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 is responsible for performing behavioral health duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as assigned by management. What You'll Do - Assesses patient's behavioral health clinical need against established guidelines and/or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay. - Evaluates the necessity, appropriateness and efficiency of behavioral health medical services and procedures provided. - Coordinates and assists in implementation of plan for members. - Monitors and coordinates services rendered outside of the network, as well as outside the local area, and coordinates internally for negotiation of fees for such services as appropriate. Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome. - Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care. - Monitors patient's behavioral health medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness. - Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided. - Encourages member participation and compliance in the behavioral health case/disease management program efforts. - Documents accurately and comprehensively based on the standards of practice and current organization policies. - Interacts and communicates with multidisciplinary teams either telephonically and/or in person striving for continuity and efficiency as the member is managed along the continuum of care. - Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes. - Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes. - Completes other assigned functions as requested by management. What You Bring Education/Experience: - High School Diploma/GED required. - Bachelor degree preferred or relevant experience in lieu of degree. - Requires a minimum of two (2) years behavioral health clinical experience. - Behavioral health experience, preferably in a managed care setting, strongly preferred Additional licensing, certifications, registrations: - Active Unrestricted NJ LCSW, LMFT, LPC or RN License. Knowledge: - Prefers proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; prefers knowledge in the use of intranet and internet applications. - Prefers working knowledge of case/care management principles. - Prefers working knowledge of principles of utilization management. - Prefers basic knowledge of health care contracts and benefit eligibility requirements. - Prefers knowledge of hospital structures and payment systems. Skills and Abilities: - Analytical - Compassion - Interpersonal & Client Relationship Skills - Judgment - Listening - Planning/Priority Setting - Problem Solving - Team Player - Time Management - Written/Oral Communication & Organizational Skills Travel: - For field based positions, travel required 100%. 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 - $94,395 ​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 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.

• Consult homeowners on vacation rental best practices for providing 5-star guest experiences and the impact guest reviews have on revenue generation • Build a strong and strategic relationship with the owner and Evolve • Respond to homeowners’ inquiries, requests, and needs via phone, email, and text promptly in high-quality touchpoints and hold yourself accountable for the quality and timeliness of your deliverables to ensure strong client relations and partner success • Onboard and manage a continually moving pipeline of new owner partners from the point of signing up through activation • Utilize internal dashboards and resources to analyze market-specific data to set realistic expectations for performance and distill information for the owner • Responsible for making independent and critical business decisions in Evolve's best interest. These decisions may be related to profitability, ROI, or partnership readiness with the property and owner. • Collect relevant property details and utilize Evolve tools and resources to ensure brand standards and expectations are met • Research, diagnose, and recommend solutions to scenarios or problems that are varied but similar by utilizing resources and adapting solutions for specific situations • Maintain adherence to team and company standard operating procedure (SOP) while meeting performance and behavior expectations • Hold yourself accountable for measuring and meeting predefined performance objectives

• Guide new clients through the onboarding and implementation process • Walk customers through key workflows, features, and use cases • Help clients configure and navigate the platform effectively • Lead structured sessions to ensure successful product adoption • Identify gaps in understanding and proactively address them • Ensure each client reaches a point of independent product usage

Innovate Remotely This position is fully remote, allowing you to enjoy the flexibility of working from home while collaborating with skilled team members and contributing to groundbreaking solutions. Your Impact The PROvider Specialist is primarily responsible for completing specific activities in support of a defined Provider Management model. This includes conducting business and other performance-related business discussions with Independent Service Providers. The PROvider Specialist will compile data to organize packets for business reviews, reviewing documentation submitted by Service Providers, sending out business review invitations and required documents to Providers and Lowe's stakeholders, capturing feedback/actions from business reviews, recapping, tracking, and following up on required action plans. The PROvider Specialist will need to have foundational knowledge of Power BI, SPM, IMS, performance reporting, phone and computer systems, and be familiar with the contents of the Lowe's Services Agreement (LSA). To be successful, the individual in this role uses various systems to complete work and must be able to learn and utilize new systems and tools with training. In addition, this individual will need to be able to adapt to rapidly evolving business needs. What You Will Do - Works within the system-based work queue to identify activities ready for review. - Prepares for business reviews ahead of scheduled dates for reviewing performance reporting - Compile and review materials needed to prepare for PROvider business reviews - Communicates with Independent Service Providers ahead of schedule business reviews - Organizes and sends out invitations and the required documents to PROviders and Stakeholders - Captures feedback, takeaways, and other important notes during business reviews to recap for stakeholders - Tracks and follows up on activities requiring actions - Draws from experience supporting the program to offer ways to improve the Provider experience. - Being friendly and professional in engaging PROviders. - Keeps all reporting, packets, and files organized and accessible - Leads business reviews by discussing Provider performance metrics, feedback, and other relevant business topics - Execute daily and weekly assigned job duties Required Qualifications - High school diploma or GED, General Education, or equivalent years of experience in lieu of education requirement, if applicable - Up to 1 Year Experience in a call center, office administrative, high-volume retail, service support, or similar work environment. - If the state or local municipality requires a salesperson license for this position, you must either be licensed or pass the requisite licensing exam within sixty (60) days of starting employment in this position Preferred Skills/Education - Other Associates or a Bachelor's Degree in a related field - Experience in the remodeling or construction industry, Lowe’s store experience - Experience using CRM (Customer Relationship Management) tool, MS Word, MS Excel, and MS Outlook. Benefits - 401 (k) with up to 4.25% match - Discounted Employee Stock Purchase Plan (15% discount on strike price) - Tuition-Free Education - 10-week Maternity/Parental Leave - 10% Associate Discount For information about our benefit programs and eligibility, please visit https://talent.lowes.com/us/en/benefits. Pay Range: $20.67 - $34.52 per hour Starting rate of pay may vary based on factors including, but not limited to, position offered, location, education, training, and/or experience. For information regarding our benefit programs and eligibility, please visit our benefits page. Lowe's hourly remote associates cannot reside in Alaska, California or Hawaii. Lowe's salaried remote associates cannot reside in Alaska or Hawaii. About Lowe’s Lowe’s Companies, Inc. (NYSE: LOW) is a FORTUNE® 100 home improvement company with total fiscal 2025 sales of more than $86 billion. Lowe’s employs approximately 300,000 associates and operates over 1,750 home improvement stores, 540 branches and 120 distribution centers. Based in Mooresville, N.C., Lowe’s supports the communities it serves through programs focused on creating safe, affordable housing, improving community spaces, helping to develop the next generation of skilled trade experts and providing disaster relief to communities in need. For more information, visit Lowes.com. Lowe’s is an equal opportunity employer and administers all personnel practices without regard to race, color, religious creed, sex, gender, age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital status, military or veteran status, genetic information, or any other category protected under federal, state, or local law. Qualified applicants with arrest or conviction records will be considered for Employment in accordance with applicable laws, including the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, and the California Fair Chance Act. Lowe’s believes that conviction records may have a direct, adverse, and negative relationship to the following job duties: accessing company property, assets, information and products; partnering, supervising, and regularly working with other Lowe’s employees; and adhering to and monitoring compliance and safety guidelines. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.