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 The position is responsible for leading the managed long term support and services program clinical care team in a hands-on manner to provide exceptional service to the customer and contain medial claims cost. This is accomplished through active involvement and leading of the day-to-day operations of a clinical care team and ensuring staff is consistent with corporate policies and procedures and are compliant with contractual, state and federal guidelines. Serves as a medical resource to members and providers, and non-clinical staff. What You'll Do - Supervises, analyzes and coordinates the daily activities of the unit to ensure departmental productive goals are met with regards to quality timeliness, accuracy and consistency of medical decisions. - Continuously evaluates workflow issues and seek to improve processes that impact the managed long term support and services department. - Coordinates data collection, reviews compliance reports and identifies opportunities for service improvements. - Recommends, develops and implements department polices and procedures and interfaces with other areas to insure consistent applications. - Liaison between Medical Directors and staff. - Develops and monitors goals for staff and provides ongoing feedback and coaching. - Conducts performance reviews on an annual basis and administers salaries for the staff. - Directs the employment activities of the office that include staffing, development, and training. - Ensures staff meets all regulatory requirements and comprehends and complies with best practices, professional standards, internal policies, and procedures. - Performs the operational duties of a specific clinical care team. - Ensures an atmosphere within the team, which fosters open communication, teamwork, ownership, and empowerment to make decision. - Develops key performance indicators to evaluate level of service for internal and external customers. - Acts as technical expert and reference point for difficult and complex matters. - Facilitates the creation of service and processing innovations within the team. Shares innovations with other teams and market divisions. - Assists in preparing and monitoring the budget to ensure administrative cost objectives are met. Identifies and implements cost saving/revenue generating opportunities. - Interprets and executes policies for the team. - Participates in special projects initiated by the Plan. - Assists Manager in coordinating regulatory, quality and accreditation activities. - Represents the Plan with external customers, providers and agencies. - Represents the department on internal committees What You Bring Education/Experience: - High School Diploma/GED required - Bachelor degree preferred or relevant experience in lieu of degree - Requires two (2) - four (4) years acute healthcare experience. - Prefers one (1) year experience as a supervisor. - Prefers one (1)- three (3) years experience in the health insurance industry. - Certification as a case manager preferred. - Professional certification in a clinical specialty and at least three years experience as a case manager preferred. Additional licensing, certifications, registrations: - Active Unrestricted NJ RN/SW License Preferred. Candidates with a restricted license will not be considered. Knowledge: - Requires knowledge of Utilization Management (UM) and managed care principles as they relate to the CCM process and Elderly Frail /Managed Medicaid Population based CM - Requires knowledge of the Case Management/Disease Management Standards of Practice. - Requires knowledge of health care systems and medical documentation. - Requires understanding of claims processing, contracting and enrollment. - Requires knowledge of State Mandates and Regulations, including HIPAA and HCQA. - Requires knowledge of regulatory bodies and their processes including HCFA and DOBI. - Requires knowledge of NCQA and URAC accreditation criteria related specifically to UM/DM and Case Management. - Requires knowledge of community health resources. Skills and Abilities: - Requires the ability to express thought clearly and concisely both orally and written. - Requires the ability to obtain the skills possessed by the team members and system technical competence. - Require the ability to effectively lead team members in diversified tasks. - Requires excellent organizational skills. - Requires excellent presentation skills. - Requires the ability to think analytically and to report findings in an accurate manner. - Requires knowledge of computers and their related software packages. Travel: - Minimum local travel required 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: $87,300 - $119,070 ​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.

