horizon innovations jobs pay per year?

As of Jul 8, 2026, the average yearly pay for horizon innovations in the United States is $85,458.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $99,000.00 per year, depending on experience, location, and employer.

What are the main responsibilities of someone working in a Horizon Innovations position?

Professionals in a Horizon Innovations role are typically responsible for identifying new business opportunities, researching market trends, and developing strategies to launch innovative products or services. Day-to-day tasks often involve collaborating with cross-functional teams, engaging with stakeholders, and coordinating pilots or prototypes to test new ideas. You may also be expected to analyze data, prepare reports, and present findings to leadership. The role is dynamic and best suited for individuals who enjoy staying ahead of industry trends and working in fast-paced, forward-thinking environments.

What is a Horizon Innovations job?

A Horizon Innovations job typically refers to a role at Horizon Innovations, a marketing and sales company specializing in direct customer engagement. Employees often work in entry-level sales, marketing, or management training positions, gaining hands-on experience in business operations and client relations. The company focuses on professional growth, leadership development, and performance-based career advancement. Many roles involve working with clients to enhance brand awareness and customer acquisition.

What are the key skills and qualifications needed to thrive in the Horizon Innovations position, and why are they important?

To thrive in a Horizon Innovations role, you typically need expertise in business development, market analysis, and strategic planning, often supported by a background in engineering, product management, or technology innovation. Familiarity with tools such as CRM systems, data analysis platforms, and innovation management software is highly valued. Strong creativity, communication, and cross-functional collaboration are essential soft skills for success in this position. These skills enable you to identify emerging trends, drive effective solutions, and work seamlessly with diverse teams to bring new ideas to market.

What job categories do people searching Horizon Innovations jobs look for? The top searched job categories for Horizon Innovations jobs are:
Horizon Innovations jobs near you
Managed Care Coordinator I

Managed Care Coordinator I

Horizon Health Care Inc

Remote

$44K - $59K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

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 supports the Clinical Operations functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators.
What You'll Do
  • Performs review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of structured clinical data from physicians/patients.
  • Prepare, document and route cases in appropriate system for clinical review. Initiates call backs and correspondence to members and providers to coordinate and clarify benefits.
  • Upon completion of inquiries initiate call back or correspondence to Physicians/Members to coordinate/clarify case completion.
  • Reviewing professional medical/claim policy related issues or claims in pending status.
  • Acts as liaison with providers, members and Care Managers.
  • Perform other relevant tasks as assigned by Management.
Utilization Management:
  • Upon collection of clinical and non-clinical information MCC can authorize services based upon scripts or algorithms used for pre-review screening.
  • Non Clinical staff members are not responsible for conducting any UM review activities that require interpretation of clinical information.
  • Handles initial screening for pre-certification requests from physicians/members via incoming calls or correspondence based on scripts and workflows, and under the oversight of clinical staff.
Case Management:
  • Assists members with finding providers, resolving problems and answering questions regarding anything from how to obtain services to how to file an appeal.
  • Makes outbound calls to in order to engage members in Case Management and to complete the necessary health assessment(s) (IHS/HRA, CNA/CMNA, MLTSS Elig Survey*.)
  • Educates members regarding preventive health activities and services.
  • Assists member to make appointments with their PCP, specialists, and/or transportation, etc. Handle PCP, demographic changes and/or new ID cards as requested by members.
  • Triage and distribute referrals from Member Services and incoming faxes from providers.
  • Reviews medical, dental and vision claims and address gaps in member's preventative care.
Addendum for Letter's Team Only:
  • Review medical and administrative documentation for accuracy, grammar, and compliance with regulatory standards.
  • Perform initial screening of determination letters, ensuring clarity and compliance before distribution.
  • Make sound, timely decisions under the direction and supervision of a designated Supervisor.
What You Bring
Education/Experience:
  • High School Diploma/GED required.
  • Prefer 1-2 years customer service or medical support related position.
Knowledge and Skills:
  • Requires knowledge of medical terminology, Preferred - Medicaid CM.
  • Requires Good Oral and Written Communication skills.
  • Requires ability to make sound decisions under the direction of Supervisor.
  • Prefer knowledge of contracts, enrollment, billing & claims coding/processing.
  • Prefer knowledge Managed Care principles.
  • Prefer the ability to analyze and resolve problems with minimal supervision.
  • Prefer the ability to use a personal computer and applicable software and systems.
  • Team Player, Strong Analytical, Interpersonal Skills.
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:
$44,600 - $59,745
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.

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