HCS Network Team Intern

Horizon Blue Cross Blue Shield of New Jersey
United States, New Jersey, Newark
298 Ferry Street (Show on map)
Dec 13, 2024
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: Horizon Casualty Services, Inc. (HCS) seeks a self-directed intern for the workers' compensation and auto product offering at Horizon BCBSNJ. The intern will report to the Director of the HCS Network Team gaining exposure to multiple departments under her purview. HCS offers a network of providers to workers' compensation and auto carriers (HCS clients) to help manage the medical costs associated with offering their insurance products. The intern will rotate through provider contracting and negotiations, dispute management, network innovation, provider data management, provider relations and clinical quality. The intern will have a good grasp of financials and a passion for creative problem-solving, collaboration, technology, and learning more about the healthcare industry. Responsibilities: Support provider contract negotiations by participating in meetings, taking notes and assisting with follow-up discussions with providers Analyze dispute trend data and identify potential issues through data analysis Review current operating procedures for provider data and identify opportunities for improvement Participate in clinical quality discussions and identify opportunities to further align clinical and administrative functions to better serve the provider network. Requirements: Entry Level Role Requires High School Diploma Pursuing an undergraduate or graduate degree in Finance, Economics, Business or related field. (Pursing an MBA highly desirable.) Excellent analytical and problem-solving skills Effective verbal and written communication Ability to conduct analyses in Excel Solid understanding of financials and interest in healthcare Ability to work effectively in teams as well as independently Strong work ethic and attention to detail Must demonstrate professional and ethical business practices, adherence to company standards, and a commitment to personal and professional development Additional Information: Gain hands-on experience in workers' compensation and personal injury protection casualty Build skills related to managing and working with a managed care provider network Shadowing, mentoring, and training opportunities with seasoned professionals Opportunity to attend company meetings Flexible schedule for students Location: 3 Penn Plaza Newark NJ - Hybrid Work Schedule Schedule: 8am-5pm (9 hour work day with lunch) Duration: 11 week Summer Internship Program (June 2, 2025 - August 15, 2025) 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.