Connecticut or Vermont or Texas or Minnesota or Iowa or Michigan or Maine or Wisconsin or New York or Kansas or Indiana or New Jersey or Nebraska or Louisiana or Tennessee or Kentucky or Mississippi or Ohio or Oklahoma or West Virginia or Massachusetts or Maryland or South Carolina or Missouri or Virginia or Illinois or North Carolina or Florida or Pennsylvania or New Hampshire or Delaware
5+ YOEM.D. or D.O. with active state medical license, ABMS board certification, 5+ years clinical/healthcare delivery experience, experience with appeals/claim review/coding (HCPCS/CPT) preferred, strong communication and analytical skills.
Newark or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$240k-$334k/yrHybridFull Time
Horizon Blue Cross Blue Shield of New Jersey: Not-for-profit New Jersey health insurer providing medical, dental, vision, and prescription coverage to individuals, employers, and public programs.
5+ YOEMD or DO with active unrestricted medical license, ABMS board certification, 5+ years clinical practice, 3+ years managed care, and experience in utilization management, quality, case management, or medical policy.
Philadelphia or Delaware or New Jersey or Pennsylvania
RemoteFull Time
Independence Blue Cross: Nonprofit regional health insurer serving families, employers, and communities in southeastern Pennsylvania.
MD or DO from an accredited school, unrestricted Pennsylvania medical license, ABMS/AOBMS board certification preferred (family/internal/pediatrics), ability to complete IBX credentialing, compatible mobile device for Microsoft Authenticator.