Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: Provide guidance and support including reviewing errors, and responding to audit inquiries for internal team members and outsourced staff. Conduct formal observations of business team members, while acting as a technical expert within the business unit. May serve as 'work leader'; mentor and coach new/more junior staff. May participate in on-boarding, competency identification, execution of development plans, talent management, etc. Identify trends, recommend changes to processes including workflows, assess process deficiencies, and conduct one on one mentoring. Escalate system and operations issues reported to business owners or identified through analysis and assist with problem resolution. Produce daily educational bulletins to enhance quality. Collaborate with Training Quality and Operations during and after training period to ensure optimal learning experience, smooth post-training transition, on-going monitoring and training alternatives. Responsible for cross-training new/existing training at Horizon sites and at remote vendor locations Work with business units in conducting gap analysis and/or review data/metrics to determine if training solution is needed and if so, what type is required. Participate in cross-functional meetings and work group sessions to identify improvement opportunities. Partner with stakeholders to develop and deliver learning solutions in support of new products, new/upgraded systems and business initiatives. Responsible for training and delivery at Horizon sites and at remote vendor locations. Assist Supervisor with the modification of training resources/schedules in response to staffing issues and/or business needs. Monitor provisions and make recommendations to Service Level Agreements (SLAs) to ensure productivity and quality goals are met Collaborate with other Service Training & Development areas (Instructional Design & Knowledge Management) to provide input into learning solution program design and implementation. Serve as testers of workflows and processes of business/systems supported. Perform other relevant tasks as assigned by management. Core Individual Contributor Competencies: Personal and professional attributes that are critical to successful performance for Individual Contributors: Customer Focus Accountable Learn Communicate Education/Experience: High School Diploma or GED equivalent required. Bachelor's degree preferred. 3-5 years experience in health insurance operations preferably in a related role. Specialized knowledge/skills: Requires knowledge of current industry trends and Best Practices. Requires healthcare industry knowledge. Requires claims processing experience. Strong PC skills. Organizational, Multitasking, Analytical Thinking and strong Interpersonal and Presentation Skills. Preferred experience/knowledge: Operations Support Center (OSC) Mail Services functions High Speed Scanning (IBML) Fully Onsite – Penn Plaza location Hours: 7AM – 3:30PM Salary Range: $54,600 - $73,080 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 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. About Us We are the leading health insurer in New Jersey, trusted by generations of families and businesses. We are dedicated to enriching the lives and health of our members and the New Jersey communities we serve, because we live and work here too. Our Mission We empower our members to achieve their best health. Our Vision We are New Jersey’s health solutions leader driving innovations that improve health care quality, affordability and member experience in the markets we serve.