Horizon Blue Cross Blue Shield of New Jersey · 4 months ago
Professional Resident (Commercial/Medicare)
Newark, NJ - Hybrid
Full-time
Hybrid
New Grad, Entry Level
$44K/yr - $59K/yrHorizon Blue Cross Blue Shield of New Jersey is a leader in health solutions, dedicated to improving healthcare quality and affordability for its members. They are seeking a Professional Resident in their Commercial and Medicare Line of Business to provide advanced knowledge and skills regarding drug therapy and pharmaceutical services in a managed care environment.
Health Care
Responsibilities
Clinical program incorporation into an on-line claims processor
Pharmacy case management
Development of therapeutic class reviews and drug monographs
Formulary development
Disease state management
Development of clinical policies
Prior authorization process
Drug utilization review
Outcomes research
Unique focus on government programs
Professional skills development and business administration
Research project
Attendance to at least one national conference
Assist with Pharm.D. student oversight
Qualification
Required
Requires a bachelor's of science degree in pharmacy from an accredited college or university
Requires a Pharm D from an accredited college or university
Letter of Intent
Curriculum Vitae
Three Letters of Recommendation
Active Unrestricted Pharmacist License Required Only If Making UM Decisions; NJ License Preferred
Requires knowledge of a spreadsheet software package
Requires knowledge of a database software package
Requires project management knowledge
Requires knowledge of internet clinical information databases
Requires the ability to utilize a personal computer and applicable software
Requires the ability to think analytically
Requires excellent verbal and written communication skills
Requires strong organizational skills
Requires the ability to analyze medical literature, i.e. clinical trials
Benefits
Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement
Company
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey is a company that provides health insurance products.
Founded in 1932
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Gary St. Hilaire
President & Chief Executive Officer
Recent News
2026-01-06
2025-12-29
2025-12-25
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