Are you looking to accelerate your career without having to hide your authentic self - a place where you can be you? A career that’s making a bigger impact on the world? At OneDigital, we are on a mission to help people do their best work and live their best lives. From the services we offer to the way we show up for each other each day, we are fueling dreams, achieving big goals, and embracing each other’s truest selves. We understand that pursuing a new job is a big deal. Maybe you’re afraid you won’t fit in. Well, here’s the good news. For us, the days of “fit in to get in” are over and being different is not a barrier to getting ahead. Greatness comes in all shapes, sizes, colors, and experience levels. If you are looking for a people-first culture that is wired for growth, driven to serve, and totally committed to having your back, give us a shot. Your best life awaits. Must be eligible to work in the United States without the need for work visa or residency sponsorship. Our Newest Opportunity: Summary: The Senior Retirement Plan Administrator is responsible for managing a caseload of retirement plan clients, focusing on accurate plan administration, regulatory compliance, and proactive client relationship management. This role involves technical execution of plan operations, government filings, and participant transactions, while ensuring a high level of client satisfaction and retention. Essential Duties and Responsibilities (includes but is not limited to): Client Relationship Management · Serve as primary relationship manager for assigned client caseload. · Maintain high retention through proactive communication and service delivery. · Serve as escalation resource for complex or high-risk client issues. Plan Document Management · Prepare, amend, and maintain plan documents. · Ensure documents are updated with regulatory and plan changes. Compliance & Testing · Perform nondiscrimination testing (ADP/ACP, top-heavy, cross-tested). · Monitor participant eligibility, contributions, and vesting schedules. · Ensure compliance with ERISA, IRS, and DOL requirements. Participant Transactions & Services · Process distributions, hardship withdrawals, loans, RMDs, and QDROs. · Provide guidance and support to participants and plan sponsors. Recordkeeping & Data Management · Maintain accurate participant census and payroll data. · Reconcile contributions, employer match, and forfeitures. · Ensure timely deposits of participant contributions. Reporting & Filings · Prepare government filings (Form 5500 and related forms). · Provide required participant notices (Safe Harbor, fee disclosures, etc.) Audits & Risk Management · Support internal and external audit processes. · Coordinate corrections for errors or non-compliance. Cross-Functional Coordination · Collaborate with recordkeepers, custodians, payroll providers, and advisors. · Escalate and resolve complex client issues as needed. Qualifications, Skills and Requirements: · Experience with 401(k) and 403(b) plans · Depth of knowledge in ERISA, DFVCP, VCP filings · Proficient in Non-Discrimination testing (Section 401(a)(4), 401(a)(26)) · Microsoft Office (Excel, Word, PowerPoint), Adobe, Docusign · Excellent customer service and communication skills · Strong organizational, problem-solving, teamwork, collaboration skills · Strong work ethic, productivity, professionalism Education, Training and Experience: · ASPPA and/or CEBS designation required · 10+ years of experience in all aspects of retirement plan administration · Experience with any/all of the following: 401(k) plans, 403(b) plans, defined benefit plans, DB/DC combo plans, MEPs/PEPs, FTWilliam systems Pre-hire Screening Requirements: · Criminal · Financial · Education Verification Registration and Licensure · This role is not required to be licensed and registered as an IAR of OneDigital Investment Advisors. The typical base pay range for this role nationwide is $70,000 to $100,000 per year. Your base pay is dependent upon your skills, education, qualifications, professional experience, and location. In addition to base pay, some roles are eligible for variable compensation, commission, and/or annual bonus based on your individual performance and/or the company’s performance. We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs. You will receive reimbursement of job-related expenses per the company policy and may receive employee perks and discounts. To learn more, visit: www.onedigital.com/careers OneDigital is an equal opportunity employer. Not only as a matter of standard, but to honor and celebrate our differences. We believe that the power of ONE starts with you. We are committed to cultivating and preserving a culture that celebrates diversity, insists on equity and inclusion, and connects us. Ensuring our people feel seen, valued, respected, and supported is fundamental to our core values and business goals. OneDigital provides equal employment opportunities to all employees and applicants for employment regardless of their: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy (including childbirth, lactation and related medical conditions), national origin or ancestry, citizenship or immigration status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law (collectively, “protected characteristics”). A copy of the Federal EEO poster is linked here. Pursuant to local Fair Chance Ordinances, we will consider qualified applications with arrest or conviction records for employment. For applicable candidates, the following ordinances are linked here to inform you of your rights as an applicant: City and County of San Francisco City of Los Angeles County of Los Angeles Employment decisions shall comply with all other applicable federal, state and city/county laws prohibiting discrimination in employment. OneDigital complies with all criminal history inquiry [or ‘ban the box’] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington. In short, we believe in hiring the most qualified applicant for the position, regardless of background. If you have questions about our hiring policies and practices, we would be happy to discuss upon receiving your application. We hope to welcome you to OneDigital and look forward to hearing from you. OneDigital understands the immense responsibility and opportunities provided by Artificial Intelligence. We utilize advanced Artificial Intelligence [AI] technologies to enhance our recruitment process. This includes using AI to filter candidates based on their qualifications and to rediscover potential candidates from our existing applicant pool. Our AI systems help us efficiently identify the best fit for our open positions, ensuring a streamlined and effective hiring experience. However, AI does not replace the humans in our process. If you have concerns about our use of AI, you may opt out where laws allow. Thank you for your interest in joining the OneDigital team!

