Appeals Resolution Analyst II-RN
Horizon Blue Cross Blue Shield of New Jersey
About this role
This role is responsible for handling medical appeal cases, ensuring compliance with regulatory guidelines, and providing clinical support to appeals staff. The position involves reviewing medical records, resolving complex appeals, and coordinating with various departments to ensure timely and accurate resolution.
Skills
Qualifications
About Horizon Blue Cross Blue Shield of New Jersey
horizonblue.comHorizon BCBSNJ offers affordable New Jersey healthcare and health insurance for individuals, families and employers. Find cheap NJ health insurance quotes online from Horizon BCBSNJ website, an independent licensee of the BCBS Association.
Recent company news
NJ Spotlight NewsHorizon Blue Cross Blue Shield of NJ to lay off hundreds of workers
1 month ago
NJ.comHorizon Blue Cross Blue Shield of New Jersey to lay off 5% of its U.S. workforce
1 month ago
NJBIZHorizon BCBS NJ to cut 242 jobs amid financial strain
1 month ago
Real Estate NJNJ Transit, Horizon exploring plan to redevelop Newark office sites and build new 250,000 sq. ft. headquarters for health insurer
Dec 2, 2025
PoliticoHealth insurer Horizon settles with New Jersey for $100M stemming from health care overpayment allegations
Nov 14, 2025
About Horizon Blue Cross Blue Shield of New Jersey
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Horizon Blue Cross Blue Shield of New Jersey.
Salary
$79k – $106k
per year
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