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 accountable for providing support to the field based Care Managers (RN II and Care Specialist III). In addition, Clinical Care Associates serve as the first point of contact for our members looking for service and/or provider information as well as members or providers requesting authorizations and denials of services. This position coordinates and secures health care services required as part of a member centric plan of care, under the direction and supervision of the Care Manager. What You'll Do - Assist with scheduling and coordination of service needs identified in the members Plan of Care. The Clinical Care Associate works with the member to find health care professionals, locate and coordinate health and safety services, schedule appointments and services and provide authorizations and if appropriate, complete denials for care services. - Assist with all aspects of the implementation and facilitation of services. - Ensure timely member follow up. Interacts and communicates effectively with the member during telephonic contact. - Encourages member participation and compliance in the program. - Assist with placing calls to members. Coordinates the delivery of high quality, cost-effective care based on the members- needs and the managed long term support and services model supported by clinical practice guidelines established by the plan. - Interacts with the CM member/family, physician and healthcare team. Utilizes the care management process to set priorities, plan, organize, and implement interventions that are goal directed. - Utilizes care management process for goal directed member care. - Provides member with educational information to support their health and well-being. - Documents accurately and comprehensively based on the standards of practice and current organization policies. - Provides telephonic assistance for activities specific to the program. Troubleshoots and resolve issues for members as well as the field staff they support. - Professionally and adequately respond to queries from member and provider calls that are received CCA phone queue. - Mails required documents to members as well as upload returned documents into the medical management system, to meet contractual requirements. What You Bring Education/Experience: - High School Diploma/GED required. - Prefers healthcare industry experience. - Prefers a minimum of one (1) year experience in home care, discharge planning, or case management. Preferably with the elderly frail population. - Prefer a minimum of one (1) year experience in the managed care industry. Knowledge: - Requires knowledge of the standards of practice for care managers, coordination of services, and delivery of services. - Requires strong knowledge of managed care principles and concepts including Health Plan Effectiveness Data and Information Sheet (HEDIS). Skills and Abilities: - Requires strong organizational skills. - Requires strong oral and written communication skills. - Requires good PC skills, knowledge of working with a Medical Management system for electronic medical records and the ability to utilize Microsoft Office applications (Excel, Access, Word, etc.) - Requires good problem solving and conflict resolution skills. - Requires good presentation skills. - Requires ability to work with limited daily supervision. 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: $56,200 - $75,285 ​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.

We’re hiring a Clinical Applications Service Desk Resource! Join our team and help support the clinical applications that power our healthcare operations. In this role, you’ll troubleshoot system issues, improve workflows, deliver excellent customer service, and help staff get the most out of the tools they use every day. What you’ll do: - Resolve clinical application support tickets quickly and accurately - Provide clear, professional communication to end‑users - Improve service desk processes and maintain documentation - Monitor system performance and identify operational issues - Support security and compliance standards - Deliver training and create self‑support resources - Partner with stakeholders to understand needs and enhance application use - Stay current on new clinical technologies and features What you bring: - 1+ year of customer support, training, implementation, or clinical app experience (HCHB, eClinicalWorks, WellSky, PointClickCare, Epic, etc.) - Bonus: experience with Forcura, Waystar, Medalogix, NVOQ, or clinical interfaces • Strong troubleshooting, problem‑solving, and analytical skills Pennant is a people‑first healthcare organization built on our core values of CAPLICO—Customer Second, Accountability, Passion for Learning, Love One Another, Intelligent Risk‑Taking, Celebration, and Ownership. These principles shape our culture, guide our decisions, and empower our teams to deliver exceptional care and meaningful results. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Are you passionate about transforming clinical operations through smarter technology? We’re looking for a Clinical Applications Portfolio Leader to elevate how our Home Care teams use WellSky and other clinical applications—driving operational excellence, improving financial performance, and empowering clinicians to deliver exceptional patient care. About the Role The Clinical Applications Portfolio Leader serves as the strategic bridge between clinical operations, IT, and finance, ensuring our clinical applications are optimized, adopted, and aligned with organizational goals. This role focuses heavily on the operational use of WellSky within our Home Care environment, with an emphasis on workflow efficiency, practice management, and operational performance. What You’ll Do Application Optimization - Evaluate and enhance the functionality and utilization of clinical applications. - Customize tools to meet Home Care needs or implement best‑practice standards where underutilized. - Drive improvements that elevate patient care and operational efficiency. Workflow Analysis & Enhancement - Assess and refine workflows to reduce documentation time and streamline processes. - Improve ordering, signing, and patient lifecycle milestones through better application use. Training & Support - Develop and deliver training programs for agency staff. - Provide ongoing support, troubleshoot issues, and identify trends to create targeted education and self‑service resources. Performance Monitoring - Establish and track KPIs related to application usage, workflow efficiency, adoption, and indirect staffing costs. - Build improvement plans and maintain performance once targets are achieved. Financial Impact Analysis - Partner with Portfolio Leadership and agency Executive Directors to measure financial gains from operational improvements. - Review application and interface utilization, recommend changes, and collaborate on contract renegotiations when needed. Stakeholder Engagement - Build strong relationships across clinical operations, IT, and finance. - Ensure applications meet stakeholder needs and support organizational success. Innovation & Continuous Improvement - Stay current on emerging clinical software, vendor enhancements, and new technologies. - Recommend and implement innovative solutions that drive efficiency and financial performance. What You Bring - 3+ years of WellSky training, implementation, project management, or user experience. - 3+ years in practice management, billing management, or Home Care operations. - Experience with eClinicalWorks, Epic, PointClickCare, HCHB, or clinical interfaces is a plus. - Strong analytical, problem‑solving, and troubleshooting skills. - Ability to travel 25% to supported locations. Why This Role Matters This position plays a pivotal role in unlocking the full potential of our clinical applications. By optimizing workflows, improving adoption, and driving measurable financial impact, the Clinical Applications Portfolio Leader helps shape a more efficient, effective, and financially strong healthcare organization. Pennant is a people‑first healthcare organization built on our core values of CAPLICO—Customer Second, Accountability, Passion for Learning, Love One Another, Intelligent Risk‑Taking, Celebration, and Ownership. These principles shape our culture, guide our decisions, and empower our teams to deliver exceptional care and meaningful results. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

• Serve as the lead statistician for one or more clinical programs, overseeing all statistical aspects from study design through regulatory submission. • Lead the design of all clinical trials including sample size calculations, interim analyses, DMC activities, and randomization procedures. • Lead the development of clinical trial protocols and clinical study reports; write statistical methodology section of these documents. • Develop and review statistical analysis plans (SAPs), including methodology, sample size calculations, and interim analysis strategies • Guide and contribute to the creation, validation, traceability, reproducibility, and maintenance of the analysis datasets and statistical outputs. • Lead the electronic submission of clinical trial data to regulatory authorities. • Partner with clinical, regulatory, data management, and medical affairs teams to align statistical approaches with program objectives. • Proactively solve problems of statistical complexity. • Lead data standardization efforts (e.g., CRF and database design, edit checks, standard statistical programs, data presentations, data standards such as CDISC STDM/ADaM, and e-submissions). • Communicate complex statistical concepts clearly to non-statistical stakeholders, including senior leadership and external collaborators. • Participate effectively as a key member on clinical study teams. • Provides analytical insight on statistical methodology and advice to internal teams of accordingly.