Horizon Blue Cross Blue Shield of New Jersey is seeking an Appeals Resolution Analyst II‑RN to handle medical appeal cases in a remote role based out of Hopewell, NJ.
Responsibilities include assessing clinical need against guidelines, coordinating with legal and external reviews, mentoring staff, and presenting appeals to committees while ensuring regulatory compliance and efficient, patient-focused care.
#J-18808-LjbffrRemote Appeals Resolution Analyst II (RN) in northern at Unknown Company
This position is listed as full time and able to be worked remotely.