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Mgr, Risk Adjustment Vendor & Performance Mgmt

Horizon Blue Cross Blue Shield of New Jersey • Newark, NJ, US • published 2026-09-26 09:51:26.230336

Description

**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 role is responsible for vendor management, performance measurement, and analytics for Enterprise Risk Adjustment. Drives strategy, ensures accurate KPI reporting, and partners cross\-functionally to optimize vendor and operational performance across Commercial, Medicare, and Medicaid programs.**What You'll Do** **Job Responsibilities:** * Develop and lead risk adjustment vendor strategy aligned to enterprise goals * Identify vendor needs, source and evaluate partners, and define success measures * Negoti...

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