ARE YOU A CURRENT US FOODS EMPLOYEE? PLEASE APPLY DIRECTLY THROUGH OUR INTERNAL WORKDAY CAREER SITE Join Our Community of Food People! Develop a high performing team with varying skill levels whose focus workload is among the following: Costing & PO Confirmation. This team is responsible for ensuring purchase order accuracy for the procurement of goods and services while supporting the Procure to Pay process. The Supervisor will establish and maintain partnerships with an offshore management partner, ensuring coordination and communication with offshore teams. Will identify process improvement opportunities, while optimize centralized work, and measure the delivery of those services in a consistent objective way. The work for this position is completely remote anywhere in the United States except Hawaii or United States Territories. ESSENTIAL DUTIES AND RESPONSIBILITIES - Oversee daily Costing and Purchase Order Confirmation operations, ensuring timely PO confirmations and resolution of costing discrepancies identified by Accounts Payable. - Lead the resolution of vendor disputes related to costing discrepancies, ensuring accurate outcomes and timely communication. - Ensure accurate and current item, pricing, and cost data is maintained within forecasting and demand planning systems. - Plan, prioritize and delegate work tasks to ensure proper functioning of the team. - Manage service level agreements (SLA’s) for multiple work units to ensure reliability and accountability. - Partner with and provide data to leadership to manage staffing needs within the department budget, including staffing to workload volumes, promotions, merit increases, equity increases, and overtime as applicable. - Build and foster a collaborative network with stakeholders to strengthen alignment, share best practices, and drive communication. - Monitor and report on key performance indicators (KPIs) to drive operational excellence and meet service expectations. - Ensure the quality, accuracy, and ongoing integrity of core processes, procedures, and documentation. - Resolve complex escalations related to pricing, service levels, and accuracy, communicating resolutions to stakeholders within established timeframes. - Partner with third party and managed services providers to support process reviews, training, staffing needs, issue resolution, and continuous improvement initiatives. - Recruit, onboard, and train new associates as needed. - Provide regular feedback to associates and develop top talent while embracing our core values. - Provide coaching, best practice sharing, and identify developmental needs on an individual basis. - Ensure expectations both quantitative and qualitative are set and reviewed on an on-going basis. Participate in regular performance review discussions as needed. - Foster an environment of accountability and celebrate successes. Ensure associates are set up for success in all aspects of their role including their development for future roles. - Ensure established training protocols are delivered for cross-training support work and standardized processes for absorbing new work into the shared services model. - Motivate teams and set aspirational goals through departmental leadership, meetings, and one on one communications. - Ensure compliance with legal and company policies regarding hiring, performance evaluation, termination, and related leadership functions. - Provide leadership support and other duties as assigned by the Manager. SUPERVISION: - No Direct Reports - Provides oversight for 50–75 managed services associates and ensures effective workload distribution. RELATIONSHIPS - Internal: Frontline leaders and managers in AP, HR, Finance, Logistics, Replenishment, etc. - External: Suppliers & Managed Services team members. WORK ENVIRONMENT - Remote: This role is fully remote, and the associate is expected to perform assigned responsibilities from a home-based environment. MINIMUM QUALIFICATIONS - Three (3) years’ experience supervising or leading exempt and/or non-exempt employees required. - Three (3) years’ experience costing or replenishment required. - High level proficiency with Microsoft Office; (Excel, Word, Outlook, PowerPoint) understands formulas; Outlook: schedules meetings, manages calendar. - Experience operating in a high-volume, metric-driven environment, including ownership of service levels, accuracy targets, and process adherence required. - Strong financial acumen desired. - Strong communication and interpersonal