Horizon Blue Cross Blue Shield of New Jersey

Company Description

Horizon Blue Cross Blue Shield of New Jersey, the state's largest and oldest health insurer, is a subsidiary of Horizon Mutual Holdings, Inc., a not-for-profit mutual holding company. Together with its affiliates, Horizon offers a comprehensive range of medical, dental, vision, and prescription insurance products and services. As a leader in health solutions in New Jersey, Horizon collaborates with doctors and hospitals to deliver innovative, patient-centered programs that enhance quality and reduce costs. Headquartered in Newark, NJ, with offices in Hopewell, NJ, Horizon serves 3.7 million members, including over 1 million relying on Medicaid for their health coverage.

Role Description

This is a full-time on-site role for an Associate Chief Medical Officer based in the New York City Metropolitan Area. The Associate Chief Medical Officer will oversee clinical operations, provide medical expertise and guidance, and collaborate with healthcare providers to implement patient-centered programs. Responsibilities include developing medical policies, analyzing healthcare data, ensuring compliance with regulatory requirements, and promoting quality improvement initiatives. The role also involves working closely with other departments to streamline processes and enhance healthcare delivery.

Qualifications

Medical Degree (MD or DO) and board certification in a medical specialty Experience in clinical operations and healthcare administration Strong leadership and team management skills Knowledge of healthcare regulations, compliance, and quality improvement Excellent communication and interpersonal skills Ability to analyze healthcare data and implement evidence-based solutions Experience with patient-centered care models and clinical program development MBA or MPH degree is a plus