[Hiring] Provider Network Education & Communication Specialist @Horizon Blue Cross Blue Shield of New Jersey

Role Description

A Network Education and Communication Specialist plays a crucial role in facilitating effective communication, knowledge sharing, and engagement among network providers. By developing and implementing education and communication strategies, creating informative content, and delivering training programs, they contribute to the overall success of the network and its providers.

This Network Education and Communication Specialist role will support overall communication and education of network information for new and existing providers to promote high-quality and cost-effective care delivery. The primary focus for this role will be to facilitate effective communication and knowledge sharing among diverse audience(s) and provider practices, ensuring that information is disseminated accurately and efficiently.

This position will guide, through the creation of a curriculum and resource materials, the Provider Experience and Account Management team with instructing providers on operational processes and procedures for participating in Horizon’s network and ensuring information is delivered on time and easy to understand.

Qualifications

• High School Diploma/GED required.
• Bachelor degree preferred or relevant experience in lieu of degree.
• Minimum of 3+ years of relevant experience in health care industry or health insurance industry.
• Minimum of 3 years experience in health care writing and industry-specific terminology.
• Minimum of 3 years of demonstrated experience of laws and regulations regulating insurance, HMO hospital and physician practice.
• Minimum of 3 years experience with proven strong communication and presentation skills.

Requirements

• 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.
• Knowledgeable in the use of intranet and internet applications.
• Knowledge of Health Care contracting.
• Knowledge of the hospital and physician communities in the state of New Jersey.
• Knowledge of quality measurement approaches applied in measuring insurance, HMO, hospital and physician practice.

Benefits

• Comprehensive health benefits (Medical/Dental/Vision)
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement

Company 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.