About the role
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 provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 51+ markets.What You'll Do
Develops and issues renewal rates for group size 51+.
Manages book of business independently up to authority limits, providing recommendations and analysis to Sales.
Analyzes both Account specific metrics and marketplace data to determine appropriate rate levels.
Approves Group Enrollment Information (GEI) and Benefit Information Forms (BIFs) where applicable.
Researches rate and benefit inconsistencies and issues corrections and/or recommendations.
Assembles data and produces ERISA 5500 reports and issues to Sales, where applicable.
Performs other duties as assigned by management.
What You Bring
Education/Experience
High School Diploma/GED required.
Requires minimum one (1) year business experience, preferably in an insurance environment.
Knowledge:
Prefer knowledge of Horizon BCBSNJ products
Prefer knowledge of underwriting principles, benefit offerings, alternate
financial mechanisms and rating methodology.
Must be proficient in the use of personal computers and supporting software in
a Windows based environment, including MS Office products (Word, Excel,
PowerPoint) and Lotus Notes; Should be knowledgeable in the use of intranet and
internet applications.
Skills and Abilities:
Requires excellent Math abilities to be determined via interview and/or testing.
Analytical & Problem Solving Skills
Attention to Detail
Time Management
Customer Focus
Teamwork
Self-Motivated
Travel (If Applicable)
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:
$70,500 - $94,395This 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.
Aplyr's read
Horizon NJ Health is a key player in New Jersey's health insurance landscape, employing a diverse range of professionals from clinicians to strategic analysts.
What's promising
- •Strong regional presence in New Jersey, offering stability and local market expertise.
- •Wide range of roles from clinical to strategic positions, indicating diverse career opportunities.
- •Focus on remote work options, appealing to candidates seeking flexibility.
What to watch
- •Limited public information about company culture and employee satisfaction.
- •Potentially high-pressure environment due to healthcare industry's regulatory demands.
- •Job security may be tied to regional market fluctuations and healthcare policy changes.
Why Horizon NJ Health
- •Part of Horizon Blue Cross Blue Shield, providing strong brand recognition and resources.
- •Specialized roles in oncology and behavioral health reflect commitment to comprehensive care.
- •Emphasis on innovation with positions like Dir, AI CoE and Strategic Initiatives Analyst.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Horizon NJ Health
Horizon Blue Cross Blue Shield of New Jersey is a health insurance company that provides a variety of health plans and services to individuals and businesses in New Jersey.