Horizon Blue Cross Blue Shield of New Jersey · 17 hours ago
Operations Support Specialist II
Hopewell, NJ
Full-time
Onsite
Mid, Senior Level
$63K/yr - $84K/yr
5+ years expHorizon Blue Cross Blue Shield of New Jersey empowers its members to achieve their best health and has been a leader in health solutions for over 90 years. The Operations Support Specialist II is responsible for guiding junior staff, responding to audit inquiries, and developing learning solutions for service training delivery.
Health Care
Responsibilities
Provide guidance and support to more junior staff: conducting formal observations to assess junior coach performance and/or progress
Assist internal team members and outsourced staff in reviewing errors, responding to audit inquiries, and handle more complex work assignments
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
May represent Operations unit at cross-functional meetings and work group sessions
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
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
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
Assist with inventory management
May also be responsible for other T& D elements such as Instructional Design if performing this function in a specialized business unit
Perform other relevant tasks as assigned by management
Qualification
Required
High School Diploma/GED required
5 years experience in health insurance operations preferably in a related role
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
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Benefits
Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement
Company
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey is a company that provides health insurance products.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Gary St. Hilaire
President & Chief Executive Officer
Recent News
2026-01-06
2025-12-29
2025-12-25
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