skills to work effectively in a dynamic, team-oriented environment and interact with a variety of associates (all levels), external customer, and vendor community in a supportive positive manner. - Strong attention to detail, flexibility to follow through on commitments, and to work within an environment of changing priorities. - Ability to interpret data and translate into actionable steps while helping to drive a culture of continuous improvement with focus on department goals. - Strong problem solving, analytical skills, ability to think creatively and develop innovative solutions. - Demonstrated ability to effectively communicate and conduct presentations. EDUCATION - Bachelor's degree, or a combination of education and experience equivalent to a bachelor's degree such as: Four (4) years’ experience in one of the following: costing, replenishment, customer/vendor agreements, pricing analysis, and/or auditing. CERTIFICATIONS/TRAINING - N/A LICENSES - N/A PREFERRED QUALIFICATIONS - Experience in one of the following: customer/vendor pricing agreements, pricing analysis, and/or auditing - Strong financial acumen This role will also receive: annual incentive plan bonus ​Benefits for this role may include health insurance, pre-tax spending accounts, retirement benefits, paid time off, short-term and long-term disability, employee stock purchase plan, and life insurance. To review available benefits, please click here: https://www.usfoods.com/careers/benefits.html. Compensation depends on relevant experience and/or education, specific skills, function, geographic location, and other factors as applicable by law (for example: state or local minimum wage thresholds). The expected base rate for this role is between $60,000 - $90,000 ***EOE – Race/Color/Religion/Sex/Sexual Orientation/Gender Identity/National Origin/Age/Genetic Information/Protected Veteran/Disability Status***

We’re excited about your interest in pursuing the next step in your career with US Foods! Your continuous growth and development is critical to our success. US Foods is committed to working with and providing reasonable accommodation to individuals with disabilities. If reasonable accommodation is needed to participate in the interview process or to perform essential job functions, please contact our US Foods Application Accommodation Line at 855-873-2468. You will be prompted to leave a message. Please state the specifics of the assistance needed and your contact information. A member of our HR department will return your call within two business days. https://www.usfoods.com/careers/job-application-accomodation.html NOTE: Before you begin your internal job search, please review the criteria you will need to start the process. Develop a high performing team with varying skill levels whose focus workload is among the following: Costing & PO Confirmation. This team is responsible for ensuring purchase order accuracy for the procurement of goods and services while supporting the Procure to Pay process. The Supervisor will establish and maintain partnerships with an offshore management partner, ensuring coordination and communication with offshore teams. Will identify process improvement opportunities, while optimize centralized work, and measure the delivery of those services in a consistent objective way. The work for this position is completely remote anywhere in the United States except Hawaii or United States Territories. ESSENTIAL DUTIES AND RESPONSIBILITIES - Oversee daily Costing and Purchase Order Confirmation operations, ensuring timely PO confirmations and resolution of costing discrepancies identified by Accounts Payable. - Lead the resolution of vendor disputes related to costing discrepancies, ensuring accurate outcomes and timely communication. - Ensure accurate and current item, pricing, and cost data is maintained within forecasting and demand planning systems. - Plan, prioritize and delegate work tasks to ensure proper functioning of the team. - Manage service level agreements (SLA’s) for multiple work units to ensure reliability and accountability. - Partner with and provide data to leadership to manage staffing needs within the department budget, including staffing to workload volumes, promotions, merit increases, equity increases, and overtime as applicable. - Build and foster a collaborative network with stakeholders to strengthen alignment, share best practices, and drive communication. - Monitor and report on key performance indicators (KPIs) to drive operational excellence and meet service expectations. - Ensure the quality, accuracy, and ongoing integrity of core processes, procedures, and documentation. - Resolve complex escalations related to pricing, service levels, and accuracy, communicating resolutions to stakeholders within established timeframes. - Partner with third party and managed services providers to support process reviews, training, staffing needs, issue resolution, and continuous improvement initiatives. - Recruit, onboard, and train new associates as needed. - Provide regular feedback to associates and develop top talent while embracing our core values. - Provide coaching, best practice sharing, and identify developmental needs on an individual basis. - Ensure expectations both quantitative and qualitative are set and reviewed on an on-going basis. Participate in regular performance review discussions as needed. - Foster an environment of accountability and celebrate successes. Ensure associates are set up for success in all aspects of their role including their development for future roles. - Ensure established training protocols are delivered for cross-training support work and standardized processes for absorbing new work into the shared services model. - Motivate teams and set aspirational goals through departmental leadership, meetings, and one on one communications. - Ensure compliance with legal and company policies regarding hiring, performance evaluation, termination, and related leadership functions. - Provide leadership support and other duties as assigned by the Manager. SUPERVISION: - No Direct Reports - Provides oversight for 50–75 managed services associates and ensures effective workload distribution. RELATIONSHIPS - Internal: Frontline leaders and managers in AP, HR, Finance, Logistics, Replenishment, etc. - External: Suppliers & Managed Services team members. WORK ENVIRONMENT - Remote: This role is fully remote, and the associate is expected to perform assigned responsibilities from a home-based environment. MINIMUM QUALIFICATIONS - Three (3) years’ experience supervising or leading exempt and/or non-exempt employees required. - Three (3) years’ experience costing or replenishment required. - High level proficiency with Microsoft Office; (Excel, Word, Outlook, PowerPoint) understands formulas; Outlook: schedules meetings, manages calendar. - Experience operating in a high-volume, metric-driven environment, including ownership of service levels, accuracy targets, and process adherence required. - Strong financial acumen desired. - Strong communication and interpersonal skills to work effectively in a dynamic, team-oriented environment and interact with a variety of associates (all levels), external customer, and vendor community in a supportive positive manner. - Strong attention to detail, flexibility to follow through on commitments, and to work within an environment of changing priorities. - Ability to interpret data and translate into actionable steps while helping to drive a culture of continuous improvement with focus on department goals. - Strong problem solving, analytical skills, ability to think creatively and develop innovative solutions. - Demonstrated ability to effectively communicate and conduct presentations. EDUCATION - Bachelor's degree, or a combination of education and experience equivalent to a bachelor's degree such as: Four (4) years’ experience in one of the following: costing, replenishment, customer/vendor agreements, pricing analysis, and/or auditing. CERTIFICATIONS/TRAINING - N/A LICENSES - N/A PREFERRED QUALIFICATIONS - Experience in one of the following: customer/vendor pricing agreements, pricing analysis, and/or auditing - Strong financial acumen This role will also receive: annual incentive plan bonus ​Benefits for this role may include health insurance, pre-tax spending accounts, retirement benefits, paid time off, short-term and long-term disability, employee stock purchase plan, and life insurance. To review available benefits, please click here: https://www.usfoods.com/careers/benefits.html. Grade: 12Compensation depends on relevant experience and/or education, specific skills, function, geographic location, and other factors as applicable by law (for example: state or local minimum wage thresholds). The expected base rate for this role is between $60,000 - $90,000 ***EOE – Race/Color/Religion/Sex/Sexual Orientation/Gender Identity/National Origin/Age/Genetic Information/Protected Veteran/Disability Status***